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Acceptance & Commitment Therapy (ACT) for Chronic Pain
Joel Guarna, PhD
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Chronic Pain Pain Injury Time
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Acceptance & Commitment Therapy (ACT) for Chronic Pain
In 60 seconds or less… What is ACT?
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Six Core Processes Contact with the Present Moment Acceptance Values
Committed Action Defusion Self-as-Context
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Six Core Processes Psychological Flexibility
Contact with the Present Moment Acceptance Values Psychological Flexibility Six Core Processes Committed Action Defusion Self-as-Context (Flexible Perspective-Taking)
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Matrix www.DrKevinPolk.com Kevin Polk’s www.youtube.com channel
Resources Matrix Kevin Polk’s channel
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Me Noticing
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Outside (5 senses) Me Noticing
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Outside (5 senses) Me Noticing
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Me Noticing Inside (mental, emotional
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Me Noticing Inside (mental, emotional
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Outside (5 senses) Me Noticing Inside (mental, emotional
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Outside (5 senses) Toward Me Noticing Inside (mental, emotional
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Outside (5 senses) Away Toward Me Noticing Inside (mental, emotional
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Outside Away Toward Me Noticing Inside
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Outside Toward Away Me Noticing Inside
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Outside Inside Toward Away Me Noticing Body Pain Tension Spasms
Fatigue Soreness Numb Inside
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Outside Inside Toward Away Me Noticing Body Pain Tension Spasms
Fatigue Soreness Numb Moods/Emotions Depression Anxiety Anger Irritability Shame Hopelessness Inside
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Outside Inside Toward Away Me Noticing Body Pain Tension Spasms
Fatigue Soreness Numb Moods/Emotions Depression Anxiety Anger Irritability Shame Hopelessness Thinking Concentn Worries Negative “I can’t stand this” Inside
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Outside Inside Toward Away Me Noticing Body Pain Tension Spasms
Fatigue Soreness Numb Moods/Emotions Depression Anxiety Anger Irritability Shame Hopelessness Thinking Concentn Worries Negative “I can’t stand this” Inside
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Outside Inside Toward Away Me Noticing Body Pain Tension Spasms
Fatigue Soreness Numb Moods/Emotions Depression Anxiety Anger Irritability Shame Hopelessness Thinking Concentn Worries Negative “I can’t stand this” Inside
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Outside Inside Moving less Isolating Avoiding Canceling plans
Taking meds Short tempered Yell F/F/F Drinking Drugs Self-harm Suicide Toward Away Me Noticing Body Pain Tension Spasms Fatigue Soreness Numb Moods/Emotions Depression Anxiety Anger Irritability Shame Hopelessness Thinking Concentn Worries Negative “I can’t stand this” Inside
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Acute Outside Inside Away Moves Moving less Isolating Avoiding
Canceling plans Taking meds Short tempered Yell Drinking Drugs Self-harm Suicide Toward Away Me Noticing Body Pain Tension Spasms Fatigue Soreness Numb Moods/Emotions Depression Anxiety Anger Irritability Shame Hopelessness Thinking Concentn Worries Negative “I can’t stand this” Acute Inside
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Chronic Outside Vicious Cycle Inside Away Moves Moving less Isolating
Avoiding Canceling plans Taking meds Short tempered Yell Drinking Drugs Self-harm Suicide Toward Away Vicious Cycle Me Noticing Body Pain Tension Spasms Fatigue Soreness Numb Moods/Emotions Depression Anxiety Anger Irritability Shame Hopelessness Thinking Concentn Worries Negative “I can’t stand this” Chronic Inside
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Outside Toward Away Me Noticing Inside
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Outside Toward Away Me Noticing Inside
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Outside Inside Toward Away Me Noticing Roles/Resp Parenting Work
Being productive Providing Health Active Strong Self-care Moving Relationships Connection Love/Caring Warm Fun Purpose Meaning Spirituality Rec Creativity Entertainment Inside
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Outside Inside Toward Moves Hanging with friends Hunting/Fishing
Playing with kids Time with Family Making good meals Going to Church Going to work Painting/crafts Toward Walk the dog Away Exercise Me Noticing Roles/Resp Parenting Work Being productive Providing Health Active Strong Self-care Moving Relationships Connection Love/Caring Warm Fun Purpose Meaning Spirituality Rec Creativity Entertainment Inside
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Outside Inside Toward Moves Hanging with friends Hunting/Fishing
Playing with kids Time with Family Making good meals Going to Church Going to work Painting/crafts Toward Walk the dog Away Exercise Me Noticing Roles/Resp Parenting Work Being productive Providing Health Active Strong Self-care Moving Relationships Connection Love/Caring Warm Fun Purpose Meaning Spirituality Rec Creativity Entertainment Inside
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Outside Inside Away Moves Toward Moves Hanging with friends
Moving less Isolating Avoiding Canceling plans Taking meds Short tempered Yell Hunting/Fishing Drinking Drugs Self-harm Suicide Playing with kids Time with Family Making good meals Going to Church Going to work Painting/crafts Toward Walk the dog Away Exercise Me Noticing Body Pain Tension Spasms Fatigue Soreness Numb Moods/Emotions Depression Anxiety Anger Irritability Shame Hopelessness Roles/Resp Parenting Work Being productive Providing Health Active Strong Self-care Moving Thinking Concentn Worries Negative “I can’t stand this” Relationships Connection Love/Caring Warm Fun Purpose Meaning Spirituality Rec Creativity Entertainment Inside
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Continuum Outside Inside Away Moves Toward Moves Hanging with friends
