Posted on Leave a comment

Improving pain and inflammation with an elimination diet with Jessica Hill Powell

There is a great deal of evidence to show what we put inside our bodies can have an impact on inflammation issues.

This article and podcast was published by the team at The Change Pain Academy.

Supporting your nutrition (as you will see below) is one of the ‘rocks’ of chronic pain/chronic illness management and is just one of the things we lean into inside The Change Pain Academy.

Both chronic pain and chronic illness are influenced heavily by ‘what’s going on inside’ biologically. And it’s not just your pain, it’s also your immune function!

Here are some examples of what impacts your pain/illness:

👉 inflammation

👉 Too much of something (cortisol for example)

👉 Or not enough of something (magnesium, just to mention one of many)

👉 Adrenal fatigue

👉 Immune dysregulation

And the list goes on (and on, and on and on)

An elimination diet is just one way in which to help reduce painful symptoms caused by foods that trigger inflammation and disrupt your immune function.

And it’s something you can do on your own (with a little guidance) or with a coach.

In this episode Jessica and I break it all down.


The change pain Academy

Click the button to subscribe to The Change Pain Academy podcast and get the latest issues email right to your inbox.

Subscribe Here

Posted on Leave a comment

How Anger Affects Your Brain and Body

Our people living with trigeminal neuralgia and chronic pain very often feel anger.   Anger affects your brain and body and impacts pain.

The National Institute for the Clinical Application of Behavioral Medicine (NICABM) have created three infographics to help explain the process, along with the following article.

Anger can be a challenging emotion to work through.

Sometimes our anger can be frightening. Or, maybe we consider it inappropriate to even feel this way at all.

Not only that, when anger is misdirected, it often leads to poor choices, damaged relationships, and even violence.

So what’s really going on in the brain and body when anger is triggered?

NICABM InfoG Anger Part1

In the heat of anger, we often don’t use our best judgment.

We may say and do things we later regret, or lose track of what we’re arguing about.

Why is that?

Well, it has to do with cortisol. You see, anger can spark an overload of cortisol in the brain.

So where does the cortisol come from in the first place?

And to help you visualize what’s happening when there’s too much cortisol in the brain, we put this together for you.

NICABM InfoG Anger Part2

Anger is an important and sometimes necessary emotion.

But all too often, anger can quickly escalate and become destructive once it’s been triggered.

Uncontrollable anger can often create problems in relationships both at home and in the workplace. But beyond that, it can have devastating physical consequences.

So just how and where does anger impact the body?

That’s what we’re highlighting in the infographic below. It’s the final segment in our 3-part series: How Anger Affects Your Brain and Body

NICABM InfoG Anger Part3

For more practical tools and strategies to help clients manage anger, have a look at this short course featuring Stephen Porges, PhD; Marsha Linehan, PhD; Peter Levine, PhD; Ron Siegel, PsyD; Pat Ogden, PhD; and other top experts.

Posted on

6.3 Medical Marijuana: Past, Present, and Future

Medical MarijuanaFACIAL PAIN: A 21st CENTURY GUIDE For People with Trigeminal Neuralgia Neuropathic Pain 6.3 Medical Marijuana: Past, Present, and Future Medical marijuana is a treatment that could potentially help hundreds of thousands of people who are living with daily pain. To deny them the opportunity to potentially obtain relief from a drug that is effective […]
To access this post, you must purchase TNA Australia Full Member.
Posted on Leave a comment

The Source of Pain – Dr Evan Parks

Research is showing the need to view the source of pain in a much broader framework than purely biological.  Our association has been connecting with the ladies at Pain 2 Possibilities who are pain management coaches.  This webinar was presented in April 2023.

Evan Parks, Psy.D., serves as an adjunct assistant professor at Michigan State University College of Human Medicine and is on staff at Kalkaska Memorial Health Center in Kalkaska, Michigan. Evan is the author of Chronic Pain Rehabilitation: Active pain management that helps you get back to the life you love.

