Chronic Pain Overview

Chronic pain is pain that lasts for 3 months or longer. It can be constant or intermittent, and it can occur anywhere in the body. Unlike acute pain, which is a normal sensation that alerts us to injury or illness, chronic pain persists even after the body has healed. It can significantly interfere with daily life, affecting physical functioning, emotional well-being, and social interactions.

Signs & Symptoms

The experience of chronic pain is subjective and varies from person-to-person. Common symptoms include:

Pain
  • Aching, burning, shooting, stabbing, or throbbing pain
  • Stiffness and limited range of motion
  • Tenderness to the touch
  • Pain that worsens with activity or stress
Other symptoms
  • Fatigue and low energy
  • Sleep disturbances
  • Depression and anxiety
  • Irritability and mood swings
  • Difficulty concentrating
  • Decreased appetite
  • Social withdrawal

Causes

Chronic pain can have various underlying causes, including:

Injury

Past injuries, such as sprains, strains, or fractures, can lead to chronic pain even after the initial injury has healed.

Medical conditions

Many medical conditions can cause chronic pain, including:

  • Arthritis
  • Back pain
  • Cancer
  • Fibromyalgia
  • Headaches (migraines, tension headaches)
  • Nerve damage (neuropathy)
Unknown causes

In some cases, the cause of chronic pain is unknown. This is sometimes referred to as chronic primary pain.

Managing Chronic Pain

Chronic pain often requires a multidisciplinary approach to management. Treatment options may include:

Medications
  • Pain relievers (analgesics)
  • Antidepressants
  • Anticonvulsants
  • Muscle relaxants
Therapies
  • Physical therapy: Helps improve strength, flexibility, and range of motion.
  • Occupational therapy: Assists with adapting daily activities to manage pain.
  • Cognitive Behavioral Therapy (CBT): Helps develop coping strategies and manage the emotional impact of pain.
Other interventions
  • Acupuncture
  • Massage therapy
  • Transcutaneous electrical nerve stimulation (TENS)
  • Injections (corticosteroids, nerve blocks)
  • Surgery (in some cases)

Living with Chronic Pain

Pacing

Balance activity and rest to avoid overexertion.

Exercise

Regular physical activity can help improve pain and overall well-being.

Stress management

Practice relaxation techniques to reduce stress and its impact on pain.

Healthy lifestyle

Eat a balanced diet, get enough sleep, and avoid smoking and excessive alcohol consumption.

Support groups

Connect with others who have chronic pain to share experiences and support.

A List of Adult Mental Health Issues We Treat at Sullivan & Associates

Addictions

Addiction is a chronic, relapsing disease characterized by compulsive seeking and use of a substance or engagement in a behavior, despite harmful consequences. It can affect anyone, regardless of age, background, or socioeconomic status. Addiction can involve various substances, such as alcohol, drugs, or even behaviors like gambling or gaming.

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Anxiety

Anxiety is a normal human emotion that everyone experiences from time to time. It’s a feeling of worry, nervousness, or unease, typically about an imminent event or something with an uncertain outcome.

Learn MoreLearn About Stress

Autism Spectrum Disorder (ASD)

Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition that affects how a person communicates, interacts with others, learns, and behaves. It is called a “spectrum” disorder because there is wide variation in the type and severity of symptoms people experience.

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Chronic Pain

Chronic pain is pain that lasts for 3 months or longer. It can be constant or intermittent, and it can occur anywhere in the body. Unlike acute pain, which is a normal sensation that alerts us to injury or illness, chronic pain persists even after the body has healed. It can significantly interfere with daily life, affecting physical functioning, emotional well-being, and social interactions.

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Depression

Depression is more than just feeling sad or down. It’s a persistent mood disorder that affects your thoughts, feelings, behavior, and physical health. It can interfere with your daily life, relationships, and overall well-being.

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Disordered Eating/Eating Disorders

Disordered eating encompasses a range of abnormal eating behaviors that can significantly impact your physical and mental health. It can include restrictive dieting, binge eating, purging, excessive exercise, and an unhealthy preoccupation with food and body image. While not always meeting the full criteria for a diagnosed eating disorder, disordered eating can still cause significant distress and impairment in your life.

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Emotion Regulation

Emotion regulation refers to the ability to effectively manage and respond to your emotions in a healthy and adaptive way. It involves recognizing, understanding, and accepting your emotions, as well as having the skills to modulate their intensity and expression when needed.

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Grief/Loss

Grief is a natural and inevitable response to loss, most often associated with the death of a loved one. However, grief can also be experienced with any significant loss, such as the loss of a relationship, job, health, or even a cherished dream. It is an individual and deeply personal process, with no right or wrong way to grieve.

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Inattention and Motor Restlessness/ADHD

Inattention and motor restlessness refer to difficulties with sustaining focus, remaining still, and controlling impulsive actions. These challenges can impact academic performance, work productivity, relationships, and overall well-being. While often associated with Attention-Deficit/Hyperactivity Disorder (ADHD), they can also occur in other conditions or independently.

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LGBTQ+ issues

Lesbian, Gay, Bisexual, Transgender, Queer, and other sexual and gender minority (LGBTQ+) adults face unique challenges and experiences throughout their lives. While societal acceptance and legal protections have progressed in many parts of the world, LGBTQ+ individuals still encounter discrimination, prejudice, and stigma that can significantly impact their mental health, relationships, and overall well-being.

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Obsessive-Compulsive Disorder (OCD)

Obsessive-Compulsive Disorder (OCD) is a mental health condition characterized by unwanted, intrusive thoughts, images, or urges (obsessions) that trigger intensely distressing feelings. These obsessions are often followed by repetitive behaviors or mental acts (compulsions) that a person feels driven to perform in an attempt to reduce anxiety or prevent a feared event.

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Psychosis

Psychosis is a mental health condition that affects a person’s ability to perceive and interpret reality. It can involve a range of symptoms, including hallucinations, delusions, and disorganized thinking. Psychosis can be a symptom of various mental illnesses, such as schizophrenia, bipolar disorder, or severe depression.

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Relationship Issues

Relationship issues are a common experience, affecting romantic partnerships, friendships, family relationships, and professional connections. These issues can arise from a variety of sources, including communication problems, differing values, unmet needs, life transitions, and external stressors. While occasional disagreements and challenges are normal, persistent or severe relationship issues can lead to significant distress and impact overall well-being.

Learn MoreLearn About Family IssuesLearn About Parenting Issues

Sleep/Insomnia Issues

Sleep is essential for physical and mental well-being. When sleep is consistently disrupted, it can lead to a variety of problems. Insomnia, the most common sleep disorder, is characterized by difficulty falling asleep, staying asleep, or getting enough restful sleep. This can lead to daytime fatigue, impaired concentration, mood disturbances, and other health problems.

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Trauma/PTSD

Trauma is an emotional response to a deeply distressing or disturbing event that overwhelms an individual’s ability to cope, causes feelings of helplessness, diminishes their sense of self and alters their sense of security. The impact of trauma can be long-lasting and affect various aspects of your life.

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Traumatic Brain Injury (TBI)

A traumatic brain injury (TBI) is caused by a bump, blow, or jolt to the head or a penetrating head injury that disrupts the normal function of the brain. TBIs range in severity from “mild” (a brief change in mental status or consciousness) to “severe” (an extended period of unconsciousness or amnesia after the injury).

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