Pain — whether physical or emotional — and anxiety interact in ways that require integrated understanding and treatment.
The Psychology of Pain and Anxiety
Pain perception is fundamentally psychological as well as physical. Anxiety lowers pain tolerance, increases pain catastrophizing, and alters how pain is processed in the brain.
Pain Catastrophizing and Anxiety
Pain catastrophizing — expecting the worst from pain — is common in anxiety and dramatically amplifies pain experience. Addressing this cognitive pattern reduces both pain and anxiety.
Integrated Pain and Anxiety Management
- Pain-focused CBT: Addresses catastrophizing and improves functioning despite pain
- ACT for pain: Build a fulfilling life even when pain and anxiety persist
- Mindfulness: Changes how pain signals are processed in the brain
- Physical activity: Gentle movement is therapeutic for both pain and anxiety