Chronic Pain: Taking Back Control

Michelle Taylor, PsyD, LMHCA

Therapy for Chronic Pain in Seattle and Bellevue, WA

According to the Institute of Medicine (2011), 100 million Americans suffer from chronic pain. Chronic pain affects individuals of all ages, with headache, back pain, cancer pain, arthritis, and neurogenic pain being the most common chronic pain complaints. In addition to physical disabilities, chronic pain is associated with high levels of emotional distress. Roughly half of chronic pain patients meet criteria for depression (Peters et al., 2017); furthermore, individuals with chronic pain are at least twice as likely to report suicidal behaviors or to complete suicide as the general population (Racine, 2017).

While acute pain is a normal sensation triggered in the nervous system to alert you of a possible injury, chronic pain is different. Chronic pain persists, and pain signals continue to fire in the nervous system. From an evolutionary perspective, pain is perceived as a threat or damage to one’s biological integrity. Pain has sensory and emotional features, which provide information for adaptation and survival. While pain serves us well in these respects, disability and suffering can occur when pain persists relentlessly (Chapman, 1995).

The Emotional and Physical Toll of Living with Chronic Pain

Some individuals who experience sustained unrelieved pain suffer because the pain changes who they are as a person. At a physiological level, chronic pain fosters an extended and destructive stress response characterized by neuroendocrine dysregulation, fatigue, dysphoria, myalgia, and impaired mental and physical performance. This sequence of discomfort and functional limitations can promote negative thinking and create a vicious cycle of stress and disability. The person in chronic pain can therefore feel trapped in a situation that evokes a sense of helplessness. Individuals can further suffer when this cycle contributes to their inability to sustain productive work, maintain an everyday family life, and engage in supportive social interactions (Chapman & Gavrin, 1999).

There is mounting evidence that positive psychological well-being is associated with reduced risk of physical illness and prolonged survival (Steptoe et al., 2009). Additionally, higher levels of resilience are associated with higher levels of pain acceptance, active coping strategies, and adjustment to pain (Ramirez et al., 2012). Positive psychology interventions, Acceptance and Commitment Therapy, and Cognitive-Behavioral therapy have all been shown to increase resilience in individuals with chronic pain.

The Healing Power of Connection in Chronic Illness

Research focused on relationships and social support theory suggests that relationships with others promote both psychological and physical well-being in individuals with acute and chronic illnesses (DiMatteo & Hayes, 1981). Positive family relationships, in which there is mutual understanding and good communication, have been shown to increase the likelihood of sustaining employment and to decrease depression in the family member with chronic pain (Hung et al., 2017). Further, better marital quality is associated with less pain and lower pain-related disability: patients with partners who are responsive to their pain experiences report improved physical functioning (Wilson et al., 2017).

While chronic pain can make you feel like you’ve lost control of certain areas or aspects of your life, going to talk to someone in therapy is one way to start gaining back control. Therapy can help you to process how chronic pain is affecting your life, your partner’s life, or your lives as a couple. Like any challenging issue in life, the more support you have from others, the stronger and more capable you feel moving forward.

Contact Pacific Behavioral Healthcare

Living with chronic pain affects more than just the body; it touches every part of life, from mood and relationships to the ability to work and enjoy daily activities. While the cycle of pain and stress can feel overwhelming, therapy offers tools to break that cycle, restore a sense of control, and support both mental and physical well-being.

If you or someone you love is struggling with the impact of chronic pain, you don’t have to face it alone. Dr. Michelle Taylor and the experienced team at Pacific Behavioral Healthcare are here to help you navigate the challenges, find relief, and build resilience.

Contact Pacific Behavioral Healthcare today to learn more about how therapy can support your journey toward healing and a better quality of life.