Chronic Lower Back Pain

Abstract

Chronic lower back pain is a major health concern involving physical, financial, and social costs for many patients and their family members. Contemporary pain management is guided by the biopsychosocial model in which a professional counselor can contribute to recovery through integrated behavioral health care. Cognitive behavioral therapy (CBT) and behavioral activation interventions are effective in breaking the cycle of chronic pain. Successful outcomes involve partners and family members in CBT, education, and structural family interventions. A case study is presented to examine thoughts and feelings associated with chronic lower back pain. CBT and family interventions contribute to recovery of functions, meaningful roles, and health in relationships.