- Faculty:
- Robert Umlauf
- Duration:
- 5 Hours 48 Minutes
- Format:
- Audio and Video
- Copyright:
- Nov 08, 2017
Description
Outline
CHRONIC PAIN: NEUROPHYSIOLOGICAL FACTORS, EXPERIENCES, AND PAIN BEHAVIORS
- How time from onset and type of pain play a role
- Pain Egg and nociception
- Psychophysiology of pain as a PERCEPTION
- Smoke Alarm metaphor: acute vs. chronic pain
- Autonomic systems and power of retraining
- Pain vs. Suffering
- Historical predictors of developing chronic pain syndromes
OPIATE USE IN THE USA
- Pain Clinic History and shift towards increase in opiate prescribing
- What influences the drive toward increased prescribing?
- CDC Guidelines on opioid prescribing
- Opiate overdose deaths and addiction
- Screening tools for opiate abuse potential
PSYCHOLOGICAL ASSESSMENT IN PAIN POPULATIONS INCLUDING DIFFERENTIAL DIAGNOSES: LIMITS AND CONCERNS
- Use of tests and their limits
- MMPI-2-RF
- BBHI-2
- CES-D
- BDI
- Additional tests
- Intake interview components
- Primary Care coordination: strategy for collaboration with other professionals
- Tools to assess and treat mental processes that exacerbate pain
INTERVENTIONS: TALK THERAPY IS NOT ENOUGH- PAIN PATIENTS NEED SKILLS
- Manage mood and set goals by adapting:
- CBT
- ACT
- Other therapies
- Educate: “Harm Alarm” retrain perceptions
- Self-regulation: including mindfulness
- Biofeedback: simple techniques ANYONE can use
- Cognitive reframes for Pain Management
- PACE: including behavioral monitor and tracking scales for self-regulation
- Motivational Interviewing: adaptations for chronic pain treatment
- Heal the past: Sarno’s model
- Sleep
- Behavioral tools
- Sleep hygiene
- Sleep restriction
- Environmental factors
- Apps for Pain Management
- B2R
- Pedometer
INTEGRATIVE OPTIONS
- Alternative/Integrative Medicine
- Recent medical advances in pain treatment
- Psychotropics and antidepressants
- SNRI’s: first line
- Low-dose TCA’s and sleep: be careful!
- Avoid the Benzo’s!
- Nutrition, Diet and Supplements: evidence-based suggestions
- Acupuncture: NIH consensus conference data
- Provider skill is a major factor in outcomes
- MRI data and common pathways for healing
- Hands-on Options
- Physical Therapy, Exercise and Rehabilitation
- Chiropractic, Osteopathy and Manipulation therapies
- Massage, Deep Tissue therapies
- Other modalities: Rolfing, Craniosacral, Myofascial Release, Dry needle, etc.
INCORPORATE NEW SKILLS
- Self-regulation exercises
- Biofeedback lab
- Challenge that catastrophic pain belief
Faculty
Robert Umlauf, PHD, ABPP Related seminars and products: 1
Robert Umlauf, PhD, ABPP, is a licensed clinical psychologist with advanced board certification in rehabilitation psychology. He has over 30 years of direct clinical experience working with clients with chronic pain and has also worked in a wide variety of medical/rehabilitation settings. In addition, Dr. Umlauf has experience working with people who have addictions and is passionate about teaching skills to people living with chronic pain so they can avoid the trap of opiate abuse.
Dr. Umlauf is in private practice and consultation, with a specialty in health/wellness, pain management, and lifestyle adaptation to maximize well-being. He has been on the faculty at the University of Washington, University of California San Diego, and Georgetown University, and has published dozens of peer-reviewed articles, professional presentations, workshops, and book chapters. Dr. Umlauf earned his MA and PhD in clinical psychology from the University of Missouri-Columbia and his BS in psychology from the University of Washington.
Speaker Disclosures:
Financial: Robert Umlauf is in private practice. He receives a speaking honorarium from PESI, Inc.
Non-financial: Robert Umlauf has no relevant non-financial relationship to disclose.
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