Robert Umlauf – Integrated Chronic Pain Management

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 Robert Umlauf – Integrated Chronic Pain Management

CHRONIC HEART PAIN: NEUROPHYSIOLOGICAL ACTORS, EXPERIENCES & PAIN BEHAVIOR

• The time it takes for pain to start and the type of pain they are caused play a significant role.
• Pain Egg and nociception
• Psychophysiology of Pain as a Perception
• Smoke Alarm metaphor: Chronic vs. acute pain
• Power of retraining and autonomous systems
• Pain vs. Suffering
• Predictors of chronic pain syndromes in the past

OPIATE USE INSIDE THE USA

• Pain Clinic history and shift toward increased opiate prescribing
• What factors drive the desire to increase prescribing?
• CDC Guidelines for Opioid Prescription
• Overdose and death from opioid overdoses, as well as addiction
• Screening tools to detect opiate abuse potential

PSYCHOLOGICAL ANALYSIS OF PAIN POPULATIONS INCLUDING DIFFERENTIAL DIAGNOSES : LIMITS & CONCERNS

• Limits of testing
  • MMPI-2-RF
  • BBHI-2
  • CES-D
  • BDI
  • Additional tests
• Take-off interview components
• Primary Care coordination: Strategy to collaborate with other professionals
• Tools to help you manage pain and mental disorders.

INTERVENTIONS – TALK THERAPY CAN’T BE ENOUGH – PAIN PACIFISTS NEED SKILLS

• Adapt to manage your mood and achieve your goals
  • CBT
  • ACT
  • Other therapies
• Educate: “Harm Alarm” Retrain your perceptions
• Self-Regulation: Mindfulness
• Biofeedback: simple techniques ANYONE can use
• Cognitive reframes Pain Management
• PACE: including behavioral monitor and  tracking scales for self-Regulating
• Motivational Interviewing: Adaptations for Chronic Pain Treatment
• Heal the past: Sarno’s model
• Sleep
  • Behavioral tools
  • Hygiene during sleep
  • Sleep restriction
  • Environmental factors
• Apps for Pain Management
  • B2R
  • Pedometer

INTEGRATIVE OPTIONS

• Alternative/Integrative Medicine
• Recent medical breakthroughs in pain treatment
• Antidepressants and psychotropics
  • SNRI’s: first line
  • Low-dose TCA’s and sleep: be careful!
  • Avoid the Benzo’s!
• Evidence of Nutrition, Diet, and Supplements-Based suggestions
• Acupuncture: NIH consensus conference data
  • The key factor that determines the outcome of a project is its provider skill
  • Common healing pathways and MRI data
• Hands-Optional
  • Rehabilitation, Physical Therapy and Exercise
  • Manipulation, Chiropractic and Osteopathy
  • Deep Tissue Massage and Massage
  • Other modalities: Rolfing. Craniosacral.Myofascial release. Dry needle.

INCORPORATE NEW SKILLS

• Self-regulation exercises
• Biofeedback Lab
• Refute the belief in catastrophic pain

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Description:

Pain Management This is a Key Battleground of the 21^st Century Opioid Epidemic

High risk factors for opioid addiction include a history of substance abuse and mental illness. This makes our clients more vulnerable to falling into the deadly trap of opioid dependency. Reports of opioid-related addictions and deaths are on the rise. Physicians and patients are actively looking for alternatives to pain management. Behavioral health professionals have the unique ability to help clients manage chronic pain without taking pills, thanks to their training in addictions and mental illness assessment. However, many of us feel that we don’t have the training or current information to face the very real challenges of treating clients who are experiencing chronic pain.

Dr. Robert Umlauf You will be able to effectively work with clients who are in or at risk of falling into the trap of addiction to opioids. You will be able to assess the neurophysiological and cognitive factors that contribute to chronic pain syndrome. You will be able use certain self-assessments.-Behavioral activation and regulation skills that can help clients manage pain better. Dr. Umlauf The presentation will include new medical research, alternative medicine, diet and nutrition effects, and evidence that is reliable.-Based treatments He uses highly interactive, hands-on techniques.-Learn from others who have taught multidisciplinary pain management methods.

Here’s what you’ll get in Robert Umlauf – Integrated Chronic Pain Management