At the age of ten I was in a fairly bad car accident. It left me with a broken nose and severe whiplash. By age twelve I was beginning to complain about neck and pack pains and by fourteen the feelings were daily. Throughout high school it was not uncommon to hear me complaining about my neck and back or constantly pulling and adjusting at my shoulders. At that time, however, it did not keep me from doing the things I loved to do, such as sewing, dance, and other physical activities. My homelife was also stressful at that time and days where pain flareups were worse, I often did little to nothing. Of course, doing little to nothing can be common in teenage years, but the constant pain on top of stress could drain the energy from me and leave me with no reserves for basic functions.
I married and had kids young and the stress of this also made for difficulties in managing my pain. By the age of twenty-five and a couple more car accidents, I had finally had enough and sought more intensive treatment. I was given shots, pills, and physical therapy. All of which provided temporary relief (except perhaps the agonizing and daily requirements of physical therapy which took a long time to see lasting results from), and I was never one to want to be dependent on pills. I needed to reevaluate everything.
The Problem
Experiencing chronic pain can impact not only your daily functioning, but your mental health. Pain can have a significant impact on all areas of our lives from sleep to eating to even thinking straight. The populations with the highest rates of suicide deaths are those cited as nearly one in ten having had signs of chronic pain. Pain can affect the way we sleep and our quality of sleep, making our ability to eat and tolerate stress and frustration impossible, as well as decrease focus/concentration-related accidents. Sleep is arguably one of the most important basic functions we can do as humans. Our mental health is directly affected when we are negatively impacted by constant and persistent pain, creating a level of emotional hostility when we are preoccupied with managing even mild rates of discomfort. We become less friendly, experience less happiness, basic functional impairment (as discussed above), and increase our production of the stress hormone cortisol.
While there is a physiological and medical cause for a lot of chronic pain, it is important to critically evaluate your lifestyle and the way we interact with ourselves. While our mental state and emotional health may not always be a cause of pain, it is something well documented to have somatic implications on our physical health.
Why This Matters
Chronic pain and its emotional effects it can have in our lives can hinder our self-esteem, self-efficacy, and our relationships with others. This is important because we rely on the emotional (and sometimes physical) support of others. It can feel hard to tolerate being an emotional support for others when you feel constant agony within yourself. It can fuel undo resentment that is difficult to rationalize. It can cause us to be short-tempered, snarky, snappy, or completely unresponsive. Chronic pain can damage relationships as much as it can damage our self-worth and self-esteem.
The presence of chronic pain can create and worsen our perception and interaction with others and the world by depriving us of basic needs as well as emotional wellbeing.
The types of chronic pain we all can deal with will vary from person to person and natural temperament plays an important role too. Our support system is another big factor which is why pushing people away for what we cannot control is the last thing we want to do! We may not be able to control how we feel at any given moment, but we always have control over our behaviors and the words we choose to express our pains and frustrations.
What Can We Do?
While the idea of managing chronic pain with no end in sight can be daunting as well as devastating, it is important to have a team behind you. This is your care team of professionals, such as doctors and therapists, as well as your support team such as friends and family. If pain management has minimal effects on comfort, such as those suffering with fibromyalgia or other painful conditions, having a solid care routine is crucial. Follow your medical doctor’s recommendations and advice religiously.
You can also get emotional and mental support from mental health therapists that can teach you coping skills such as cognitive behavioral therapy, mindfulness therapy, somatic anchoring techniques, and exploring commitment and radical, unconditional acceptance. With support it can become easier to express your immediate needs, your limitations, and how others can best help you when you most need it. Through evaluation and inner awareness you can assess where your lifestyle can improve your quality of life as well as emotional factors playing into the worsening of symptoms.
It is important to remember we are sometimes overtaken by our intense pain, both physically and emotionally, that it is easy to overlook the good and where we can improve our own environment to support healthy functions.
Next Steps
What can we do next? Start with seeking support for emotional wellness and mental fortitude while you battle a force beyond your control. Seek someone who can help guide you through the mourning process and feelings of loss that chronic pain causes. Practice patience for yourself through this acceptance process on days you cannot do as much as you did yesterday. Use mindfulness exercises that help you through this acceptance process, but also allow yourself to experience positive moments throughout your day. While pain is experienced in the body, it is perceived only in the brain. A trained cognitive behavioral therapist can help put the experience of your pain into context and better understanding of your body. Your next steps may be daunting, but you do not have to endure it alone. Call me I understand you pain.
~Virginia