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Osteoarthritis / joint pain

Neighboring skills for function and coping when joint pain sits with stiff, load-bearing days. Not a diagnosis page.

Listings here keep their home category. Related notes also appear under CBT Skills, Daily Practices, Breathing & Relaxation, and ACT & Acceptance.

Pain Coping Skills Training (PCST)

A multi-session Keefe-style CBT-family coping-skills course (usually 8 to 12 weeks). Moderate support, mostly osteoarthritis, small average effects. Not Empowered Relief’s 2-hour class, not standalone PST, and not behavioral activation.

Empowered Relief

A single ~2-hour Stanford class, taught by a certified instructor, that teaches a short set of pain-CBT skills. It is not 8-week CBT, not a self-paced app, and not a claim that pain is imaginary.

CBT for pain

A course of cognitive behavioral therapy aimed at living with persistent pain: thought skills, activity plans, and problem-solving. It is not a claim that pain is imaginary.

Activity pacing

Break tasks into planned pieces so a good day does not create a two-day crash. Widely taught. Mixed evidence as a standalone cure.

Graded activity and graded exposure for fear of movement

Two clinician-led CBT-family protocols for people who have started avoiding movement after persistent pain. They are not the same, and they are not activity pacing. Fear and function are the realistic targets, not pain scores.

CDSMP-style chronic disease and pain self-management

A Stanford/SMRC multi-session community workshop (CDSMP / CPSMP / Living Well), often peer-led, teaching action planning and day-to-day coping. Best claim is self-efficacy and function. Pain intensity gains are often small or not clinically important. Not Empowered Relief’s 2-hour class and not team rehab.

Interdisciplinary pain rehabilitation for persistent pain

A clinic team program (medicine + psychology + PT/OT, often nursing) over days to weeks, aimed at function and self-management. Modest average gains in disability and quality of life. Not a reliable pain-intensity cure, and not the same as CBT alone or a 2-hour class.

Pain flare planning

A written plan you make on a better day: how to spot a flare early, what to try first, when to call for help, and how to ease back toward baseline. Preparedness and safer escalation, not a pain-score cure. Not activity pacing alone and not a multi-week therapy course.

Sleep skills for persistent pain (CBT-I)

Clinician-led cognitive behavioral therapy for insomnia, including when insomnia sits with persistent pain. Strong for sleep. Modest, small, or often none for pain intensity. Sleep hygiene is weaker and is not CBT-I.

Slow diaphragmatic breathing

Slower breaths that gently move the belly, used to lower tension and alarm that often travel with pain.

Progressive muscle relaxation

Briefly tense and then release muscle groups so you can notice where the body is bracing around pain.

Clinical biofeedback for persistent pain (EMG and thermal)

A licensed-clinic skill that uses sensors to show muscle tension (EMG) or skin temperature (thermal) while you practice lowering tension or warming the hands. Not energy healing. Not DIY breathing alone. Condition-specific, and not a cure for all chronic pain.

Coping with catastrophic pain thoughts

A beginner skill for noticing “this will never end / something terrible is happening” thoughts and answering them with a calmer, more accurate sentence.

Self-compassion practice

Kind, honest self-talk on a hard pain day. Not self-worship, and not a claim that you caused the pain by being unkind to yourself.

Problem-solving therapy (PST) for persistent pain

A clinician-led, worksheet-driven CBT-family skill for practical barriers around living with pain. Stronger for depression than as a pain treatment. A one-sitting 5-step worksheet is weaker and is not full PST.

Motivational interviewing (MI) for persistent pain

A clinician-led counseling style that helps resolve ambivalence about showing up for pain care. Best claim is adherence and engagement, often short-term. Not a durable pain-intensity cure, not “just stay positive,” and not the full CBT or PCST course.

ACT for pain

A clinician-led therapy. You practice making room for difficult sensations while moving toward a valued life.

Values-based daily action

Pick one value that still matters and take one small action toward it on a painful day.

Pain neuroscience education

Pain is always real. A nervous system can stay alarmed after tissues have had time to heal. Learning that is not the same as being told the pain is imaginary.

Explain Pain (Butler and Moseley)

A widely used book that teaches how pain works in the nervous system. An education resource, not a trial and not a promise of recovery.

Breath prayer

A complementary Christian practice that pairs a short prayer with an ordinary slower breath. It is not a research-backed pain treatment.

Praying the lament psalms

Pray the psalms that complain, weep, and ask “how long.” Not a substitute for medical or psychological care.