Sherry

    Live Successfully In Spite of Chronic Pain

    Sunday, January 13, 2008, 05:58 PM CST [General]

    Since 1997, I have had an ongoing battle with fibromyalgia. In 1997, most doctors had never heard of it, seldom diagnosed it, had no clue what to do with it - and most suspected it was all in their client's heads. Although a lot more people know about it today - thanks in part to pharmaceutical companies who have suddenly discovered an untapped market - there are still a lot of unknowns about this condition. And many people still mistakenly believe it is a psychosomatic illness. Thank goodness there has been enough research completed now that it is increasingly rare to come across people who have to be convinced that the condition is real and physiologically based.

    Just about the only medications that truly help with this condition are opioids. For those unfamilar - these are narcotics such as morphine - that can be both a blessing and a curse for those who must manage pain over a long period of time. They have many serious side-effects - of which the most serious is their addictive nature. I have seen more than one person turn to these drugs as a last resort for fibromyalgia. And each has paid a severe price. Although their perception of pain has been decreased, the overall impacts of the condition have not been managed. Slowly these individuals have become more and more disabled.

    I cannot fault anyone who tries these medications. The pain of a fibromyalgia flair can be devastating. But one of my heart's desires in my own hypnosis work is to help people with chronic pain to find ways NOT to "Successfully Live With Chronic Pain" - but to "Live Successfully in Spite of Chronic Pain".

    In the coming weeks, I'll post some things I've learned along the way - and that I am using in my own hypnosis - to live successfully! I would love to hear from others who have put this wonderful tool to work on chronic pain conditions. Here are just a few notes for this evening:

    (1) If someone states they have a chronic pain condition, we must of course be certain they have first seen a physician. Our bodies hurt for a reason - to tell us something is not quite right. Be certain the client knows why they are hurting and take all the normal ethical, legal, responsible steps that are expected of a professional hypnotist!

    (2) We know that our words can frame our thoughts and influence our actions. We might be eager to get a client with chronic pain to immediately "put it in their past". But remember that many of us were beat up for years by people telling us the pain was in our head and we are very sensitive about being asked to not use words like "chronic" or to use words like "discomfort" instead of "pain". I can guarantee you the client will be thinking "Yeah, right, it hurts like hell every day - and has for years - and nothing I say or don't say is going to change that!" The client may also have tried countless ways of getting rid of the pain and other manifestations of this condition - only to be discouraged time and again. So even if they appear to go along with you - be aware that they may be very (and rightfully) suspicious of anything that sounds "too good to be true".

    My approach is to begin by affirming that the person can be very comfortable knowing that hypnosis can help them manage their pain. (Comfort is something they may not have had for many years). I tell them they may be surprised to find that it disappears for hours, days, weeks, even months at a time. (It may disappear forever - but most people are happy to start with hours and days. Even weeks and months may seem like a pipedream at first.) And I reassure them that if, at any time it does return, they will have the necessary tools to diminish it and can use those tools for the rest of their lives. (Control is another thing they may feel has been taken from them. It helps to know they are getting some of that back.)

    Gotta run for now. Would love to hear any feedback on these first two points! 

    Have a great evening!

    4.3 (2 Ratings)

    This is a GREAT post, Sherry! I hope that our colleagues who wish to work with pain clients take what you are saying to heart.

    Your first point is crucial. ALL pain clients need a medical referral.

    Your second point is right on. Nothing breeds resistance like asking a client with pain to "just" call it discomfort right off the bat. I do a lot of EFT and the principle is to acknolwedge the part that says "I hurt and this is PAIN" ...then couple that with the self esteem and approval statement (so even though i have this pain , i deeply and completely love and accept myself anyway). Being allowed to acknowledge the pain as it is framed with that word , is a way to gain rapport with the client. THEN we can help them move toward the next step of being WILLING to move from letting of pain to accepting discomfort.....and then from letting go of discomfort to remembering and allowing comfort in however many time bites they are willing to do.

    I also want to mention for FM...if you have a nutritionist that you see, please ask them to investigate a product from Allergy Research. It's called "Fibranol" and has a substance called ECE in it. ECE is an extract from brown seaweed and has been clinically tested for several conditions, including FM. Excellent product and well researched. If your health care professional can't find it for you , let me know. ECE stands for Ecklonia Cava Extract. The clinical studies showed it to decrease the time it took for FM patients to fall asleep, improved sleep soundness, boosted energy levels by 71%, helped reduce pain by 23%, and did so at all doses!

    I would also like to refer folks to Dan Cleary's little book, Changing Pain. It's a great tool to go through and hand to pain clients. you can get them through Dan by contacting him at dancleary@juno.com or going to his website www.danclearyhypnosis.com Please tell him that Debbie Yaffee sent you!

    Thanks again for your important post!

    Debbie Yaffee, CH, CN

    Deborah Yaffee, CH, CN
    January 15, 2008
    09:04 AM CST

    Thanks for the post, Sherry. Helping people manage pain through hypnosis is of primary interest to me.

    You say, "be aware that they may be very (and rightfully) suspicious of anything that sounds "too good to be true".

    Erickson would start by telling a patient that he could not take away all their pain because that would be asking too much of him and too much of their body. Then he would suggest that if they lost 1% of the pain they probably wouldn't notice it because they'd still have 99% of it left, but still it would be a loss of 1%. Then he would say they might lose 5% of the pain, but again they probably wouldn't notice it since 95% of their pain would still remain.

    He would continue in this vain, 90%, 85% left, etc. He'd eventually say, the patient might even lose 80% of his pain, but that he didn't think that was reasonable but would the patient be willing to settle for a loss of 70%?

    What is so great about this, and most of Erickson's work, is that his suggestions are working on multiple levels. By starting with a miniscule goal, he is both avoiding the trap you point out while at the same time causing the patient to imagine the gradual diminution of pain all the while covertly challenging the patient to do better than what he suggesting is "reasonable."

    This technique along with some other Erickson pain management methods are in the "Big Red Book" (Handbook of Hypnotic Suggestions and Metaphors).

    Looking forward to your future posts on this subject.

    John B.
    January 16, 2008
    03:59 PM CST