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Michael R. Clark, MD, MPH, MBA, Joyce King, MD, and Glenn J. Treisman, MD, PhD
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Buckley DI, Calvert JF, Lapidus JA, et al.
Ann Fam Med. 2010;8(3):237-44.
PURPOSE:...
Ann Fam Med. 2010;8(3):237-44.
PURPOSE:...
A different kind of co-morbidity: Understanding posttraumatic stress disorder and chronic pain
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Psychol Trauma. 2011 Jun;3(2):101-108.
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PM R. 2011 Jul;3(7):664-70.
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Psychiatric Issues in Chronic Pain
Michael R. Clark, MD, MPH, MBA
Department of Psychiatry and Behavioral Sciences
The Johns Hopkins Medical Institutions
Baltimore, MD
An individual’s perception and experience of chronic pain result from complex interplay among multiple biological, psychological, and social factors. Within this context, it is clear that psychological and social factors influence patients’ health and the manifestations of their painful illnesses. Also, not surprisingly, many psychiatric disorders are commonly comorbid with chronically painful conditions. These relationships highlight the important role that psychiatrists can play in the comprehensive, multidisciplinary care of patients with chronic pain. Dr. Clark has suggested that psychiatrists can help to individualize the case formulation of chronic pain patients using such illness components as disease, behaviors, dimensions, and life stories. Additionally, psychiatrists can bring to bear their expertise in diagnosing comorbid psychiatric disorders and formulating effective treatment plans that appropriately incorporate psychopharmacologic analgesics.
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