Transforming Pain Management: Pain Reprocessing Therapy with Howard Schubiner

Dr. Howard Schubiner discusses the link between childhood trauma and pain, as well as the brain's role in creating pain. He highlights the challenges in training healthcare professionals to understand and address mind-body pain. Dr. Schubiner introduces the symptom perception model and explains the process of pain reprocessing therapy. He emphasizes the importance of ruling out structural problems and using the FIT criteria to determine if the pain is functional, inconsistent, and triggered. This conversation explores the revolutionary data on non-structural pain and the importance of transitioning to understanding the emotional piece of chronic pain. It delves into the role of emotional awareness and expression in pain management and the challenges clinicians face in incorporating a mind-body approach. The conversation also highlights the healthcare system challenges and available resources for clinicians and patients. Finally, it discusses the future of mind-body approaches and training opportunities.

***Helpful Links***
Dr. Sarno's Books
Dr. Schubiner's Website
JAMA Psychiatry Study on Pain Reprocessing Therapy

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Howard Schubiner

Internist and Pediatrician

Dr. Howard Schubiner is an internist and pediatrician, who attained the rank of full Professor at Wayne State University School of Medicine in 1999. He is an internist and the director of the Mind Body Medicine Center at Ascension Providence Hospital in Southfield, Michigan. Dr. Schubiner is a Clinical Professor at the Michigan State University College of Human Medicine and is a fellow in the American College of Physicians, and the American Academy of Pediatrics. He has authored more than 100 publications in scientific journals and books, and lectures regionally, nationally, and internationally and has consulted for the American Medical Association, the National Institute on Drug Abuse, and the National Institute on Mental Health. Dr. Schubiner is the author of three books: Unlearn Your Pain, Unlearn Your Anxiety and Depression, and Hidden From View, written with Allan Abbass, MD, a Professor of Psychiatry at Dalhousie University in Halifax, Nova Scotia.

Dr. Schubiner has collaborated extensively with Mark Lumley, PhD, a Professor of Psychology at Wayne State University in a series of studies to develop psychological treatments for chronic pain. They developed Emotion Awareness and Expression Therapy (EAET), which has been tested in various formats for people with different chronic pain conditions and found to be not only effective compared to treatment as usual but superior to CBT in two trials. EAET is now listed as a treatment option in the 2019 U.S. Department of Health and Human Services Pain Management Best Practices Inter-agency Task Force Report.
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