When a health practitioner is at the bedside of a patient suffering from chronic pain and a psychiatric comorbid condition, he is facing a true clinical conundrum. The comorbidity is ...
When a health practitioner is at the bedside of a patient suffering from chronic pain and a psychiatric comorbid condition, he is facing a true clinical conundrum. The comorbidity is frequent yet poorly understood, the diagnosis is difficult and the treatment that follows is less than appropriate. Pain conditions and psychiatric disorders have customarily been understood and treated as different and separate clinical entities, to the detriment of patients’ wellbeing. Fathoming the overlapping pain and psychiatric disorders is in the interest of everyone involved in healthcare, including doctors, nurses, pain specialists, psychiatrists, social workers, psychologists, hospital administrators, and health policymakers.
There is a wide overlap of chronic pain conditions and psychiatric disorders. Pain and psychiatric comorbidity is frequent in the population, yet it is poorly understood. The societal burden of mental illness and pain is enormous; it could approach one trillion dollars annually in the USA. Compounding to the economic burden, are the liability related to stigma, shame, bias, discrimination, health disparities, inequities in care, and health injustice.
Recent scientific and technological developments in digital medicine, artificial intelligence, pharmacogenetics, genetics, epigenetics, and neuroscience promise beneficial quality changes to medical care and education. The pain medicine and psychiatry of the future will consider patients as human beings embedded in their physical and social environments. This book provides a glimpse in that direction.Less