Acceptance & Commitment Therapy (ACT) and Physiotherapy – working with chronic pain
People in pain often adopt unworkable strategies for staying safe that meet short-term needs but which do not bring them closer to their values – who and what matters to them – in the longer term. The result is often greater pain sensitivity, heightened anxiety, worsening mood, increased isolation and social withdrawal, the loss of role, loss of hope and a life stretched between the boom and bust of over-exertion and collapse. This course will help physiotherapists and anyone else working with complex pain patients to address aversive and fear-avoidant behaviours in a way that is both supportive and compassionate whilst promoting lasting change.
The course is sensitive to the realities of time allowed in busy clinics, of the frequency of sessions and to physiotherapists’ skills base as physical therapists.
1) ACT: an overview
2) Aversive and appetitive behaviours
3) ACT and physiotherapy: supporting flexibility
4) Eliciting patients’ ‘pain stories’
5) Overcoming patients’ unworkable strategies (and being honest about our own)
6) The role of metaphor: using language creatively
7) ‘Bargaining’ and other trapdoors
8) ‘What to do when..’
– patients just want to keep telling you what’s wrong
– patients just want to keep telling you you’re wrong
9) Change through compassion
10) Review and close