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