Before Evan began his work in rehabilitation psychology, he spent 15 years living in Budapest, Hungary traveling throughout Europe, the Middle East, and Central Asia teaching principles of mental health and intervening in mental health crisis situations for humanitarian organizations.

Posted on Leave a comment

New Chronic Pain Approaches


The conversation around this new approach model is American based, however we are always interested in new approaches internationally, and we know Pain Australia has recommended a total holistic package to treat pain patients.

Welcome to the Healing Pain Podcast with Joe Tatta, PT, DPT

In this special episode, Dr. Joe Tatta shares updates on what he is up to and delves into new chronic pain approaches that revolutionize the medical field today. He talks about PRISM, or Pain Recovery and Integrative Model, a cognitive behavioral approach to physical therapy for the management of chronic pain that he has been working on for over two years. He also talks about how the biopsychosocial model is helpful in approaching pain’s multidimensional nature. Furthermore, Dr. Joe elaborates the six critical domains involved in pain recovery and the two types of pain mindsets in literature.

More and more patients are seeking integrative and comprehensive pain therapies that care for both their body as well as their mind. A biopsychosocial approach to the care of pain has arrived. Many realize that pain medications and surgery alone are not enough to address the root cause of their problems – such as fibromyalgia, chronic low back pain, osteoarthritis, rheumatoid arthritis, autoimmune disease, CRPS, neuropathy, anxiety, depression, and PTSD.

Using Movement to Treat Pain


Posted on Leave a comment

Chronic Pain in Relationships

How do you manage Chronic Pain in  Relationships.  So many carers feel helpless and often feel as isolated as the partner who suffers from chronic pain

Chronic illness faking being well

Trigeminal neuralgia is an invisible infliction, onlookers may only notice a slight twitch as a sufferer attempts to compose themselves after a strike, or a hand pressed against a cheek to try and calm the pain or deflect the wind, or noticing the slowness in eating because every jaw movement brings on pain.

Just imagine you have been hit with a cattle prod under each of those scenarios and you may start to understand the level of pain

Meme you don't look sick

The Northern Pain Centre published this article on the subject, it is packed with great information and links to research and other related articles.  Bookmark this article because we are sure you will refer to it often.  The Northern Pain Centre is located at North Shore Private Hospital, Suite 6, Level 4/1 Westbourne St, St Leonards NSW 2065 and have a great resource library

Chronic pain is not just the physical “hurt” experienced by people living with it, it is all that the pain takes away from them, including the toll on their most important relationships.  According to a study in the journal of Pain, chronic pain has a significant impact on a person’s social relationships and can be a key trigger for the development of anxiety, depression and anger.  With 1 in 5 Australian’s living with chronic pain and over 60% of them suffering from anxiety or depression, the likelihood is that each of us knows someone dealing with the isolation and loneliness that comes from living with chronic pain.



Humans are social creatures, from our birth until the day we depart, we seek out groups to feel connected (research link).  This may be because, there is a belief that in numbers there is safety; or we feel “normal” when we are surrounded by people who are “like” us; or that being among those that are “unlike” us expands our thoughts and lives; or that we feel less alone in the struggles we go through when we have other to support us. What ever the reason, relationships are part of our foundation for health and well-being (research link) and they can come in many forms including, family, friends, colleagues and intimate partners.

What we have learnt from research, is that loneliness and isolation heighten our risk of almost every disease, both physical and mental.  They also significantly impact on our life satisfaction, self-worth and life expectancy.  They also plays a significant role in chronic pain.


Research has shown that there is a strong relationship between higher levels of social isolation, lower levels of physical function, and pain interference.  Pain interference is defined as how well a person living with chronic pain, is able to face the challenges of performing daily, social and/or work-related tasks.

