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Breakthrough in concurrent treatment of chronic pain AND addiction let me start by stating that as one of the authors of this book I am biased. However, this is a client workbook that has been field tested in several different treatment settings and has proven to be very effective. This is a relapse prevention approach based on Terence Gorski's 30 years of relapse prevention expertise and over a decade of private practice and research by Stephen Grinstead in the area of
Helping people manage chronic pain without experiencing the negative consequences of chemical dependency.
This workbook is designed for people with pain who require treatment that could include using addictive chemicals. Some of may be in recovery from chemical dependency and have pain conditions or injuries that require treatment, but want to avoid relapse. Others may not be in recovery, but have chronic pain and want to avoid becoming chemically dependent. Still others are in chronic pain, leading to either abusing or becoming dependent on pain medication, and as a result experiencing problems. The primary goal of completing this workbook is for people to learn how to develop skills that will prevent sabotaging an effective pain management program, while at the same time learning to avoid addiction problems or a destructive pattern of relapse. Relapse includes ineffective pain management and/or abuse of problematic pain medication. While total abstinence from any addictive medication (including alcohol) is the ultimate goal, in special cases some people may need to be on medication that could put their recovery at risk. This should only be done under the supervision of an addiction medicine practitioner/specialist.
By completing this workbook people will learn effective recovery skills by identifying and managing personal High Risk Situations (HRS) that lead to ineffective pain management or problematic use of pain medication. They will learn to identify early pain triggers, which could lead to problems with pain management or abuse of pain medication. To manage high-risk situations people will develop a schedule of recovery activities that will support ongoing HRS identification and management. To accomplish these goals people will need to do more than just read and fill out this workbook. They will need to discuss their responses to each of the exercises with another person who can help you sort out the thoughts and feelings that may come as a result of these exercises. We strongly recommend that this person be a counselor trained in the CENAPS® Model of Relapse Prevention. This person will also be able to provide referrals for other services (for a list of Certified Relapse Prevention Specialists, call or write the CENAPS® Corporation). When seeking health care practitioners it is important to look for someone who has good listening skills, is willing to work collaboratively, and is respectful of people's recovery process. If people don't have a counselor, they can do these exercises with the assistance of a self-help group (or pain support group) sponsor who is willing to support them through this process. It's also a good idea to supplement individual therapy sessions with group sessions where each member is working through these processes at the same time. Discussing what they're learning from each exercise with another person or a group of people will improve their ability to change in a way that will prevent relapse.
-- Stephen F. Grinstead
Also recommended: Managing Pain Before It Manages You By: Dr. Margaret Caudill