Pain Management and Behavior Management

We may ask you to undergo psychological or psychiatric evaluation and/or counseling sessions because of your chronic pain.  Chronic pain affects not only the body, but also the mind.  It is beneficial to have someone to whom you can talk about the pain and its impact on your life.  The therapist provides information to the pain management physician on the psychophysiological effects of the chronic pain.  We provide psychophysiological therapy, family therapy, group and individual psychotherapy to assist in controlling and coping with the pain.  Depending upon the cause and type of pain, as well as the type of therapy, we also sponsor community support groups in the St. Louis region.

If you are considering a permanent implantable device, such as a Dorsal Column Stimulator (DCS) or Intrathecal Pump, we will require you to have psychological screening, to make certain you fulfill the criteria for implantation.

Patient’s who have pre-existing psychiatric conditions such as bipolar disorder, borderline personality, schizophrenia, major depression, or any history of substance abuse should notify us immediately upon patient intake. Successful treatment of chronic pain in these particular patient groups depends upon a coordinated approach, especially in these specific conditions.