Pain Reprocessing Therapy: A Framework for Recovering from Primary Chronic Pain

Medical treatments for chronic pain are often ineffective, and psychological treatments typically view pain as a lifelong, chronic condition that can only be managed but not effectively treated. Here, we introduce a novel therapeutic framework, pain reprocessing therapy (PRT), integrating advances from neuroscience, psychology, and medicine to more effectively treat chronic pain. PRT rests on the premise that many cases of chronic pain are driven primarily by fear-avoidance learning and maladaptive functional changes in predictive processing and pain construction—termed “primary” or “neuroplas...Read moretic” pain. Critically, this suggests that cases of primary chronic pain can be “unlearned”—with symptoms mostly or completely eliminated. In a recently completed clinical trial (N = 151), 66% of patients randomized to PRT were pain-free or nearly so at post-treatment, as compared to less than 20% of controls, with gains largely maintained for 1 year post-treatment (Ashar et al., 2022 JAMA Psych). This workshop will provide clinicians an introduction to the PRT framework. Less...

Learning Objectives

  • Assess for the presence of primary vs. secondary pain.
  • Communicate the primary pain diagnosis effectively to patients.
  • Lead a patient in an effective "somatic tracking" exercise.

Friday, March 17, 2023

NYC Seminar and Conference Center
71 West 23rd Street, New York, NY, 10010

09:00 AM EDT - 01:00 PM EDT

Register for this event
EARN 3.5 CE Credit Hours

About the speakers

Agenda

9:00-9:10: Introductions

9:10-9:50: Overview of research and evidence base on neuroplastic pain and pain reprocessing therapy

9:50-10:30: Assessing for neuroplastic pain

10:30-10:45: Break

10:45-11:15: Providing neuroplastic pain psychoeducation and troubleshooting barriers to accepting the diagnosis

11:15-11:45: Pain Safety Learning, Part 1

  • Behavioral exposures
  • Somatic tracking 2

11:45-12:00: Break 

12:00-12:30: Pain Safety Learning, Part 2

12:30-12:50: Identifying and addressing non-pain threats

12:50-1:00:  Wrap-up and further resources


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