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What is Pain Coping Skills Training?

Chronic pain can have a significant impact on a person’s quality of life, making it difficult to perform daily activities and enjoy hobbies and social interactions. While medication can help alleviate pain, it is often not enough to provide long-term relief. Pain coping skills training (PCST) is an effective intervention for managing chronic pain, helping people develop strategies to cope with pain and improve their overall quality of life.

What is Pain Coping Skills Training (PCST)?

PCST is a type of psychological intervention that aims to teach people with chronic pain how to cope with their pain more effectively. The focus of PCST is to help individuals develop strategies to manage their pain, reduce the impact of pain on daily life, and improve physical and emotional functioning. PCST typically involves a combination of education, cognitive-behavioral therapy techniques, and coping strategies tailored to the individual’s needs.

PCST typically takes place in a group setting or individual therapy sessions, facilitated by trained healthcare professionals, such as psychologists, physical therapists, or pain management specialists. PCST sessions may cover topics such as relaxation techniques, mindfulness meditation, cognitive restructuring (changing negative thoughts about pain), pacing activities, problem-solving, and goal-setting.

Relaxation Techniques

Relaxation techniques such as deep breathing, progressive muscle relaxation, and visualization are commonly used in PCST. These techniques help to reduce muscle tension and promote relaxation, which can help to reduce pain and improve sleep.

Mindfulness Meditation

Mindful meditation involves focusing on the present moment, without judgment or distraction. It’s a type of meditation in which you focus on being intensely aware of what you’re sensing and feeling in the moment, without interpretation or judgment. Practicing mindfulness involves breathing methods, guided imagery, and other practices to relax the body and mind and help reduce stress. Mindful meditation can help individuals with chronic pain develop a greater awareness of their thoughts and feelings related to pain, reducing the impact of pain on daily life.

Cognitive Restructuring

Cognitive restructuring involves changing negative thoughts about pain and replacing them with more positive and realistic thoughts.

To use cognitive restructuring, start with these steps:

  • Calm yourself.
  • Write down the situation/pain that occurred that triggered the negative thoughts.
  • Identify the moods that you felt in the situation and write them down.
  • Identify the evidence that supports these thoughts.
  • Identify the evidence that contradicts the thoughts.
  • Now, identify fair, balanced thoughts about the situation.
  • Finally, observe your mood now, and decide on your next steps.

This can help to reduce anxiety and depression related to chronic pain and improve overall coping.

Pacing Activities

Pacing activities involve breaking tasks into smaller, more manageable steps, allowing individuals with chronic pain to accomplish tasks without exacerbating pain. This can help to prevent fatigue and reduce pain intensity.


Problem-solving techniques can help individuals with chronic pain identify and overcome barriers to managing their pain, such as finding ways to modify activities to reduce pain intensity or seeking support from family and friends.


Setting goals can help individuals with chronic pain identify areas of life that are most important to them and work towards achieving those goals, despite the pain. This can help to improve motivation and reduce the impact of pain on the overall quality of life.

In summary, PCST is an effective intervention for managing chronic pain, providing individuals with a range of coping strategies to reduce pain intensity and improve physical and emotional functioning. If you are struggling with chronic pain, consider talking to your healthcare provider about whether PCST may be a helpful addition to your pain management plan.

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