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Many PN patients report pain. Does it all come from damaged nerves? Or are there other, bigger, factors at work? Dr. Clarke is the leader of a group of health pioneers aimed at dramatically revising health treatment for persons with chronic pain. Feb 5,2022. TOC & References below:
0:00:00 Intro
0:04:22 Opening Example - the nail 4:45
0:06:02 Could you have Stress Generated (PPD) Pain?
0:11:10 Pain anywhere? An Example
0:14:50 Key - diagnosis depends on seeing the entire person
0:16:25 Diagnosis I - Chronology
0:17:52 Diagnosis II - Current stress
0:19:21 Diagnosis IIa - Personal Time
0:20:46 Diagnosis III - Childhood Stress
0:21:58 Adverse Childhood Experience (ACE)
0:26:27 ACE - Negative Impacts
0:27:55 ACE - Positive Impacts
0:28:13 ACE - Unrecognized emotions & triggers
0:31:57 Diagnosis IV - Depression
0:33:26 Diagnosis V - Adult PTSD
0:35:03 Diagnosis VI - Anxiety Disorder
0:36:38 Self Treatment - Current - List Stresses
0:37:18 Self Treatment - Current - Self Care Time, Relaxation, Mindfullness
0:38:08 Self Treatment - ACE - Achnowledge Your Heroism
0:39:00 Self Treatment - ACE - Writing
0:39:42 Self Treatment - All - Readings, books, websites, Curable App
0:41:37 New Psychotherapy Technique - Pain Reprocessing Therapy
0:43:27 New Psychotherapy Technique - Emotional Awareness & Expression
0:44:29 Bringing Joy back to being a doctor
0:45:56 Q&A - Distinguish Depression from Physical Pain
0:47:55 Q&A - Terminology - Central Pain, Neurologic Pain, Psychophysiologic Pain, etc.
0:48:49 Q&A - Finding a doctor
0:49:52 Q&A - Talking to doctor & Doctor training
0:51:31 Q&A - Relationship to Small Fiber PN
0:53:44 Q&A - Physical + PPD? An example
0:57:37 Q&A - experience finding a PPD specialist in VA
0:58:53 Q&A - speaking to doc re PPD training
1:00:44 Q&A - Use of hypnosis
1:01:57 Q&A - Finding therapist comfortable with physically sick patients
1:04:44 Q&A - Mindfulness
1:05:19 Q&A - The Curable App (curablehealth.com)
1:07:07 Q&A - Try the Screening Questionaire!
1:07:52 Q&A - Type of stress vs type of PPD symptom
1:10:14 Q&A - Numbness & PPD insurance coverage
1:13:53 Q&A - Government & Insurance company policy on availabiliity
1:15:57 Q&A - Scalable approaches to provide PPD care
1:18:15 Q&A - Saving money in the long run
1:20:27 Thanks & personal endorsement
- PNSNETWORK.org (AKA dcpnsupport.org) - our website. We are the Peripheral Neuropathy Support Network - dedicated to expanding the number and availability of support groups for PN.
- EndChronicPain.org (AKA PPDassociation.org - website of The Psychophysiologic Disorders Association). This group, including Clark (a disciple of John Sarno) and many others, is focused on transforming medical care to ELIMINATE (not just treat) the estimated 40% of chronic pain traceable to stress and misunderstanding the role and nature of pain.
- CurableHealth.com - Source of the "Curable" app that inexpensively implements some of the counseling techniques mentioned. And many other materials
- EndChronicPain.org/symptoms - patient starting point to explore mind body - has the latest version of the self-assessment questionnaire mentioned (the version we referenced is a draft of an update)
- EndChronicPain.org/resources - Books (including Clarke's own best-seller "They Can't Find Anything Wrong!"), videos, webinars, podcasts, online course, provider directory (mentioned in video). Also has suggested drafts of letters to send to doctors and family (mentioned in video).
- EndChronicPain.org/health-professional - Resources for medical and mental health professionals, including in-service courses (mentioned in video). Note the textbook "Psychophysiologic Disorders" (mentioned)
- SIRPA.org - Website of related organization in the United Kingdom