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Chronic Pain and Mental Health Disorders

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Presentation on theme: "Chronic Pain and Mental Health Disorders"— Presentation transcript:

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

2 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  , DOI: ( /j.mayocp ) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

3 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  , DOI: ( /j.mayocp ) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

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

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


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