Chronic Pain Assessment,

Treatment and Counselling

Chronic pain is defined as pain lasting more than 6 months or longer than the time expected for tissue healing. Chronic Non-Cancer Pain (CNCP) requires a much more detailed assessment and treatment planning, as medications alone are never enough, unlike palliative care for cancer pain. Chronic non-cancer pain (CNCP), on the other hand, is a condition where pain perception is driven by persistent pain signals coming from specific areas of the body and/or there is amplification of pain perception in the central nervous system of the brain.

It is important to appreciate that pain is an inherently subjective experience and the emotional state of an individual has a great effect on the perception of pain. Fear, anger and shame are commonly associated with amplification of chronic pain.

Chronic pain has major debilitating effects that have major repercussions for the individual, their family life and ability to be productive at work. Chronic pain patients are often prescribed opioid medications as a solution that can become part of the problem because of their abuse liability and dependence (addiction) potential. Alcohol counseling and drug counselling can contribute to a comprehensive treatment approach for individuals experiencing chronic pain.

Symptoms

Chronic pain takes a toll on both physical and mental health. While the pain can be near-constant, there may be flares of more intense pain due to increases in stress or activity.

  • Joint pain
  • Muscle aches
  • Burning pain
  • Fatigue
  • Sleep problems
  • Loss of stamina and flexibility, due to decreased activity
  • Mood problems, including depression, anxiety, and irritability

How our chronic pain therapy works

When pain persists and becomes chronic, it also becomes more complex, encompassing physical, emotional, social, and spiritual aspects. At our Counseling Center, we understand the need for a comprehensive assessment and ongoing care. Chronic pain involves both physical and mental health components, which we address through a holistic approach, using medications if necessary. Our HUM team, consisting of physicians, nurses, psychologists, and social workers, conducts detailed assessments and provides treatment for addiction and mental health issues. Our services include individual sessions and, when appropriate, couple or family sessions, ensuring comprehensive support for our clients.

Available Services For Chronic Pain

Comprehensive assessment

It is recommended to start with HUM’s comprehensive assessment. The assessment includes 3 appointments and is designed to get to know you, the acuity of your issues and appropriate treatment recommendations. The 3 appointments include an initial nursing assessment, an assessment with a registered psychologist or social worker and thirdly with a medical doctor. Following these three appointments, treatment options will be discussed that are based on your needs and current situation.

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1 hour individual psychotherapy sessions

At HUM, we use a range of techniques based on experiential relationship building, dialogue, communication and behavior change that are designed to improve the mental health of an individual,and improve relationships with others (eg. family). Our goal is to provide an open, supportive, and confidential environment for you to address the issues that are concerning you. These principles can also be provided through couples/family sessions.

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1 hour couples/family psychotherapy sessions

This provides the opportunity to clarify boundaries, identify what may be individual issues for people to work on, while addressing issues jointly without telling each other what to do.

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Medication management

All medications that an individual may be on including prescribed or over-the-counter are reviewed to determine their efficacy and interactions. Medications may be prescribed during withdrawal management, tapering or maintenance treatment. We consider symptom triggered withdrawal management that is individualized to be more beneficial than protocol driven prescriptions. There are a variety of medications – opioids and non-opioids – for chronic pain that would be discussed individually.

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