Chapter

Chronic Pelvic Pain and Psychological Disorders

Mohammed Issa and Raheel Bengali

in Pelvic Pain Management

Published on behalf of Oxford University Press

Published in print May 2016 | ISBN: 9780199393039
Published online July 2016 | e-ISBN: 9780199393053 | DOI: http://dx.doi.org/10.1093/med/9780199393039.003.0016
Chronic Pelvic Pain and Psychological Disorders

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The approach to patients with chronic pelvic pain must be therapeutic, supportive, and sympathetic. Follow-up appointments should be given, because requesting patients to return only if pain persists can reinforce pain behavior. Different psychotherapeutic approaches, such as depth psychotherapy, systemic psychotherapy, psychodynamic-interpersonal therapy, biofeedback therapy, and hypnosis, have been shown to be effective in achieving symptomatic relief from pain, as well as palliative reduction in pain intensity. Hypnosis has been suggested to help in breaking up the harmful and well-established pain reflexes through “synaptic ablation.” Anxiety and depression can also be reduced when psychosocial functioning improves, including return to work, increased social activities, and improved sexual activity.

Chapter.  3578 words. 

Subjects: Pain Medicine

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