Psychological Interventions

Psychological problems can frequently present as physical complaints. Most common finding in such patients is that pain symptoms are inconsistent with the anatomical distribution of pain fibers (Stone et al. 2005). Depression is commonly found with chronic pain in elderly patients. For this reason psychological evaluation of the elderly patient in pain is considered standard protocol in the majority of pain clinics. However psychological evaluation can be challenging, as confused, demented, and delirious patients may not be able to express their symptoms and can lead to inappropriate therapy for their painful condition. In patients with diagnosis or signs of psychiatric disorder, primary treatment of disorder is an integral part of their therapy. Social support is also an important aspect of treatment of chronic pain in elderly patients.

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