1. Rebecca Cogwell Anderson, Ph.D. Professor and Psychologist Director, Integrated Mental Health in Pain Management Medical College of Wisconsin Pain Management Center INTEGRATIVE MENTAL HEALTH AND PAIN MANAGEMENT TREATMENT OPTIONS

2. Overview Opiates and AODA treatments Behavioral and lifestyle approaches to pain management.

3. AODA Treatments In patient Detox Intensive Outpatient program (IOP) Individual therapy with AODA counselor AA, NA, SMART recovery

4. Integrative Approaches to Pain Management in the area of Mental Health Cognitive Behavioral Therapy Guided Imagery and Hypnosis and Mindfulness Lifestyle enhancement and balance Biofeedback and Use of Apps Nutrition and diet Exercise and movement Stress management Sleep enhancement Acupuncture, massage and chiropractic

5. Cognitive Behavior Therapy (CBT) A form of therapy that uses the link between thoughts and behaviors to change feelings, practices and/or behaviors. One of the most useful non-procedure approaches to aiding management of chronic pain.

6. Body Work Medical/therapeutic Massage Acupuncture

7. Biofeedback and use of Apps Biofeedback Galvanic Skin Response (GSR) Thermal Biofeedback EMG Biofeedback Heart Rate Variability (HRV) Biofeedback Apps Relaxation Exercise Mindfulness

8. Lifestyle Breath work Sleep enhancement Diet and Weight Management Smoking Cessation Movement and Exercise Stress Management Pacing

9. Guided Imagery, Hypnosis and Mindfulness Generally pleasant and entertaining. Easy to participate in for most patients. Guided Imagery and Hypnosis Involves guiding patient through use of imagination to relax and reduce pain. Mindfulness Involves learning to calm the mind without judgment. Literature is sound regarding pain.

10. Thank you