Article: Psychiatry and chronic pain patterns.(THE PSYCHIATRIST'S TOOLBOX)

As a psychiatrist known for using behavioral techniques as well as a variety of relaxation therapies, I was not surprised when, a number of years ago, orthopedic surgeons and neurosurgeons started referring their chronic pain patients to me. These surgeons had been consulted for chronic pain problems and were unable, in many cases, to offer either a surgical or medical approach to treatment.

My observations led me to write a paper for an orthopedic journal addressing some of the chronic pain problems experienced by our patients (Foot Ankle 1986;7:133-7).

Many of the patients referred to me had chronic pain patterns that were musculoskeletal--the pain ...

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