Chapter

Comorbid Pain Disorders

Jordan F. Karp and Jonathan McGovern

in Late-Life Mood Disorders

Published on behalf of Oxford University Press

Published in print February 2013 | ISBN: 9780199796816
Published online June 2013 | e-ISBN: 9780199323081 | DOI: https://dx.doi.org/10.1093/med/9780199796816.003.0019
Comorbid Pain Disorders

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Painful conditions in late life are frequent and often comorbid with affective disorders, anxiety, and insomnia. Psychiatrists and geriatric mental health clinicians must be familiar with common pain disorders, the pathophysiology of chronic pain, and the screening, diagnosis, and treatment of common pain conditions when comorbid with psychiatric syndromes. This is particularly important for older adults with dementing disorders and other conditions which impair communication about internal states. In addition to pharmacologic treatments, psychosocial interventions such as cognitive behavioral therapy play a significant role in the treatment of chronic pain, especially when the pain is comorbid with depression and anxiety. Geriatric mental health clinicians should engage rehabilitation specialists like physical and occupational therapist in planning treatment for these complex patients.

Chapter.  10996 words.  Illustrated.

Subjects: Old Age Psychiatry ; Neurology

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