About a year ago I was at the IFOMPT conference in Quebec. Unfortunately, I won’t be making the AAOMPT conference this year. Have fun Joe! One of the most memorable presentations was by Michael Sullivan, a psychologist from McGill University in Montreal. He has done extensive work in the area of pain catastrophizing. He made the point that, in patients with high levels of catastrophizing, the most important first step is to ensure that the patient feels you are listening to them and that you understand what they are going through. If they don’t feel you truly understand their symptoms and suffering, it will lead to an increase in symptoms and catastrophising. This very funny video reminded me of that great point from his presentation.
Sometimes we have to deal with other issues before we can deal with the nail.