Chronic Pain and Opioid Management Strategies for Integrated Treatment

This book presents an integrated approach for concurrently treating chronic pain and opioid use.

Many patients who suffer from chronic pain are also managing opioid medications. Because this population often
requires a higher level of care, it is critical for providers to address pain and opioid management together.

This book presents an integrated healthcare team approach that helps patients manage opioid use in a structured, safe, and supportive environment while also exploring all of the factors that impact the patients’ pain experience.

This whole-person approach to care allows for cross-cutting strategies to be applied and maximizes the reduction of suffering. 

The behavioral treatment strategies in this book can help providers assist patients who are struggling with chronic pain and have relied on opioids at one point. This includes individuals that are considering de-prescribing, are in the process of opioid tapering, have recently discontinued from opioids, or are currently using opioids effectively for pain.

Combining expert clinical guidance with the latest research and practical case examples, the book helps practitioners across healthcare disciplines understand their patients, improve rapport and engagement, and implement treatment strategies to help patients live their best lives.
 

Jennifer L. Murphy, PhD, is a recognized authority and international speaker on optimizing behavioral treatments for chronic pain. She is the lead manual author, master trainer, and subject-matter expert for the Department of Veterans Affairs Cognitive Behavioral Therapy for Chronic Pain treatment. In her long-term role as Clinical Director of Tampa VA’s inpatient Chronic Pain Rehabilitation Program, Dr. Murphy provided clinical oversight for participants during opioid tapering. She is Associate Professor at the University of South Florida’s Morsani College of Medicine, co-investigator on numerous funded research trials, and serves on the editorial board of Pain Medicine. She lives in Tampa, Florida. Visit Jennifer.MurphyPhD.com.

Samantha Rafie, PhD, is a leader in developing and providing behavioral pain treatment in primary care to tertiary-level programs, including functional restoration, opioid tapering, medication-assisted treatment, and detoxification. Dr. Rafie is faculty at the University of California San Diego’s Health Department of Psychiatry and San Diego VA Healthcare System, authored numerous peer-reviewed publications, and trained interdisciplinary teams and future health care professionals in providing psychologically informed pain care. Nationally, she is one of a small number of psychologists fellowship trained in chronic pain management. She lives in San Diego, California. Visit SamanthaRafiePhD.com, MindOverPain.org, and follow @ChronicPain_Doc on Twitter.
 

Foreword, by David J. Tauben
Preface
Introduction
I. Foundations
Chapter 1: Chronic Pain and Opioids
Chapter 2: Treatment Approaches: The Evidence
Chapter 3: The Patient-Provider Relationship
II. Phase 1: Preparing for Change
Chapter 4: Evaluate the Patient’s Functioning and Well-Being
Chapter 5: Exchange Expectations and Address Resistance
III. Phase 2: Engaging in Strategies
Chapter 6: Develop Goals and Treatment Plan
Chapter 7: Practice Helpful Strategies
Chapter 8: Address Common Barriers
Chapter 9: Monitor and Manage Symptoms
IV. Phase 3: Maintaining Gains
Chapter 10: Develop a Maintenance Plan
Chapter 11: Address Setbacks
Chapter 12: Reinforce Resources
Afterword: Conclusions