Chapter 25. Group Cognitive-Behavioral Therapy for Chronic Pain

Beverly E. Thorn, Ph.D., A.B.P.P.; Melissa C. Kuhajda, Ph.D.; Barbara B. Walker, Ph.D.
DOI: 10.1176/appi.books.9781585623648.375429



Virtually all psychiatric and medical disorders have biological, psychological, and social components, and each of these domains needs to be considered when treating patients. Group cognitive-behavioral therapy (CBT) is an efficient and effective vehicle for addressing each of these domains while treating patients with psychiatric and medical disorders. Group CBT targets the core psychological and social processes that affect illness, and incorporates pharmacological treatments and other biological treatments at the same time. Group CBT interventions can be tailored to unique symptom pathways that characterize a specific disorder.

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Figure 25–1. Pre-session and post-session process check.

Figure 25–2. Stress–Pain Connection Worksheet.

Figure 25–3. Automatic Thoughts Worksheet.

Figure 25–4. Changing Pain Beliefs Worksheet.
Table Reference Number
Table 25–1. Examples of negative patient pain-related thoughts and beliefs, and subsequent maladaptive behaviors
Table Reference Number
Table 25–2. Major objectives of the 10 cognitively focused group cognitive-behavioral therapy sessions


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