Pain Psychologist within Multidisciplinary Clinics?

[JBM16BYU]

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I appreciate any insights in advance. I am not a pain physician but work in several multidisciplinary clinics in which pain can be a significant symptom in addition to the patient's weakness, numbness, impaired mobility, etc. (ex. traumatic brachial plexus injuries). I am PM&R/Neuromuscular.

For those of you who work within multidisciplinary clinics, do you have pain psychology available for your patients? If so, what has your experience been and have you been able to set up appointments same day (group appointments)? If not, what factors have led to the decision to not have a pain psychologist? It is an option we are exploring. Thanks!

 

[Ducttape]

we do and they have been very helpful.

the practices have to be interested in the concept of pain psychology. '

'one of the issues is when one or other pain provider poo poos such therapy, then this impression negatively impacts patients.

it has its primary role for chronic pain management patients who have failed other conservative therapies.

 

[jwheezy]

I would love to have one, referring out to community is very cost prohibitive. Seems like all cash pay these days, $200 per hour.

 

[Agast]

A local pain practice had one and made it mandatory for all med management patients. This was difficult for the ones whose insurance was out of network or didn’t cover therapy/psychology, but if you want your pills…

 

[SSdoc33]

not available. too much $$$

 

[drusso]

Consider licensed clinical social workers (LCSW) with pain, chronic disease, or medical oncology experience. They're cheaper and have non-inferior outcomes.

 

[Ducttape]

please post these noninferior outcomes.


(we used to use the LCSW. id like the data so i can bring to admin if the pain psychologist becomes cost prohibitive)

 

[JBM16BYU]

Consider licensed clinical social workers (LCSW) with pain, chronic disease, or medical oncology experience. They're cheaper and have non-inferior outcomes.

For my education, what services does a LCSW bring for individual's living with pain?

 

[IYKYK]

Are LCSW able to do CBT?

 

[drusso]

For my education, what services does a LCSW bring for individual's living with pain?

The Daring Way for Pain - Columbia Pain Management, P.C.

columbiapain.org

 

[SSdoc33]

View attachment 406620

The Daring Way for Pain - Columbia Pain Management, P.C.

columbiapain.org

i feel like charlie brown listening to adults when reading that bio

 

[Ducttape]

most LCWS will kindly inform you that this is not in their scope of practice without this additional training.

We did hire someone and paid for a course on CBT for that person to take early on in this practice.