Chronic Pain Treatment for Mental Health Clinicians: Integrated Holistic Strategy for Managing Pain – Dr Robert Umlauf

£99.00

Date: July 24th 2021
Location: Live via Zoom*
Time: 4.30pm – 11:30pm GMT (+1) / 11.30am – 6:30pm EDT / 8.30am – 3:30pm PDT
CPD/CE credits: 6
Speaker: Dr Robert Umlauf – Nashville, TN
Price: £99 GBP / $130 USD

*This training will be recorded. The link to the recording will be made available for 90 days following the live event.

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Description

The CPD/CE credits awarded can be used towards your declaration to any governing regulatory body in your state or country, provided the content is relevant to your discipline.

Course Description:

Pain Management is a key battleground the 21st Century Opioid Epidemic

A history of mental illness and/or substance abuse is an established risk factor for opioid addiction; the clients we see in our practices every day are already susceptible to the trap of opioid dependency. With reports of opioid related addictions and deaths on the rise, doctors and their patients are actively searching for alternative ways to manage pain. Due to our training in the assessment and treatment of mental illnesses and addictions, behavioral health professionals are uniquely poised to battle opioid addiction by helping clients to learn to manage their chronic pain without pills. However, many of us feel that we don’t have enough training or current information to face the very real challenges of treating clients who are experiencing chronic pain.

With over 30 years of practical experience in the treatment of pain, Dr. Robert Umlauf can help you prepare for effective practice with clients who are at risk of or already in the trap of opioid addiction. He will lead you into a deeper expansion of skills you may already possess to assess neurophysiological, cognitive, emotional, and behavioral factors involved in the development of chronic pain syndrome. You will learn to use specific self-regulation and behavioral activation skills that can help any client manage pain better. And you will leave with the ability to immediately apply these skills in your practice. Dr. Umlauf will also present a wealth of information about new medical research, alternative medicines, and the effects of diet and nutrition along with evidence to support treatments that are effective. Dr. Umlauf employs highly interactive, hands-on experiences in teaching multidisciplinary approaches to pain management.

Learning objectives:

  • Describe the common history and physical findings that often predispose someone to a chronic pain syndrome.
  • Identify common neurophysiological factors in the experience of pain and pain behaviors.
  • Define the 3 major categories of pain and differential diagnoses in pain populations.
  • List 5 or 6 specific techniques that help clients reduce pain and suffering.
  • Describe 4 non-drug or alternative treatments that have evidence-based support for treating pain.
  • Define specific recommendations for Diet & supplement support, as it relates to persons with pain.

Course Content OUTLINE:

CHRONIC PAIN: NEUROPHYSIOLOGICAL FACTORS, EXPERIENCES, and PAIN BEHAVIORS (45 minutes)
• How time from onset, and type of pain play a role
• Pain Egg and nociception (Loeser’s model)
• Psychophysiology of pain as a PERCEPTION
• Smoke Alarm metaphor: acute vs. chronic pain
• Autonomic systems and power of retraining
• Pain vs. Suffering (Fordyce)
• Historical predictors of developing chronic pain syndromes (trauma/abuse, ACES studies, depression, etc.)

PAIN CLINICS AND OPIATE USE IN THE USA (45 minutes)
• Pain Clinic History and shift towards increase in opiate prescribing.
• What influences the drive toward increased prescribing?
• CDC Guidelines on Opioid prescribing
• Opiate overdose deaths and addiction (Surgeon General’s report 2016)
• Screening tools for opiate abuse potential (SOAPP, etc.)

PSYCHOLOGICAL ASSESSMENT IN PAIN POPULATIONS INCLUDING DIFFERENTIAL DIAGNOSES: LIMITS AND CONCERNS (60 minutes)
• Use of tests and their limits.
– MMPI-2-RF
– BBHI-2
– CES-D
– BDI
– Additional tests
• Intake interview components
• Primary Care coordination: Strategy for collaboration with other professionals
• Tools to assess and treat mental processes that exacerbate pain

INTERVENTIONS: TALK THERAPY IS NOT ENOUGH: PAIN PATIENTS NEED SKILLS
(120 Minutes)

