The line between pain with a physical cause and physical pain that's psychological in origin is extremely blurry, with a lot of overlap. That's why, researchers says, psychological therapy works on both.https://www.vox.com/science-and-health/2018/5/17/17276452/chronic-pain-treatment-psychology-cbt-mindfulness-evidence …
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Replying to @B_resnick @voxdotcom
Too many incompetent doctors that go the route of I can't find anything so it's in your head. If they dug deeper they would find the cause, which in my case was lyme disease. 20 doctors couldn't figure it out.
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I definitely think it was a gross oversight not to mention this. So many conditions are psychologized by doctors who have simply failed to make a diagnosis. The thing you just found out is the standard of care for patients with my disease in the UK, much to their torment.
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Yes, the problem with this take is that many conditions causing cognitive symptoms (esp those that disproportionately affect women) are treated as psychological by default, as a way to dismiss and stigmatize conditions they don’t understand, rather than dig deeper.
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Replying to @aparna_ramen @jenbrea and
i understand this crit. Getting a right diagnosis is obviously important, and no body wants their pain dismissed or overlooked. My point here was that psychological treatments and perspectives *do* take pain seriously, and are not dismissive.
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Replying to @B_resnick @jenbrea and
I understand your point too, but what I (and I think Jen) are saying is that if you bring up one side of the coin (that CBT can help for *some* chronic pain patients), in all responsibility you have to point out the other side of the coin too -
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Replying to @aparna_ramen @B_resnick and
That psychologizing chronic pain patients by default does harm too when it’s used as a way to dismiss and ignore our problems.
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Replying to @aparna_ramen @jenbrea and
will think on this, and look to address this concern more clearly in this piece or a future one. I think the language here is also tough for doctors to get right. Psych is an option, but they should insinuate as a dismissal. Thanks for the thoughtful comments.
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Replying to @B_resnick @jenbrea and
Thank you for listening. I really appreciate it.
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always feel free to reach out! Here, or brian@vox.com
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