The first clinical manual of evidence-based CBT skills for managing psychological issues associated with chronic pain, drawn from current approaches such as DBT, ACT, and motivational interviewing.* The first skills training manual in the field of chronic pain and mental health disorders to provide an integrated session-by-session outline that is customizable for clinicians* Adaptive and evidence-based - integrates skill sets from DBT, ACT, Behavioral Activation, and Motivational Interviewing to address the unique needs of individual chronic pain sufferers* Clinicians can import the approach into their work, selecting the most appropriate skills and sessions, or create an entire therapeutic program with the manual as its foundation* Includes invaluable measurement and tracking tools for clinicians required to report outcomes

Acknowledgments viii1 Introduction to Comorbid Mental Health and Chronic Pain12 Treatment Organization, Outline, and Structure of theProgram 63 Clinical Manual for TAG Program 15Biological Section 15Goal setting and motivation 15Functioning and loss 21Sleep 26Emergence and patterns 29Adherence to treatment protocols 33Complexity 38Working with your team 41Psychological Section 46Orientation to change 46Readiness to change 50Depression 54Anxiety 59First step toward change 64Anger management 69Attending to distress 73Meaning and pain 79Stress management 83Defense mechanisms and coping styles 87Stigma 91Chemical abuse 96Lifespan issues 101Managing fl are-ups 104Social Section 108Managing confl ict 108The 3 Is 112Problem-solving 116Nurturing support systems 120Social roles in relationships 124Intimacy 129Styles of interacting 1324 Handouts and Homework 136Master Skills Sheet 223Appendix - Safety Contract 230References 231Index 234