• Manage mood & set goals by adapting:
– CBT
– ACT
– More…
• Educate: “Harm Alarm” retrain perceptions
• Self-regulation: Including mindfulness
• Biofeedback: simple techniques ANYONE can use
• Cognitive Reframes for Pain Management: Including catastrophe assessment & scale
• PACE: Including behavioral monitor and tracking scales for self-regulation
• Motivational Interviewing: Adaptations for chronic pain treatment
• Heal the past: Sarno’s model (Psychodynamic)
• Sleep
– Behavioral tools
– Sleep hygiene
– Sleep restriction,
– Environmental factors
• Apps for Pain Management
– B2R;
– Pedometer

INTEGRATIVE OPTIONS (45 min)
• Alternative/Integrative Medicine
• Recent medical advances in pain treatment
• Psychotropics & Antidepressants
– SNRI’s: first line
– Low-dose TCA’s and sleep: be careful!
– Avoid the Benzo’s!
• Nutrition, Diet and Supplements: evidence based suggestions
– Glucosamine/Chondroitin: Brand matters, and most don’t work
– Sugar and Flour: inflammation is key in pain
– Anti-inflammatories: Ginger, Turmeric, Watermelon, etc.
– Healthy fats & ketogenic diets: evidence of relief
– Sleep aids: Lemon Balm, Valerian & Melatonin
• Acupuncture: NIH consensus conference data
– Provider skill is a major factor in outcomes
– MRI data and common pathways for healing
• Hands on Options
– Physical Therapy, Exercise and Rehabilitation
– Chiropractic, Osteopathy and Manipulation therapies
– Massage, Deep Tissue therapies
– Other modalities: Rolfing, Craniosacral, Myofascial Release, Dry needle, etc.

PRACTICE TIME! (45 min)
• Pick a skill and try it out
• Biofeedback lab: see what you can do
• Challenge that catastrophic pain belief: pair up & practice

Who Should Attend:
– Licensed Professional Counselors
– Social Workers
– Psychologists
– Marriage and Family Therapists
– Alcoholism and Drug Abuse Counselors
– Psychiatrists
– Psychiatric Nurses
– Primary Care Providers
– Case Managers
– Pastoral Counselors

Speaker Information

ROBERT UMLAUF, PhD, ABPP, is a licensed clinical psychologist with advanced board certification in rehabilitation psychology. He has over 30 years of direct clinical experience working with clients with chronic pain and has also worked in a wide variety of medical/rehabilitation settings.

In addition, Dr. Umlauf has experience working with people who have addictions and is passionate about teaching skills to people living with chronic pain so they can avoid the trap of opiate abuse.

Dr. Umlauf is working in Primary Care at the Veteran’s Health administration in Nashville and maintains a private practice and consultation service, with a specialty in health/wellness, pain management, and lifestyle adaptation to maximize well-being.

He has been on the faculty at the University of Washington, University of California San Diego, and Georgetown University, and has published dozens of peer-reviewed articles, professional presentations, workshops, and book chapters.

Dr. Umlauf earned his MA and PhD in clinical psychology from the University of Missouri-Columbia and his BS in psychology from the University of Washington.

Testimonials:

1. “Dr. Umlauf is the consummate professional on how to combine CBT and non-opioid treatments to benefit the chronic pain patient. He presents complex explanations in simple to understand fashion that can be easily applied to the clinical setting.” David Ciochetty, MD, MBA, Pain Physician (Interventional Pain Specialist) in Bowling Green, KY

2. “Dr. Umlauf is an excellent presenter and a skilled clinician, integrating research into clinical applications that is at once understandable and enjoyable.” Timothy Elliott, PhD, ABPP, Professor at Texas A & M, College Station, TX

How to access our trainings?

1. Once you have booked a place for one of our trainings, you will receive a email confirming your order.

2. At least 24hrs prior to the start of training, you will receive an email containing the required details to enter the training. All trainings are held over Zoom.

3. If you are wanting to attend the training live, you then use these details to attend just before the specific start time.

4. However, if you are unable to attend the training live, a link to a recording of it will be emailed to you following the event. The recording is made available for 90 days after the live broadcast.

This means that it is not essential for the attendant to be present for the live training and one can refer back to the training if they wish within 90 days.

5. Within a week of the training, the training materials, including slides and notes, CPD certificate and feedback will be sent to you via Email.

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