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Current psychiatry reports
03 05, 2018;20 (2): 12.

Psychiatry and Pain Management: at the Intersection of Chronic Pain and Mental Health.

Jenna Goesling, Lewei A Lin, Daniel J Clauw
Author Information
  1. Jenna Goesling: Department of Anesthesiology, Back & Pain Center, University of Michigan, Burlington Building 1, Suite 100, 325 E. Eisenhower Parkway, Ann Arbor, MI, 48108, USA. jennagoe@med.umich.edu.
  2. Lewei A Lin: Department of Psychiatry, North Campus Research Complex, University of Michigan, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.
  3. Daniel J Clauw: Department of Anesthesiology, University of Michigan Health System, Domino's Farms, Lobby M, 24 Frank Lloyd Wright Dr, PO Box 385, Ann Arbor, MI, 48106, USA.
PMID: 29504088 DOI: 10.1007/s11920-018-0872-4

Abstract

PURPOSE OF REVIEW: Chronic pain impacts millions of people in the USA. At the heart of the problem of chronic pain remains the complex psychosocial aspects associated with living with chronic pain. Given the overlap between chronic pain and mental health, a promising treatment approach is to improve how we integrate psychiatry into pain management.
RECENT FINDINGS: Treatment of chronic pain and comorbid mental health issues requires a multidisciplinary approach. Advancements in how pain is understood, especially centralized pain, have helped inform both pharmacological and behavioral interventions for pain. Given the growing concerns about the opioid epidemic and the lack of data supporting the use of opioids for long-term pain management, new treatment approaches are needed. Psychiatrist may be uniquely suited to help address comorbid mental health disorders and addiction in the context of chronic pain management. Addressing the psychiatric needs of chronic pain patients remains challenging and there is much room to improve how we address the complex issues associated with living with chronic pain. We believe psychiatrists are an important piece of the pain management puzzle.

Keywords

Centralized pain Chronic pain Multidisciplinary Psychiatry

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MeSH Term

Analgesics, Opioid
Chronic Pain
Comorbidity
Humans
Interdisciplinary Communication
Mental Disorders
Mental Health
Pain Management

Chemicals

Analgesics, Opioid
Journal Article Review
Article has an altmetric score of 15

Word Cloud

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