Moving less Isolating Avoiding Canceling plans Taking meds Short tempered Yell Hunting/Fishing Drinking Drugs Self-harm Suicide Playing with kids Time with Family Making good meals Going to Church Going to work Painting/crafts Toward Walk the dog Away Exercise Me Noticing Body Pain Tension Spasms Fatigue Soreness Numb Moods/Emotions Depression Anxiety Anger Irritability Shame Hopelessness Roles/Resp Parenting Work Being productive Providing Health Active Strong Self-care Moving Thinking Concentn Worries Negative “I can’t stand this” Relationships Connection Love/Caring Warm Fun Purpose Meaning Spirituality Rec Creativity Entertainment Inside
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Outside Inside Away Moves Toward Moves Hanging with friends
Moving less Isolating Avoiding Canceling plans Taking meds Short tempered Yell Mixed 50/50 Hunting/Fishing Drinking Drugs Self-harm Suicide Playing with kids Time with Family Making good meals Stretching Heat/Ice TENS unit Mindfulness Distress Tolerance Going to Church Going to work Painting/crafts Toward Walk the dog Away Exercise Me Noticing Body Pain Tension Spasms Fatigue Soreness Numb Moods/Emotions Depression Anxiety Anger Irritability Shame Hopelessness Roles/Resp Parenting Work Being productive Providing Health Active Strong Self-care Moving Thinking Concentn Worries Negative “I can’t stand this” Relationships Connection Love/Caring Warm Fun Purpose Meaning Spirituality Rec Creativity Entertainment Inside
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Outside Menu of Behaviors & Actions Away Toward Me Noticing Inside
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Away Moves 50/50 Toward Moves (Mixed Functions) Outside Inside Toward
Me Noticing Inside
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Outside Away Toward Me Noticing Inside
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Outside Inside Moving less Isolating Avoiding Canceling plans
Taking meds Short tempered Yell Away Toward Me Noticing Inside
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✗ Outside Inside Moving less Isolating Avoiding Canceling plans
Taking meds Short tempered Yell Away Toward ✗ Me Noticing Inside
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✗ Outside Inside Moving less Isolating Avoiding Canceling plans
Taking meds Short tempered Yell Away Toward ✗ Me Noticing Inside
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✗ Outside Inside Moving less Isolating Avoiding Canceling plans
Taking meds Short tempered Yell Away Toward ✗ Me Noticing Inside
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Outside Away Toward ✗ Me Noticing Inside
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✗ Outside Inside Phase 1 Moving less Isolating Avoiding
Canceling plans Taking meds Short tempered Yell Away Toward ✗ Me Noticing Inside
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✗ Outside Inside Moving less Isolating Avoiding Canceling plans
Taking meds Short tempered Yell Away Toward ✗ Me Noticing Inside
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✗ Outside Inside Phase 2 Moving less Isolating Avoiding
Canceling plans Taking meds Short tempered Yell Away Toward ✗ Me Noticing Inside
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Outside Phase 3 Away Toward ✗ Me Noticing Inside
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Outside Phase 3 Away Toward ✗ Me Noticing Inside
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✗ Outside Inside Phase 3 Stretching Heat/Ice TENS unit Mindfulness
Distress Tolerance Away Toward ✗ Me Noticing Inside
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Outside Phase 3 Away Toward ✗ Me Noticing Inside
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Outside Phase 4 Away Toward Me Noticing Inside
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Outside Inside Phase 4 Hanging with friends Hunting/Fishing
Playing with kids Time with Family Making good meals Going to Church Going to work Away Toward Painting/crafts Walk the dog Exercise Me Noticing Inside
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Outside Phase 4 Away Toward Me Noticing Inside
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Outside Phase 4 Away Toward Me Noticing Inside
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Outside Phase 5 Away Toward Me Noticing Inside
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Outside Phase 5 Away Toward Me Noticing Inside
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Away Moves 50/50 Toward Moves (Mixed Functions) Outside Inside Toward
Me Noticing Inside
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Six Core Processes Psychological Flexibility
Contact with the Present Moment Acceptance Values Psychological Flexibility Six Core Processes Committed Action Defusion Self-as-Context (Flexible Perspective-Taking)
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Away Moves 50/50 Toward Moves (Mixed Functions) Committed Action
Outside Away Moves 50/50 (Mixed Functions) Toward Moves Away Toward Committed Action Me Noticing Acceptance Defusion Values Inside
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Away Moves 50/50 Toward Moves (Mixed Functions) Committed Action
Outside Away Moves 50/50 (Mixed Functions) Toward Moves Away Toward Committed Action Me Noticing Acceptance Defusion Values Contact With Present Moment Inside
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Resources Books Accessible: Books by Russ Harris Happiness Trap
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Resources Books: ACT
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Resources Books: ACT for Pain
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Matrix www.DrKevinPolk.com Kevin Polk’s www.youtube.com channel
Resources Matrix Kevin Polk’s channel
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Resources ACBS is the professional home for ACT
Many videos, protocols, articles, list servs, other resources
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Resources References for the science behind ACT for chronic pain
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Resources References for the science behind ACT for chronic pain
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Resources References for the science behind ACT for chronic pain
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Resources Resources on understanding pain differently
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Resources Resources on understanding pain differently
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Acceptance & Commitment Therapy (ACT) for Chronic Pain
Questions?
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