Table of Contents Title page Copyright page Dedication Acknowledgments Chapter 1: Introduction to Comorbid Mental Health and Chronic Pain Health Care Costs Chronic Pain and Function Medical Interventions Chapter 2: Treatment Organization, Outline, and Structure of the Program The TAG Program for Chronic Pain and Psychological Well-Being – Structure, Purpose, and Rationale Chapter 3: Clinical Manual for TAG Program Biological Curriculum Session focus: Goal setting and motivation Session focus: Functioning and loss Session focus: Sleep Session focus: Emergence and patterns Session focus: Adherence to treatment protocols Session focus: Complexity Session focus: Working with your team Psychological Curriculum Session focus: Orientation to change Session focus: Readiness to change Session focus: Depression Session focus: Anxiety Session focus: First step toward change Session focus: Anger management Session focus: Attending to distress Session focus: Meaning and pain Session focus: Stress management Session focus: Defense mechanisms and coping styles Session focus: Stigma Session focus: Chemical abuse Session focus: Lifespan issues Session focus: Managing flare-ups Social Curriculum Session focus: Managing conflict Session focus: The 3 Is: Identity/Isolation/Insecurity Session focus: Problem-solving Session focus: Nurturing support systems Session focus: Social roles in relationships Session focus: Intimacy Session focus: Styles of Interacting Chapter 4: Handouts and Homework Goal Setting Handout Goal Setting Homework Skills Implementation Plan Building a Routine Handout Maintaining a Sleep Hygiene Routine Handout Sleep Hygiene Homework Baseline Assessment Form Handout Baseline Assessment Form Homework Self-Advocacy Homework (Medical Comprehensiveness) My Story – Part 1 My Story – Part 2 Behavior Chain Analysis Keep It Real Handout Keep It Real Homework Preparing for an Appointment Handout Control vs Influence Homework Readiness to Change Handout Scheduling Positive Events Homework Pleased Homework First Step toward Change Homework Beliefs about Anger Homework Managing Conflict Homework Attributions Homework Finding Meaning and Purpose Homework Guided Imagery Handout (Holtberg 2013) Progressive Muscle Relaxation Handout (Holtberg 2013) Defense Mechanisms and Coping Styles Handout Defense Mechanisms and Coping Styles Homework Stigma Homework Living Life on Life's Terms Homework Chemical Abuse Handout Identifying My Developmental Tasks Homework Working toward Healthy Development Homework Turning Fear and Inactivity into Action and Hope Homework Managing Conflict Homework The 3 Is Homework Individual-Based Problem-Solving Model Homework Social-Based Problem-Solving Model Barriers to Nurturing Support Systems Social Roles in Relationships Intimacy in Relationships Styles of Interacting Handout Styles of Interacting Homework Master Skills Sheet BIO PSY SOC BIO PSY SOC Appendix Safety Contract References Index End User License Agreement This edition first published 2014 © 2014 John Wiley & Sons, Ltd. Registered Office John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial Offices 350 Main Street, Malden, MA 02148-5020, USA 9600 Garsington Road, Oxford, OX4 2DQ, UK The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK For details of our global editorial offices, for customer services, and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley- blackwell. The right of Mark Carlson to be identified as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically disclaim any implied warranties of merchantability or fitness for a particular purpose. It is sold on the understanding that the publisher is not engaged in rendering professional services and neither the publisher nor the author shall be liable for damages arising herefrom. If professional advice or other expert assistance is required, the services of a competent professional should be sought. Library of Congress Cataloging-in-Publication Data Carlson, Mark (Mark Stanley), 1952– author. CBT for chronic pain and psychological well-being: a skills training manual integrating DBT, ACT, behavioral activation and motivational interviewing / Mark Carlson. pages cm Includes bibliographical references and index. ISBN 978-1-118-78881-3 (paperback) 1. Chronic pain–Treatment. 2. Cognitive therapy. 3. Evidence-based psychotherapy. I. Title. RB127.C377 2014 616.89'0472–dc23 2013050479 A catalogue record for this book is available from the British Library. Cover image: © Cosmo Condina/Getty Images To: Jules and Spencer – I love you both with all of my heart Mom and Dad – your love and support means the world to me Grandma and Grandpa – I wish you would have been able to stay with us longer Acknowledgments I would like to thank all of the people at Wiley Blackwell who made this project complete. Fiona, Allison, Karen, Darren and Andrew – you have all been great to work with! Special acknowledgment goes to the “pain team” at Mental Health Systems (MHS): Brittany Holtberg – great work and thanks for all that you have done. Morgan Cusack, Meagan Karsten, and Amy Gimbel – I could not have asked for better clinicians to work with. Dr. Chris Malone – you were a great help throughout the process. Dave Karan and Krista Peterson – thanks for your contributions to the process. Lane, Steve, Shelley, and Michael – I could not have done this without your support and friendship.