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How pain affects our mental health and why the right treatment matters

Many Australians face a sustained battle with chronic pain, which lasts longer than three months or continues after the expected healing time of an injury or illness. Chronic pain and mental ill health are deeply intertwined, with around 44.6% of Australians living with chronic pain also experiencing depression or anxiety. They may also be at greater risk of substance misuse, sleep disorders and suicidality.

Treatment for chronic pain is fundamentally different from treatment for acute pain. Chronic pain is treated as a condition in its own right, involving changes in the nervous system, psychology and physiology. The aim is not just to reduce pain intensity, but to improve function, quality of life and coping.

There are many types of practitioners that can provide invaluable support:

  • A GP is often the first point of contact and may refer to a pain specialist for coordinated care and medication management.
  • Physiotherapists can help build movement, function and confidence, while exercise physiologists provide structured physical reconditioning. Occupational therapists can support daily life, independence and return to work.
  • Psychologists, particularly those who specialise in pain treatment, can also play an important role. Pain has wide-ranging psychological impacts, affecting mood, stress and identity. Psychologists can teach skills to help us interact differently with pain, support mental wellbeing and manage other challenges that may emerge.

While it can be tempting to push pain aside and battle on, this approach is associated with poorer outcomes. Without appropriate treatment, pain intensity and disability can worsen, limiting daily activities and affecting mental health.

Staying connected is hugely valuable when experiencing pain, and it should not be left to those who are suffering to reach out. When a colleague, friend or loved one is experiencing pain, check in regularly. Never underestimate the value of a good chat, a good laugh or someone simply caring enough to call.

Workplaces can also play an integral role, with support strongly linked to rates of recovery. Whenever a colleague goes on leave, or is working from home, make sure they are not ‘out of sight, out of mind.’ Find ways to include them, encourage them and connect them with services that can support their safe return.

Like to understand more about pain? Join Mindarma’s session on Pain and the Brain webinar on Wednesday 17 June with Dr Nahian Chowdhury.

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