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