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Digital Recording

Interrupting the Reign of Pain: Therapy Tools to Eliminate Chronic Pain

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Howard Schubiner, MD
1 Hour 57 Minutes
Jan 06, 2021
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Digital Recording
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Typically, physical and psychological pain are treated separately, even when they’re deeply intertwined. Nearly half of all therapy clients suffer from chronic physical pain, which often has no clear medical cause, including back and neck pain, headaches, and fibromyalgia. We now know that all pain is constructed by the brain’s alarm mechanism, which can be activated by either physical injury or perceived emotional threat. In this recording, you’ll learn tools to simultaneously address physical and emotional pain in your work with clients. You’ll explore how to: 

  • Explain how the brain’s predictive coding mechanisms generate and moderate the experience of physical pain, and avoid the trap of clients hearing it as “it’s all in your head” 
  • Teach clients how to reverse rather than cope with chronic brain-induced pain using pain reprocessing therapy  
  • Implement Emotional Awareness and Expression Therapy, which has been found to be more effective than standard psychotherapeutic treatment 
  • Understand cutting-edge research on chronic back pain, and determine if your client has psycho-physiologic-induced pain 



This online program is worth 2 hours CPD.



Howard Schubiner, MD's Profile

Howard Schubiner, MD Related seminars and products

Howard Schubiner, MD, is an internist at Providence Hospital in Michigan and a professor at Michigan State University. He’s the author of Unlearn Your Pain, Unlearn Your Anxiety and Depression and coauthor of Hidden from View.


Speaker Disclosures:

Financial: Howard Schubiner is an attending physician at Children’s Hospital of Michigan; harper Hospital; Hutzel Hospital; and Detroit Receiving Hospital.  He is a faculty member at Providence Hospital. He is an author for Mind Body Publishing and receives royalties. Dr. Schubiner receives a speaking honorarium from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Howard Schubiner is a Fellow for the American Academy Pediatrics; a Fellow for the American College of Physicians; and a Fellow for the Society for Adolescent Medicine.


  1. Appraise how the brain’s predictive coding mechanisms create and reinforce physical pain in clients. 
  2. Determine in session if a client has psychophysiologic-induced pain.  
  3. Analyze concepts of psychophysiologic pain to clients and implement pain reprocessing therapy.   
  4. Perform Emotional Awareness and Expression Therapy techniques to help alleviate clients’ pain symptoms. 


  • Knowledge about Psychophysiologic Disorders (PPD) 
    • How is pain produced and processed in the conscious and subconscious brain  
    • What are some of the common manifestations of PPD  
    • Relationship between stressful life events and PPD  
    • Overview of treatment of PPD  
  • How to assess if someone has PPD, including examination skills if appropriate (Medical assessment) 
    • Medical history 
    • Review of records and imaging studies  
    • Review of symptoms checklist lifetime and pain map, ACE score 
    • Medical examination or review of medical examinations 
    • FIT evaluation: Functional, Inconsistent, Triggered 
    • Provocative testing: imagination and pressure testing 
  • How to determine the psychological cause of PPD 
    • Early childhood history—priming events  
    • Teen and early adult history—triggering events  
    • Later life history, search for themes and patterns  
    • Connection between onset and exacerbation of symptoms and stressful life events  
  • How to educate patients and personalize information about PPD  
    • Explaining PPD 101—the information  
    • Review themes and relate life events to onset and exacerbation of PPD symptoms 
    • Obtain feedback and answer questions  
  • How to implement the basic cognitive and behavioural elements of treatment: Pain Reprocessing Therapy  
    • Education as a basis of treatment  
    • Understanding the concepts and applying them personally  
    • Believing in them and self-confidence to allay doubts  
    • Developing self-confidence for successful recovery 
    • Affirmations for recovery  
    • Somatic tracking and mindful awareness 
    • Conditioned responses and outcome independence  
    • Graded exposure 
    • Self-compassion 
  • Description of expressive writing exercises, handouts only 
    • List of writing techniques (Lists) 
      • Free writing 
      • Unsent letters 
      • Dialogues 
      • Gratitude 
      • Forgiveness 
      • Barriers to recovery 
      • Responding to life situations 
      • Writing a new life narrative 
  • Description of the role of meditative exercises, handouts only 
    • Mindfulness practices 
      • Attending to emotional states 
      • Decreasing self-induced suffering 
      • Tolerating symptoms as transient events 
    • Guided meditations  
  • How to guide a PPD patient in emotional awareness and expression exercises  
    • Basic principles  
    • Description of steps in the process 
    • Demonstration of the process  
  • Conclusions, Questions and Answers 

Target Audience

  • Counselors
  • Social Workers
  • Psychologists
  • Psychotherapists
  • Therapists
  • Marriage & Family Therapists
  • Addiction Counselors
  • Case Managers
  • Physicians
  • Nurses
  • Other Mental Health Professionals



Overall:      4.7

Total Reviews: 65

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