To understand the language of pain, you must learn to listen to how the pain echoes and reverberates between the physical, psychological, and social dimensions of your human condition” (Grinstead, 2008)
Addictive Disorder Zone Pain Disorder Zone
Effective treatment for chronic pain and addiction requires three strategies:
1. Medication Management Planning
2. Cognitive-Behavioral Treatment Planning
3. Alternative Pain Management Planning
The Addiction-Free Pain Management (Grinstead, 2008) model used in the Resilience program combines all three planning strategies in a multidisciplinary and integrative pain system. The focus is on solutions to the impact that chronic pain and addiction has had in the individual’s life.
Essential components of the program include:
1. Understand the effects of chronic pain
2. Understand the effects of prescription and other drugs
3. Clearly identify addictive behaviors
4. Identify and analyze high risk situations
5. Clarify the physical manifestation of underlying
Psychological and emotional pain
Resilience combines psychoeducation, psychotherapy, and holistic methods of effective treatment for the concurrent effects of addiction and chronic pain. The following com¬ponents of the program are essential to addressing areas:
1. Denial Management Counseling
2. Meditation and Relaxation Training
3. Emotion Management
4. Recreation Therapy
5. Education in Comprehensive Options (massage, chiropractic, Yoga, acupuncture, exercise)
The Resilience recovery experience at Twelve Oaks is focused on individuals seeking a way to live successfully with chronic pain. This specialized program offers an integrative and holistic treatment designed to encourage individuals to explore all options to managing their life with chronic pain.
Resilience works with the addiction and the impact of precipitating chronic pain. The program includes psychoeducation and intensive psychotherapy to help individuals who desire and hope for a more balanced & stable life. In conjunction with the Twelve Oaks Treatment Program for Addiction, treatment for chronic pain enables the individual to look at the impact of symptoms associated with pain experiences that are part of the addiction cycle.
The primary modality of treatment in the Resilience program is group therapy with adjunctive individual therapy and other treatments including massage therapy, acupuncture and Tai Chi. Therapy is focused on the impact that pain has on physical, cognitive, psychological, spiritual, and emotional aspects of daily living. Psychoeducation groups will explore topics including the impact of pain, accountability, anxiety management, lifestyle accommodation, self-care strategies, values clarification, decision-making, anger management, relationships, emotional expression, awareness, spiritual, behavioral responses, self-harm, personal power, addiction, and responsibility.
Guidelines for treatment are based on the Evidence-Based Practices of Addiction-Free Pain Management (Grinstead, 2008) and the core therapeutic components of the treatment process.
- Cognitive Behavioral Interventions
- Lifestyle Accountability
- Anxiety Management
- Cognitive Therapy
- Journaling & Writing
- Other therapeutic techniques
- Relaxation Training
- Cognitive Restructuring
- Cognitive Behavioral Therapy
- Motivational Interviewing
- Other therapeutic techniques
Individuals in any part of Resilience will also be participating in the substance abuse program at Twelve Oaks. The two components provide an integrated treatment program.