I spend time asking about people’s experiences and listening to what they tell me, before helping them make sense of it.
Many talk about how they have described different symptoms that are pigeon-holed rather than seen as a person suffering.
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‘I kept telling them, but they took no notice’
‘For years I was told it was anxiety and depression’
‘I had three different symptoms, but was told I could only be seen for one’
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By compartmentalising and seeing different problems as separate parts, you miss the big picture of the person. And that is the actual picture.
We don’t treat body parts or systems, we help people.
Of course not everyone has this experience, but no-one should.
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There are many problems that are part if the menopause. There are many problems that are part of persistent pain. This can only be appreciated by seeing the whole.
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If someone is only permitted to talk about their increasing anxiety, then what is the most likely diagnosis and treatment?
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If they can also talk about sweats, sleep issues, dryness, and mood, a bigger picture emerges. It doesn’t take long to hear the full story.
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Same in persistent pain. It doesn’t take long to ask about all of the person’s symptoms and note them down.
Then you are starting to know that person and what they are enduring.
For example, blaming a small joint in the neck for a person’s woes.
Instead of seeing them as a thinking, feeling human being with hopes, dreams, strengths, and difficulties.
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When the pain is reduced in such a way, often the person is heading down the wrong route—not their fault.
Expectations are in the wrong place as they think that some treatment to that small part of their body will solve the pain problem. Great if it does. Often is doesn’t.
It means your story matters. Your lived experience is what we work with, together. To shape a positive future.
It means we think about any investigations and scientific knowledge and bring them in to explain your lived experience. That goes for tests that show nothing in particular, a common finding. But now what? You still suffer. Why? And what can you do?
Pain is a lived experience of the person in a world. Considering anything less to explain the experience misunderstands the reality.
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Ideas of training the brain follow from the reductionist and dualist viewpoint. Both are limited and out of step with modern models—enactivism and predictive processing.