Relationships and Chronic Pain

In the movie Cast Away, Tom Hank’s character spends years on an island, alone.  His only companion, a volley ball named “Wilson”.  The immense despair felt when this inanimate object is lost, highlights the grief felt when any of us lose the relationships we hold most dear and find ourselves alone.  This grief is all too common when living with chronic pain.  The challenge with chronic pain is, often in an instant, the life and person that we have become accustomed too, all of a sudden changes.

For the person living with pain: they are left managing the physical, emotional and mental toll the pain takes on them.  For the person watching: they are left struggling to understand how to help and support them, but often feeling helpless.  For both people: each treatment and appointment raise the hopes of a cure, which can often lead to disappointment with the residual pain left behind.  The true definition of chronic pain is that it is not curable.  Its treatments are called pain management, because this is what they are, tools to manage and alleviate the symptoms of chronic pain, often not cure it.  To learn more about this visit here.

Many people who live and manage chronic pain, find that life with pain has a significant impact on all their relationships.  The causes of these changes to relationship can come in many forms, including:

  • Misunderstandings about chronic pain and the toll it takes
  • Misunderstanding about the incurability and chronicity of pain
  • Compassion fatigue due to the ongoing nature of pain
  • Changes to roles and responsibilities as a result of pain
  • Changes to the physical, emotional and mental health and well-being of a person living with pain
  • Changes to the health and well-being of the person not living with pain

Research suggests that issues in close relationships have a significant impact on the severity of pain experienced, the levels of physical disability and the levels of depression experienced.  Whereas strong, healthy relationships have the inverse affect, reducing pain, disability and mental health issues.  In this article we will take a look at how chronic pain affects relationships and some strategies that can be put into place to help repair and rebuild those relationships.  From family, to children, to being single, we hope this brings about some strategies for helping nurture your relationships.


Families are more than a group of people united by blood or ceremony.  They are a group which share a bond of common values, common goals, roles and responsibilities.  Families contribute to the physical, emotional and mental well-being of each of its members.  They provide a network and team that spans the generations; providing safety, security and love.  This is often why, when a previously “healthy” person becomes changed by pain, it has a dramatic impact on the whole family unit.

Often what family members will notice is that the person living with pain starts to pull away from their previous life and those that were a part of it.  Their loved one may become isolated; the only outings often revolving around healthcare appointments.  Their loved one may experience side-effects relating to treatments, which can change their mood and behaviour.  Their loved one may change from who and what they once were; with pain dictating their energy, mood and behaviour.  The ripple out effect of pain changes work, finances, activities – both social and physical, and relationships.

Family members may play a role in positive reinforcement of unhelpful coping strategies, thinking patterns and behaviours (research link).  This comes from a place of wanting to help, protect and look after the pain-affected family member, but often leads to increasing levels of pain intensity and disability (research link) and decreasing levels of autonomy, self-efficacy and self-confidence.

For the pain-affected person: feelings of guilt, shame and grief are quite normal.  They may feel like the pain has taken control of every aspect of their life, spinning their world out of control.  The pain has become a thief, constantly stealing pieces of the life they have spent years building.  They very likely, feel the toll their pain takes on their family, and the burden this places on their loved ones, but feel helpless to change this.

Tips for Family

The following are a few strategies that may help families to adapt to the changes in their loved one:

