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Integrative Approaches to the Management of Chronic Pain and Substance Abuse 

Integrative Approaches to the Management of Chronic Pain and Substance Abuse
Chapter:
Integrative Approaches to the Management of Chronic Pain and Substance Abuse
Author(s):

Lynette M. Pujol

, Bettina Herbert

, Cynthia M. A. Geppert

, and Karen E. Cardon

DOI:
10.1093/med/9780190275334.003.0030
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date: 23 September 2020

The complexity of pain and addiction is a challenging clinical problem to address. Approaching the treatment of addiction and pain requires a holistic interpretation of a patient, understanding the psychological as well as biological mechanisms involved in both conditions. Given these facts, an interface has been created in this chapter of 2 phenomenal approaches to pain focused in both the psychiatric and mechanistic pain models. The result is a well-rounded and comprehensive view on how to approach pain in the integrative format for patients with addiction. When to consider different conventional and integrative modalities is reviewed including their evidence base. The role of personality, pain perception, and cognitions are all examined. The full array of integrative approaches including mind-body interventions, guided imagery, CBT, hypnosis, spirituality, mindfulness and postural techniques, manipulation, yoga, Tai chi and TCM are all discussed.

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