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