  1. Learn about chronic pain – with knowledge, comes greater understanding. Learning about your loved one’s pain, helps create a greater empathy and understanding of why and how it affects them.  By attending appointments, seeking support and talking openly about pain, you can show support, empathy and love for what they are going through.
  2. Ask, don’t assume – ask what you can do to help, ask what your loved one needs, ask what your loved one is feeling. Asking questions, helps each of us to understand the perspective of another.  Without asking, we can never truly understand what is going on and how we can help in an effective way.
  3. Be a team – change and share the load of responsibilities. Everyone wants to feel useful and have purpose, but when it comes to chronic pain, we often need to set our loved ones up for success.  This means allocating responsibilities that can be modified and broken down into smaller tasks, and also have no time-frame attached and can be gradually worked towards over longer periods of time.
  4. Keep asking – don’t stop inviting them or including them. Just asking your loved one to come or be involved, helps them to feel a part of the family.  They may say no, but the offer opens the possibility of a life outside of their pain.
  5. Check in on them – just showing your loved one that you care, that they matter and that you are here for them, helps to break the cycle of isolation and loneliness. Asking how they are, how their appointment went or if you can do anything to help, lets them know they are not in this on their own and they have support.
  6. Encourage independence – encourage your loved one to maintain their independence as much as possible.  This not only allows them to maintain their self-confidence, but also their sense of self-efficacy and purpose.


Living with chronic pain can be incredibly lonely and isolating, particularly for those who are single. The toll pain takes, can lead to an ever-reducing circle of friends and family. The cause of these changes can come from: others and their misunderstanding or from the pain-affected person.

Friends may struggle with the loss and change to the relationship that they had become accustomed to. Their misunderstanding of chronic pain and its incurability, may lead to compassion fatigue. Their misunderstanding of the unpredictability of pain, may lead them to stop including or inviting their friend. Their discomfort with watching their friend suffer, may lead them to pull away.

For the person living with pain: the loss and change to themselves may lead them to withdraw. Their inability to participate in social activities, such as sport and work, may lead them to stop these activities all together. The changes to identity and self-esteem may lead them to avoid contacting friends and families due to the fear of rejection. This avoidance and withdrawal can result in limited offers to socialise, leading to feelings of resentment, jealousy and grief from what has been lost as a result of pain.

Often chronic pain can also change weight, energy, feelings of attractiveness and perceived capabilities, this can cause a pain-affected person to withdraw further into themselves. For a person living with pain the cycle of withdrawal-isolation-pain can lead to the negative spiral which removes the thought or possibility of meeting new friends or a potential partner.

Tips for Singles

Being single can be a daunting experience for anyone, especially when living with chronic pain.  It can mean relying more heavily on family and friends for support, even potentially moving back home to live with parents.  Many single people also worry about how they will build a new relationship living with chronic pain; they’re concerned that no one would take on this level of challenge at the start of a relationship.

Spending time learning about chronic pain, yourself and your body, can be a positive first step.  This time alone can help singles to learn what they want and need from a partner, by learning about themselves and how their pain affects them.  It also provides an opportunity to learn how to manage your thoughts and feelings about your pain, without the judgement of another watching.  Some strategies that can help include:

Finding support and connection with like-minded people can be a good introductory step for re-engaging in the world.  Support groups offer a safe space, with empathetic people.  These groups offer a world that understands and acknowledges the struggles faced by people living with chronic pain.  It also opens up the possibility of new friendships, in a non-judgmental forum.  For a list of support groups visit here.

Research into chronic pain has shown that building social connections through groups, can help reduce pain, increase function and improve quality of life.  Some groups include, exercise groups, art or hobby groups, religious or community groups, voluntary organisations, and support or common interest groups.  With the changes which have occurred in 2020 as a result of COVID-19, many of these groups are now available in digital platforms, making accessibility more available.  Learn more about this here.

Finding meaning and purpose that utilise strengths, skills and interests, despite pain, helps people living with chronic pain to re-engage with social connections. Research shows that social connections lead to improved self-confidence and self-esteem, improved sense of control and ownership over life, improved well-being (including sleep and weight), decreased levels of depression and anxiety, and a more positive view of the world.  For a full list of courses, community engagements and volunteering opportunities, visit here.


When chronic pain affects a partnership, the plan and focus of a relationship can alter dramatically.  Whether watching, or being the pain-affected person: grief can set in, mourning the person and life that once was.  To learn more about this visit here.

