Integrative Pain Management

Integrative Pain Management  Your partners in healing and meaning : 

Integrative Pain Management  Your partners in healing and meaning Ursula Stehle, Ph.D., clinical director

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I know that chronic pain can be horrendous and disabling, and compromise daily life. I am the director and founder of the Integrative Pain Management Program at Fair Oaks Therapeuticum and I will personally supervise all aspects of your treatment here. Dr. Ursula Stehle

Is this the Program for You? : 

Is this the Program for You? Have you been in pain for more than 3 months? Has your family or your work life suffered during your recovery from pain? Have you felt more tense, anxious or depressed?

Is this program for You? continued : 

Is this program for You? continued Have you had trouble sleeping? Have you felt lately that your meds are not working as well as they used to? Have you been afraid to move because you may have a spike in your pain?

Integrative Pain Management : 

Integrative Pain Management We know that the suffering and the losses people experience with chronic pain are enormous. You may have a disability but you can reduce and even eliminate your pain Take charge and put an end to your suffering. Let our specialists show you how

Fair Oaks Therapeuticum : 

Fair Oaks Therapeuticum We offer research based programs that begin when surgeries and medication have done their work or … have not brought the relief you need. Fair Oaks Therapeuticum Offers Intensive Outpatient Care for pain disorders We will coordinate care with your physician PPOs reimburse for our services Insurances make Single Case Agreements Discuss our program with your physician

Why Chronic Pain hurts so much more : 

Why Chronic Pain hurts so much more When pain persists our brain learns to be in pain – and our brains learn fast

Vicious Cycle IPain-Depression : 

Vicious Cycle IPain-Depression Pain – Depression Cycle

Vicious Cycle IIAnxiety-Pain : 

Vicious Cycle IIAnxiety-Pain Pain – Anxiety Cycle

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Opiate Meds More Meds More Meds Cycle of Addiction

Integrative Pain Management : 

Integrative Pain Management From the Chaos and Destruction of Pain & Suffering Healing Self-Management Self-Reliance Control Meaning and a Life Worth Living

Healing : 

Healing Healing is an intentional process by which a human being is motivated to restore his or her authentic life to balance. This occurs through: embracing remedial and therapeutic interventions a healthful diet and exercise building and maintaining meaningful relationships exploring internal thoughts, feelings and spiritual connections. As the result of this commitment, wellness, meaning and purpose transform suffering, And life’s harmony and integrity are restored.

Integrative Pain Management : 

Integrative Pain Management MIND BODY Mindfulness Therapy Psycho- therapy CBT Hypnosis Education Imagery Work & Family Yoga Therapy CES Bio- Medical Diet Massage Resto- ration Breath Work SUPPORT Bio- feedback

We also help with these symptoms : 

We also help with these symptoms Addiction Sleep Disorders Depression Anxiety & Stress Sensitivity Trauma (PTSD) Cognitive Impairment Eating Disorders These symptoms are caused by prolonged pain These symptoms destroy our lives as much as the pain itself

Integrative Pain Management : 

Integrative Pain Management Evidence based Intensive Outpatient Programs (IOP) that offer an integrative patient centered treatment approach This program is for patients with Chronic pain and pain syndromes A concurrent history of PTSD repeated personal injuries unexplained failure to recover as expected

Initial Assessment : 

Initial Assessment Treatment is based on Psychological, Nutritional and Pain Assessments Pain Assessments (P3, BBHI-2, MBMD) Personality Testing (MCMI or MMPI, Rorschach) Nutritional Assessment (Paul Check & Mark Hyman, MD) Neurotransmitter Testing (NeuroScience) Programs are Accepted by Major Insurances PPO’s; Single case agreements for HMOs Talk to your physician about this program

Integrative Therapies (1) : 

