The Four Quadrants for Effective Chronic Pain Management and Freedom from Suffering
Thursday, June 14th, 2012I believe healing must address the whole person in order to obtain the best treatment outcomes and an effective chronic pain management plan—not to mention freedom from suffering. Part of my initial evaluation session with my patients includes scoring each of the four areas of self—Bio-Psycho-Social-Spiritual. Each area is scored on a 1 to 25 point scale and that this score is your starting point—if it’s low don’t worry we can bring it up and if it seems high don’t get complacent because it can always come down.
I also explain some of the important components needed in each of the four areas before I ask them to give me their score. In the Biological area I cover interventions such as diet/nutrition, sleep hygiene, activity pacing, stress management, eliminating or reducing nicotine, caffeine and sugar, etc., as well as having an effective medication management plan in place. Then I explain the scoring; if the score is 1 to 3 you should probably be hospitalized in the intensive care unit and if you score 25, you’re ready to run a triathlon.
In the Psychological area I list examples like managing self-defeating defense mechanisms (AKA denial), positive thinking and feeling management plans, therapy or counseling, daily balanced structure etc. Here I explain that if this score is 1 to 3, they need to be in the hospital, but this time in the psych ward. If their score 25, they’ve reached enlightenment or guru status.
Next is the Social area where I list ideas such as letting go of enabling friends/family members, setting assertive limits and boundaries, developing a chronic pain support system, connecting and communicating with family and friends in a healthy manner, etc. This time if the score is 1 to 3 they are hermits ready for a cave, and if it’s 25 they are a well connected social butterfly.
Finally the Spiritual area is where I list ideas such as prayer, meditation, finding peace in nature, working the steps if in a 12-Step Program, spiritual practice, religious practice, etc. This time if the score is 1 to 3 they are totally cut off from their spiritual connection, and if it’s 25 they are in total harmony.
Then I have them pick a goal in their lowest scored area and commit to a proactive plan of action that will raise that score. When that’s accomplished I have them go to the next lowest box and do the same thing. Then complete that process for the final two areas also. I explain the goal is to keep moving forward. This healing process is like walking up a down escalator; if you stop you go down.
People who are willing to develop a treatment plan that includes medication management, psychological/emotional healing, social/cultural and spiritual growth have a much better chance of obtaining effective chronic pain management and freedom from suffering. Remember though this is a right it is also a responsibility.
In my new book Freedom from Suffering: A Journey of Hope I’ve included information on how to develop the bio-psycho-social-spiritual chronic pain management plan for more effective chronic pain management and freedom from suffering. For more information or to purchase my book please click here.
To learn more please see my video below.

You can learn about the Addiction-Free Pain Management® System at our website www.addiction-free.com. If you or someone you love is living with chronic pain and seems to be suffering; please consider my book Freedom from Suffering: A Journey of Hope. This book was written for people living with chronic pain who are ready to learn and then put into practice seven strategic steps that will help them better manage their chronic pain condition, improve their quality of life, end suffering, and achieve their cherished goals. To purchase my Freedom from Suffering book please Click Here.
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