Cognitive Behavioral Therapy (CBT) is one of the most evidence-based approaches for chronic pain, with decades of research supporting its effectiveness.
What Is CBT for Chronic Pain?
CBT for chronic pain works by identifying and challenging the negative thought patterns and behaviors that maintain chronic pain. It's practical, structured, and time-limited.
Core CBT Techniques for Chronic Pain
Cognitive Restructuring: Identify automatic negative thoughts related to chronic pain and evaluate their accuracy. Replace distorted thinking with balanced perspectives.
Behavioral Activation: Gradually re-engage with activities that chronic pain has caused you to avoid. Action often precedes motivation, not the other way around.
Exposure Work: For chronic pain involving avoidance, gradual, supported exposure helps reduce the fear response over time.
Thought Records: Track the connection between situations, thoughts, feelings, and behaviors to identify patterns in your chronic pain.
What to Expect in CBT for Chronic Pain
A typical CBT course for chronic pain lasts 8-20 sessions. You'll learn skills between sessions through homework and practice.
Finding a CBT Therapist
Look for a therapist trained in CBT who has experience treating chronic pain. Many sessions are now available online.