For the partner watching their pain-affected loved one: the changes to roles and responsibilities can lead to many challenges.  This partner may take on greater ownership of household duties and care taking roles.  They may become the sole provider, owning a greater level of the financial responsibilities.  They may take on a greater portion of housework, leading to feelings of resentment or unfairness.  The ongoing nature of chronic pain, can lead to feelings of anger, frustration and withdrawal from their relationship.  Learn more about coping with persistent pain here.

The challenge for a partner is that they often also become a caregiver to their pain-affected loved one.  They share the highs and lows of this pain journey, often feeling helpless, and being on the receiving end of the pain-affected persons anger, frustration and withdrawal.  They can also take on additional physical and emotional load, and this can take a toll on their health.

Find help

  • Website: Carers NSW Australia (link)
  • Website: Carers Gateway (link)

For the person living with pain, they can feel the guilt and shame of not being who they once were in their relationship.  They feel the loss of the roles, meaning and purpose they once held in their relationship.  They feel the responsibility for the burden they have now handed to their loved one.  The toll pain takes on their emotional, mental and physical health, can lead to unpredictable moods and behaviours, which can cause an even greater downward spiral.  To learn more about changes to identity and self visit here.

Changes to relationship which can cause a breakdown can include:

  • A reduction in quality “couple” time, including fears about attractiveness, intimacy and leisure
  • Changes to once shared goals and plans
  • Changes to the balance and distribution of housework, roles and responsibilities
  • Feelings of resentment for the capabilities and perceived freedom of the partner not living with pain
  • Withdrawal from the relationship and friendships
  • Increasing disagreements due financial pressures, caring for children etc.

Research shows that disability, mood and adjustment to life with chronic pain is strongly linked to significant others and the empathy, intimacy and coping behaviours displayed within their relationship.  This is why repairing, rebuilding and learning coping strategies to move through chronic pain, is incredibly important.  To learn more about coping strategies visit here.

Find help

  • Website: Relationships Australia (link)

Tips for Partners

Partners are better carers when they prioritise their self-care.  Self-care can involve ensuring enough exercise, eating a well-balanced diet and seeking support.  Taking this “time-out” to look after themselves, refreshes their physical, mental and emotional energy for their caring role.  Caring for themselves also manages their stress levels and reaction to the situation.

Research suggests support groups, either in-person or online, can provide a valuable outlet to communicate with others in similar situations, allowing an opportunity to vent pent-up feelings, learn from others and gain practical advice, in a safe space (research link).

Research suggests that some of the best ways to support your loved one through their pain involves promoting independence; encouraging positive strategies like activity, self-advocacy, self-confidence and well-being; promoting the things that they can do and allowing them to do them in their own time; and sharing positive pain behaviours like coping strategies, pacing, regular activity, meaningful engagement, a well-balanced diet, good quality sleep, stress management and relaxation strategies.

Strategies for rebuilding and repairing relationships include:

  • Education on chronic pain
  • Education on pain management strategies
  • Open, honest communication
  • Reducing criticism and judgement
  • Working on empathy and compassion (both for yourself and partner)
  • Planning and setting goals together, this can include housework division, exercise and activities that meet both your needs
  • Stepping back and allowing the person living with pain to try things
  • Focusing on things outside of pain, particularly fun, leisure and intimacy
  • Dealing with emotions in an assertive and constructive way
  • Dealing with challenges and problems proactively as they arise
  • Showing appreciation for the support and presence of your loved one in your life
  • Learning psychological and relational flexibility (accepting what is, as opposed to what was or could have been)

Repairing relationships takes a level of acceptance and acknowledgement of what has led to the damage in the relationship.  It also means consciously choosing to do things differently.  Being honest about how pain has changed your relationship and each other.  This can cause a period of grief; mourning the life you both had been building towards.  But it also opens the possibility of a stronger bond and more resilient future.  Get help repairing relationships here

Learn more

  • Article: What happens when partners fight chronic pain together? (link)
  • Article: Love: a powerful solution to chronic pain (link)
  • Article: How my husband and I make our marriage work, even with chronic illness (link)
  • Article: The unseen burden of chronic pain on intimate relationships (link)


Being a parent is far from easy.  But then add chronic pain and the role becomes almost impossible.  Whilst children look to their parents for safety, security and unconditional love; parents feel a sense of responsibility and ownership for the life and happiness of their child.  A parent that lives with physical pain, feels the emotional pain of not being all they thought they would be in their child’s life.

