Chronic Pain and Mental Health Disorders

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Chronic Pain and Mental Health Disorders W. Michael Hooten, MD Mayo Clinic Proceedings Volume 91, Issue 7, Pages 955-970 (July 2016) DOI: 10.1016/j.mayocp.2016.04.029 Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Schematic representation of the 3-tiered pain matrix. ACC = anterior cingulate cortex; AL-PFC = anteriolateral prefrontal cortex; INS = insula; ORB-F = orbitofrontal; PFC = prefrontal cortex; PGN-ACC = perigenual anterior cingulate cortex; pPAR = posterior parietal cortex; pTHAL = posterior thalamus. Mayo Clinic Proceedings 2016 91, 955-970DOI: (10.1016/j.mayocp.2016.04.029) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Schematic representation of the risks factors, clinical questions, and actions related to the assessment and management of suicide in adults with chronic pain. FM = fibromyalgia; HA = headache. Adapted from Curr Pain Headache Rep92 with permission. Mayo Clinic Proceedings 2016 91, 955-970DOI: (10.1016/j.mayocp.2016.04.029) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 3 Schematic representation of the fear-avoidance model of chronic pain. Mayo Clinic Proceedings 2016 91, 955-970DOI: (10.1016/j.mayocp.2016.04.029) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 4 Diagnostic algorithm for serotonin syndrome (sensitivity, 85%; specificity, 97%). Adapted from N Engl J Med171 with permission. Mayo Clinic Proceedings 2016 91, 955-970DOI: (10.1016/j.mayocp.2016.04.029) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions