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Roleplay 2 - Are you saying it is in my head?

Episode
4 of 16
Published
Feb 7th, 2018
Run Time
5m 52s
Topic
A practical guide to persistent pain therapy
Your Instructor
Mike Stewart
Mike Stewart
Mike is a physiotherapist and visiting university lecturer with twenty years of experience managing complex, p...

Episode Summary

Chronic pain can feel even harder when others doubt what you’re going through. Discover a powerful, simple way to understand why pain is real, how attention can change what your body feels, and how that insight can help you feel seen, believed, and less alone.

Chronic pain is explored through a conversation about feeling misunderstood, doubted, and exhausted by having to explain ongoing symptoms to family, friends, and healthcare professionals. The discussion highlights how persistent pain can lead people to question themselves, especially when others seem tired of hearing about it or imply it is exaggerated. A clinician then explains an important principle: pain is real even when it cannot be seen. To make this easier to understand, two examples are used. One is the sudden sensation of falling while drifting off to sleep, which feels completely real even though no actual fall happens. The other is a simple attention exercise focusing on the thumb, which creates tingling just by concentrating on it. These examples show how the brain’s perception of threat and attention can strongly shape bodily sensations. Learners can expect a clear introduction to the idea that pain is genuine, influenced by brain processing, and often intensified by constant attention and anxiety. It also emphasizes the emotional importance of being believed.
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Communication with patients in pain

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