Depending on the age of children, the loss they feel due to their pain-affected parent may be shown in many different ways:

  • A loss of independence
  • Behavioural difficulties at school, with friends and siblings
  • Mood swings
  • Withdrawal or isolation, which may include distancing themselves from pain-affected parent
  • Increased dependence on parents
  • Taking on the role of a carer or guardian to the pain-affected parent

For the pain-affected parent: feelings of guilt and responsibility for their child’s response can be very normal.  The parent might look too short term means to alleviate the emotional pain in their child.  This can often, leads to bigger, long-term issues, including unhelpful behaviour and poor mood.  To learn more about this visit here.

Find help

  • Website: Kids Helpline (link)

Tips for parents and children

For younger children, reminding them that you are well despite the pain you’re experiencing can help to alleviate some of the fear felt.  Teaching them about pain, it’s unpredictable nature and pattern, and how they can help you manage it can help to normalise the situation and include them in its management.

For older children, teaching them about pain and being honest about the toll it takes, can help them not to get stuck in downward spirals of worry.  Strategies such as: including them in your pain management plan, doing things together, asking them for help and using them as motivation, can assist with creating a united, open, positive, team approach to proactively managing pain.

For parents living with pain: it is important to remember that life is not easy and teaching your children about resilience and perseverance through hardship, are invaluable lessons.  Remembering that children do not need a perfect parent.  In its simplest form, children just need love, care and time, gifts that pain cannot take away.

A final note, it can be helpful to speak with your local GP about any issues you are experiencing with relationships. They can organise a mental healthcare plan and referral to a psychologist to help you with strategies for managing pain and its effects on your relationships.

The Isolating Loneliness of Chronic Pain & Invisible Illness


Posted on Leave a comment

President’s Reflections – May 2023   

The last month since being elected as President has been extreme, to say the least. I’m amazed at how much work there is to be done. I’m also amazed at how much work others do to help our organisation. It’s been a little bit frantic and sometimes overwhelming however, it’s been rewarding. I have learnt to self-manage rather swiftly whilst maintaining a balance between family commitments and maintaining a work relationship between the two passions in my life. Family and Trigeminal Neuralgia with a lot of self-care along the way. 

I’m also excited to say that I undertook a rather documented role with my Droctor.   I am receiving a treatment called Low level Light Therapy, which hasn’t been documented for Trigeminal Neuralgia and so I became the specimen in my Dr’s. journey, and mine I might add. 

 I can say that after two treatments of LLLT I am pain free. Something I never thought was possible however, clinging tightly onto HOPE, I appear to be getting relief from my pain.

This is something that my Doctor and I embarked upon, each making documented journal entries along the way. 

This may be something that we’ve touched upon that others don’t know yet. This has been one of the most rewarding months. This illness has made me humble; it’s shown me what IS important in life. My family deserves a medal for being by my side every step of the way. 

“If we have hope, we have everything.” 

I look forward to working with and providing help and Hope to so many more. 

Watch this space. 


further information on low light therapy can be found here

Posted on Leave a comment

Chronic pain is physically and psychologically stressful

Date created: 2011

Chronic pain is physically and psychologically stressful and its constant discomfort can lead to anger and frustration with yourself and your loved ones. By definition, chronic pain is pain that lasts longer than six months and affects how a person lives their daily life. While physicians can provide treatment for the physical dimensions of chronic pain, psychologists are uniquely trained to help you manage the mental and emotional aspects of this often debilitating condition.

