Chronic Pain, Sleep Difficulties-Adults Cognitive Behavioural Therapy (CBT)

Chronic Pain, Sleep Difficulties-Adults

Chronic pain brings hundreds of people to therapy every week. Many physical and psychological issues can cause chronic pain and it is important to rule out any medical causes and get treatment by speaking to a physician.

Some people experience chronic pain as the result of untreated emotional overwhelm, unexpressed anger, depression or grief. Symptoms of chronic pain typically include headaches; muscle tension, pain or fatigue;  shooting nerve pains, and tension in the back, neck and shoulders.

Many people with chronic pain disorder are reluctant to explore the emotional causes of their pain for fear of being told that they are inventing the symptoms. However, true somaticizing is a very real condition in which the emotions are unable to leave the body.

Another reason why people are loathe to admit the emotional roots of their pain, is that they fear that there would be no medical cure. Chronic pain with an emotional root requires that they confront the emotions that have been hidden away, and this can be challenging.

Therapists and psychologists who do  chronic pain therapy offer a confidential and safe environment in which people can explore pent-up emotions and as a result experience short term and long term relief. Symptoms caused by long term emotional build-up may require long-term treatment and due to the physical changes, some medical intervention and active physiotherapy is often very important as well.

If you are looking for a counsellor or psychologist who works with chronic pain you may want to search the directory to find a professional whose approach will suit you best.

Sleep difficulties in adults can occur for a great number of reasons, both common and unusual.  For most people, sleep is a routine, but many people experience sleep difficulties, such as insomnia on a fairly regular basis. While it usually clears us in a short while, it can become a long-term problem, because sleep is important for our bodies and minds to stay healthy.

Sleep difficulties can, after a few weeks, cause a person to feel tired all the time, and cause them to nod off during the day. Difficulty concentrating, making decisions and feeling depressed are some of the symptoms of sleep difficulties. People who perform jobs that require a lot of concentration, such as operating heavy machinery or driving, can pose a danger to themselves and others if they suffer from sleep difficulties. Over time, sleep difficulties can lead to high blood pressure, overweight and diabetes.

Many situations can contribute to sleep difficulties, including too much noise or  light in the bedroom, a bed that is too small or uncomfortable, or a partner with a different sleep pattern. Lifestyle choices such as smoking, going to bed too late, lack of exercise, consuming caffeine, no set bedtime routine, and illness can also cause insomnia.

A therapist can help you deal with sleep difficulties, by using progressive muscle relaxation therapy, sleep restriction and cognitive therapy.

If you are looking for a counsellor or psychologist who offers sleep disorders counselling to address sleep difficulties you may want to search the directory to find a professional whose approach will suit you best.

Cognitive Behavioural Therapy (CBT), Acceptance & Commitment Therapy, Shame Counselling & Therapy

Cognitive Behavioural Therapy (CBT) is a psychological approach that deals with the way in which clients think about themselves, other people and the world. The outside world affects how we think and feel about ourselves and as a result, our behaviour. Cognitive Behavioural Therapy can help a person to change the way they think about thoughts and feelings, but it is not like other types of talk therapy.

Cognitive Behavioural Therapy focuses on current issues and challenges that affect the client right now. It doesn't consider the past issues that caused distress, but rather looks for solutions that can improve the client's state of mind in the moment. Much of CBT involves looking at thought distortions that can affect mood and are affected by mood, and helps client examine and challenge distorted thinking patters.

CBT can help a range of problems, from OCD, PTSD, bulimia, stress, phobias and other issues that might seem overwhelming to the client, by breaking them down into smaller, more manageable chunks.

If you are looking for a therapist who offers Cognitive Behavioural Therapy, please browse our list of practitioners below..

Acceptance & Commitment Therapy encompasses a range of six principles that aim to help clients develop greater psychological flexibility. The six principles include:

1. Cognitive defusion help to reduce tendencies to regard thoughts, memories and emotions as real and concrete events.

2. Acceptance is about allowing the thoughts to surface and pass without the need to allow them to interfere with daily life.

3.  Being present means being aware of current existence and being involved with the now.

4. Self observation helps the client to be aware of the self and the unchanging consciousness.

5. Exploring values to discover those that are most important to the person.

6. Committed action involves setting goals based on the explored values, and setting actions in place to reach those goals.

Acceptance & Commitment Therapy is a form of cognitive behavioural therapy and is commonly used in therapy, and in it's sub-forms and helpful for a range of conditions, including OCD. If you require Acceptance & Commitment Therapy, have a look at the counsellors listed below.

There are a variety of approaches to address the issue of shame.  One of them is the Shame Resilience method is based on the research of Brené Brown, Ph.D. LMSW. 

Shame Resilience is the developed ability to practice authenticity when we experience shame, to move through the experience without sacrificing our values, and to come out on the other side of the shame experience with more courage, compassion, and connection than we had going into it.

Shame Resilience is about moving from shame to empathy- the real antidote to shame. Self-compassion is also critically important, because when we’re able to be tender with ourselves in the midst of shame we’re more likely to reach out, connect and experience empathy.

Other approaches, like Complex Integration of Multiple Brain Systems (CIMBS)  uses what is called a systems perspective that can address how an individual has learned to respond due to early trauma and or other developmental experiences.

Approaches to shame are not limited to the above.  There are many other therapies that address feeling.

If you do contact a therapist regarding shame issues please make sure that you ask them about their training in this area and choose a therapist whose approach makes sense to you.

 

Kirsten Noack

M.Sc., RCC
    • Online booking
 I am a Registered Clinical Counsellor, located in East Vancouver, on Commerial Drive in Vancouver. I work often with deep feelers, or highly sensitive people and neurodivergent folks,... Read more