Chronic Pain Management With Biofeedback Part 3

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Today we’ll be talking about chronic pain and how your nervous system can get stuck in a feedback loop where you can make your pain or anxiety worse without realizing it.
So today I’ve invited a guest, Celine Tien, the principal investigator on NIH-backed trials studying chronic pain management and opioid use reduction
Celine graduated with distinction from Yale and also worked with DreamWorks. And she's the founder of Flowly, an NIH-backed app that is designed for chronic pain, anxiety, and sleep management.

Celine has spent the last half decade studying how chronic pain can become exacerbated through your nervous system response, and even more importantly she’s studied some practical ways to teach people how to regulate their nervous system to treat chronic pain. Celine has been working on an NIH-funded program to study the use of biofeedback and VR to treat chronic pain and opioid addiction, and their research has shown some really positive results.

Pain is your body’s perception of danger. It triggers you to treat a wounded limb gently so it can heal.
But when your learned reaction to pain is to clench, to tighten, to fear, to stress, that decreases your body’s ability to adapt to pain. It decreases the immune response, it makes healing slower, and it burns a ton of energy in stress and fear. And that can make pain worse. It also tells your mind to pay more attention to the pain.

Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health.
In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger institute for my overall understanding of our ability to choose our life's direction.

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[cindymaneylaws]

Yesss! A scientific analysis of chronic pain! One that is non-judgemental and doesn't involve pseudo-scientific essential oils or chakra alignment 😅😅😅
But seriously, chronic pain is massively life changing and often overlooked by the medical profession. And poorly understood by those not affected.

[nursekatrina]

Thank you for touching on the gaslighting of WOC when it comes to pain! I wish this was more widely known ❤️

[youngdeku]

Thank you for all of your helpful videos. I imagine that it takes a lot of time to prepare these, and here you are offering your aid to us for free. You are much appreciated.

[InfinityCalling]

Congrats ☀️
And about chronic pain - it can be a symptom of Lyme disease and many more infections, and is often so misunderstood and labelled as trapped emotions and stress only.
This subject is huge and conditions such as fibro or auto immune are often mis-diagnosed.
💫
Much Love to All Warriors,
🕊️💜💕

[clairehelenswain]

I have experienced a lot of medical gaslighting. So it is very refreshing to see a helpful video on chronic pain from respectful professionals - thank you

[deborahjohnson]

Im just watching this now, may 24, 2023. Acute chronic pain person here. I'm going to pass this on to my pcp so he will understand what's going on with me! I'm in Portland Oregon and the mental health field here is terribly poor. Came from the midwest where I had the best therapy. Very sad however I'm overjoyed my friend turned me on to you! Hugh thank you!! ❤

[Meeckle]

I'm really intrigued now. I have brain damage from an assault (16 years ago) and suffer from chronic headaches, and PTSD. I always assumed that the constant 'fight or flight' feeling, the constant knot in my stomach, was the PTSD, I never imagined that it could be caused by the chronic pain.

[torduck]

I’ve been doing a program called DNRS for pots syndrome and anxiety for a couple of years, it’s also made for people with chronic pain, fibromyalgia etc and addresses these issues being due to the limbic system being stuck in fight and flight 24/7

[frebrd]

❤ thank you both so much. Chronic pain, focus, and anxiety are the things I've struggled with for 20+ years. 🌷

[sarahdoanpeace]

Congratulations!!!! You deserve every one of us 500, 000 and you’ll only go further and farther!!! You’re one of the best people on YouTube and always calming and informative. I’m so glad this channel helps support you and your family and you most definitely help all of us! Thank you for all of your hard work, useful information, compassionate education and wonderful energy! Here’s to your next half a million Subscribers!!! You’re the best, Emma!

[jenb]

Thank you so much for this share. I signed up for the App and will also purchase from your site. I have been in chronic pain for years. I LOVE the idea of slowing the breath rather then deepening the breath. Often deep breathing intensifies my flare ups.

[mmcreads]

I have chronic pain and biofeedback helped in the sense that severe flare ups used to cause hyperventilating and throwing up but did not effect my actual pain level. So, it was helpful for learning to live with your pain…just wish it actually impacted the physical pain!

[Deba]

Congratulations on your 500K subscribers! You are appreciated!

[heatherzloty]

It’s great that this research is going on. But it always makes me roll my eyes at the fact that these young healthy 20 somethings have all the answers about pain. I think I’d be a lot more likely to listen if these two were 80!

[WriterSnider]

I only recently realized that I’ve been dealing with pain for over a decade (MS for 20 years). Just admitting I have chronic pain, anxiety and depression was huge for me. I’m finally getting into an 8-week program with Kaiser. The mind-body connection is REAL. The time I spent on your video with Celine Tien has really opened my eyes. Now I need to figure out who I am and what my future looks like once I’ve addressed this.

[glennmillen]

Thanks for this valuable video, I struggled with chronic pain for 13 years as a quadriplegic. The takeaway for me was the control of your breathing rate, the correlation between the physiological and psychological factors… :-)

[TrialTappersMentalHealthTips]

I struggle with chronic back pain without pain medications. This is very helpful and everyone should remember this as they get older and start to experience more pains. Congratulations on 500, 000. We know you are touching many more.

[amber]

I have Ehlers Danlos Syndrome and pain from neck instability. Thank you so much for doing a video on this topic! You rock Emma!!

[iloveewee]

Thanks for sharing this. Your videos are an answer the my prayers.

[Chevalier_de_Pas]

I suffer from LPR (Laryngopharyngeal reflux). It's not comparable to many other chronic pain conditions, but it painful and chronic in the sense that, even if it is intermittent and can be alleviated by diet, there is no cure for it. I'm in the middle of a flare-up. I also suffer from anxiety so it is a vicious cycle that creates insomnia, wasted days and anxiety attacks (often when the symptoms of LPR actually alleviate). This 10 second (5 in and 5 out) breathing pace has really helped me to enter a calm and peaceful state where I can finally focus and stop worrying. I will try it when I go to sleep. Thank you Emma and Celine!