Several medical treatments may be used to alleviate chronic pain, including over-the-counter or prescription medication, physical therapy, and less utilized treatments, such as surgery. However, these options are only a few of the pieces necessary to solve the puzzle of chronic pain. Mental and emotional wellness is equally important—psychological techniques and therapy help build resilience and teach the necessary skills for management of chronic pain.

Chronic pain is physically and psychologically stressful and its constant discomfort can lead to anger and frustration with yourself and your loved ones. By definition, chronic pain is pain that lasts longer than six months and affects how a person lives their daily life. While physicians can provide treatment for the physical dimensions of chronic pain, psychologists are uniquely trained to help you manage the mental and emotional aspects of this often debilitating condition.

Several medical treatments may be used to alleviate chronic pain, including over-the-counter or prescription medication, physical therapy, and less utilized treatments, such as surgery. However, these options are only a few of the pieces necessary to solve the puzzle of chronic pain. Mental and emotional wellness is equally important—psychological techniques and therapy help build resilience and teach the necessary skills for management of chronic pain.

Tips on coping with chronic pain

Manage your stress. Emotional and physical pain are closely related, and persistent pain can lead to increased levels of stress. Learning how to deal with your stress in healthy ways can position you to cope more effectively with your chronic pain. Eating well, getting plenty of sleep and engaging in approved physical activity are all positive ways for you to handle your stress and pain.

Talk to yourself constructively. Positive thinking is a powerful tool. By focusing on the improvements you are making (i.e., the pain is less today than yesterday or you feel better than you did a week ago) you can make a difference in your perceived comfort level. For example, instead of considering yourself powerless and thinking that you absolutely cannot deal with the pain, remind yourself that you are uncomfortable, but that you are working toward finding a healthy way to deal with it and living a productive and fulfilling life.

Become active and engaged. Distracting yourself from your pain by engaging in activities you enjoy will help you highlight the positive aspects of your life. Isolating yourself from others fosters a negative attitude and may increase your perception of your pain. Consider finding a hobby or a pastime that makes you feel good and helps you connect with family, friends, or other people via your local community groups or the internet.

Find support. Going through the daily struggle of your pain can be extremely trying, especially if you’re doing it alone. Reach out to other people who are in your same position and who can share and understand your highs and lows. Search the internet or your local community for support groups, which can reduce your burden by helping you understand that you’re not alone.

Consult a professional. If you continue to feel overwhelmed by chronic pain at a level that keeps you from performing your daily routine, you may want to talk with a mental health professional, such as a psychologist, who can help you handle the physical and psychological repercussions of your condition.

APA gratefully acknowledges the assistance of Nancy Molitor, PhD, Alan Keck, PsyD, and Katherine Nordal, PhD in developing this article.

More information here

If you would like to work on positive thinking our Association has invested in psychology training materials, and this worksheet can guide you in building your ability in positive thinking.


Alternatively you might like to register for a Mood Gym account an Australian initiative providing interactive quizzes and guidance in managing anxiety and depression

moodgym is based on two approaches which are successful in preventing and treating depression and anxiety. These are and .

There is broad in improving wellbeing and reducing depression and anxiety symptoms in users.

Program structure

moodgym consists of five interactive modules which are completed in order.

  • Exercises and quizzes

    As you progress through moodgym, you will be asked to answer questions about your feelings and thoughts. moodgym will then provide useful feedback about your results.

    For many of the exercises it is up to you whether or not you complete them (although of course moodgym encourages you to complete all of them!). However, some quizzes must be completed before you can move on to the next part of moodgym.

  • Summaries

    At the end of each module, a summary of your results for that module is available and can be printed out. These can also be accessed from your Workbook.

  • Workbook

    In the moodgym Workbook you’ll find all of the exercises and quizzes that you encounter throughout the program.



Posted on Leave a comment

What a Pain in the Brain – mind and body