Integrative Therapies (1) Research-based Therapies CBT, Training in Mindfulness, Pain Pacing, and Relaxation -Address stress response; Pain awareness; Lay the foundation for pacing protocol; Nutritional Supplements-Target metabolic support & Strengthen brain functioning; Cranial Electro Stimulation- Directly normalizes pain response; Alleviates associated conditions (Depression, Anxiety, Insomnia); and reduces pain locally; available as a home program Clinical Hypnosis & Self Hypnosis-decreases anxiety and promotes deep relaxation and maintains motivation; hypno-analgesia Neuroplasticity Therapy – using sound and imagery to retrain the brain

Integrative Therapies (2) : 

Integrative Therapies (2) Research-based Alternative Therapies Functional Conditioning/Yoga Therapy Increases physical strength and flexibility; Breath Work increases circulation and sense of control; Increased coping and increased sense of calm Medical Massage-releases muscle tension, increases range of motion; alleviates inflammation and swelling; integrates and supports formation of new muscle tissue Biofeedback- increases self-awareness and control over physical processes; fosters self-regulation and self-management Vocational Counseling-vocational testing, employment counseling development; ease of re-entry to the world of work Increase in Well Being

Functional Restoration Program : 

Functional Restoration Program This program offers a fixed structure Goal is to return a person to pre-injury functioning levels as much as possible This is done by Alleviating residual pain Increasing activity and self-determination Alleviating associated conditions Strengthening relationships Minimizing reliance on medications

Functional Restoration (Phase 1) : 

Functional Restoration (Phase 1) After the initial testing phase: Stabilization – 70 tx hrs over 10 weeks 20 Functional Conditioning Sessions – Yoga Therapy 10 Cognitive Behavioral Sessions 10 Hypnotherapy Sessions 10 Cranial ElectroTherapy Sessions 10 Nutrition & Lifestyle sessions 10 Medical Massage sessions. fulfills and exceeds the ODG (Official Disability Guidelines) criteria of 20 full day session equivalents, frequent evaluations and periodic reports

Functional Restoration (Phase2) : 

Functional Restoration (Phase2) Continuity and Advanced Learning Phase – 40 hrs over 10 weeks provide 3 sessions individual Conditioning Training, 20 group yoga sessions, 10 Cognitive Behavioral sessions, 2 Nutrition and Lifestyle sessions, 5 Medical Massage sessions, daily home program of Cranial ElectroTherapy Stimulation This sample treatment plan will of course be modified to specific patient needs.

Functional Restoration - AfterCare : 

Functional Restoration - AfterCare Transition & AfterCare – 70 hrs over 6-9 months 20 sessions of occupational counseling 3 after care sessions for Individual Conditioning, 25 group yoga classes for up to 6 months home program of Cranial ElectroTherapy Stimulation continues as needed 4 individual sessions of Cognitive Behavioral Therapy, 16 bi-monthly group support for up to 8 months – and 2 aftercare sessions for Nutrition and Lifestyle counseling

Patient Care : 

We offer private and confidential time with a licensed therapist, in a peaceful setting, to explore your condition. Each clinician will guide you through your treatment session with respect and compassion. We provide you with accurate and complete information at each visit regarding your health and emotional concerns You are responsible to follow agreements and recommended treatment procedures You are required to have a Primary Care Physician (PCP) who we will consult with routinely or as needed. WELCOME TO OUR WORK TOGETHER Patient Care

Areas of Growth : 

Skills Developed Skill 1 The ability to understand your pain and contributing factors. Skill 2 The ability to reduce your pain by changing the way you respond to your stressors. Skill 3 The ability to reintegrate into your home and work life and regain your sense of self. Skill 4 The ability to manage your pain with reduced medication. Areas of Growth Integrative Pain Management

Recommendations/ Next Steps : 

Recommendations/ Next Steps This program is effective alone or in combination with treatments you are already receiving Make the decision to get better; let us support you in your recovery.

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Our interdisciplinary practice focuses on the individual needs of each patient and integrates research-based therapies. Patients are encouraged to modify their lifestyle and perform mild physical exercises. We collaborate with your physician to facilitate optimum recovery. Fair Oaks Therapeuticum Thank you for the opportunity to show you our program. Dr. Ursula Stehle Fair Oaks Therapeuticum Call 916/962-0222 http://pain.therapeuticum.org