The Psychotherapy Toolbox for Chronic Illness & Chronic Pain: 77 Skills to Support Clients’ Physical & Emotional Well-Being
Help clients reclaim a sense of self and rebuild a life worth living when chronic illness or chronic pain seems to have turned their world upside down—physically, emotionally, and mentally.
Inside, you’ll find over 75 practical, ready-to-use tools drawn from CBT, ACT, DBT, positive psychology, pain reprocessing therapy and more—designed to help clients manage the physical and emotional toll of chronic illness and pain. These skills will allow clients to:
- Set realistic treatment goals and adjust expectations as needed
- Make lifestyle changes to improve fatigue, sleep, and pain
- Work with medical providers and advocate for themselves
- Cope with grief, anxiety, and uncertainty
- Understand the interplay between illness, pain and mental health
- Manage neuropathic, nociceptive and nociplastic pain
- Connect with their values, spiritual beliefs, and sources of meaning
- Download worksheets and 13 audio meditations
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Here's What Reviewers Are Saying!
As a licensed mental health counselor, I found Debra Burdick’s The Psychotherapy Toolbox for Chronic Illness and Chronic Pain to be an invaluable, comprehensive guide for clinicians supporting clients living with long-term medical conditions. The book’s integration of CBT, ACT, mindfulness, and pain reprocessing therapy offers both depth and practicality. I can immediately use the worksheets and assessments, in session. Burdick’s approach is compassionate, organized, and deeply grounded in evidence-based care. This resource belongs on every therapist’s shelf who works with clients navigating the emotional and physical challenges of chronic illness or chronic pain. Amanda Willse, LMHC
The Psychotherapy Toolbox for Chronic Illness and Chronic Pain is a must-have for every clinician. The impacts of chronic pain and chronic illness affect more of our clients than we often realize, regardless of our specialty. Debra Burdick provides a wealth of practical, evidence-based skills and provides examples, reflection prompts, and handouts that translate easily into clinical practice. This book provides the tools to empower both therapist and client toward greater resilience and well-being - it's a resource I will return to again and again in my work.
— Taylor M. Ham, LMFT, author of The Health Anxiety Workbook: Practical Exercises to Overcome Your Health Worries
The Psychotherapy Toolbox for Chronic Illness & Chronic Pain is an essential and must have resource for clinicians that effectively addresses the gap in practical, multifaceted strategies for the complex psychological challenges associated with chronic illness and pain. Its brilliance is showcased in the 77 skills that readily combine several approaches such as ACT, CBT, DBT, MI, and Pain Reprocessing Therapy into this user-friendly toolkit. I strongly recommend Debra Burdick’s latest publication; it is truly an essential edition to the clinician’s toolbox.
Bharati Shah Chakraborty, Ed.D., Adjunct Professor and Behavioral Health Clinician.
As a trauma therapist, I appreciate how The Psychotherapy Toolbox for Chronic Illness and Chronic Pain goes beyond symptom management to address the full humanity and experience of both client and clinician. The author brings empathy, clarity, and structure to an often-overlooked area of mental health care. It’s the kind of resource you’ll return to again and again for practical interventions and grounded inspiration. Julia Israelski, LCSW, PMH-C
The Psychotherapy Toolbox for Chronic illness and Chronic Pain is a wonderful resource for therapists treating people with chronic illness of any type. It is practical, comprehensive and very clearly written, addressing the needs of clients and practitioners together. Debra Burdick provides us with a step-by-step guide to helping clients build their own mind-body skills, while demonstrating the importance of those skills in the healing process. Leo Galland, M.D., author of The Allergy Solution.
As a physician, my focus is on performing procedures and other treatments for the patient’s physical malady. Helpful or not, these actions do not address the patient’s response to their disease or how they manage it. Debra Burdick’s book, The Psychotherapy Toolbox for Chronic Illness and Chronic Pain, helps fill this void by providing clinicians with an excellent scaffolding, appropriate examples, and helpful tools to assist people with management of their condition as well as their responses to their situation. I highly recommend this book to all professionals that care for people with chronic disease states. Paul E Beebe, MD. Interventional Pain Management
The Psychotherapy Toolbox for Chronic Pain and Chronic Illness is a fantastic resource. It is well-organized and comprehensive and at the same time, clear and practical. It is chock full of excellent information and skills that will help loads of people who suffer from chronic pain and illness. Howard Schubiner, MD, author of Unlearn Your Pain; Clinical Professor Michigan State University College of Human Medicine
Here's what is in the book!
The Psychotherapy Toolbox for Chronic Illness and Chronic Pain
Table of Contents
Introduction
Section 1: Therapeutic Issues Specific to Working with Clients with Chronic Medical Illness or Chronic Pain
Skill 1.1 Compassion Fatigue and Burnout
Skill 1.2 Assessment
Skill 1.3 Defining Treatment Goals
Skill 1.4 Tracking Progress
Skill 1.5 Client Self-Advocacy
Skill 1.6 The Interplay Between Mental and Physical Illness
Skill 1.7 When Clients Are Too Ill to Attend Sessions
Skill 1.8 Addressing Bias: Gender, Sexual Orientation, Race, Age
Skill 1.9 Choosing Medical Treatment Options
Skill 1.10 Mindfully Compassionate Language
Section 2: Mental Health Skills
Skill 2.1 Set Intentions That Reflect Goals
Skill 2.2 De-Stress
Skill 2.3 Change the Channel
Skill 2.4 Dealing with Loss
Skill 2.5 Identify and Motivate Change
Skill 2.6 Reframing Thoughts
Skill 2.7 Mindfulness of Emotions
Skill 2.8 Accepting What Is
Skill 2.9 Release the Past
Skill 2.10 Secondary Gain
Skill 2.11 Relationships
Skill 2.12 Mindset and Imagining Wellness
Skill 2.13 Let Thoughts Go By on a Lazy River
Skill 2.14 Staying Calm During Medical Tests and Procedures
Skill 2.15 Laugh
Section 3: Behavioral Health Skills
Skill 3.1 Working with the Medical Community
Skill 3.2 Get an Accurate Diagnosis
Skill 3.3 Create a Healing Team
Skill 3.4 Manage Fatigue
Skill 3.5 Set Mindful Limits
Skill 3.6 Eat to Support Health
Skill 3.7 Sleep Hygiene
Skill 3.8 Keep Moving
Skill 3.9 Remembered Wellness
Skill 3.10 Progressive Muscle Relaxation
Skill 3.11 Body Scan
Skill 3.12 Relaxation Response
Skill 3.13 Replace Self-Sabotaging Behaviors
Skill 3.14 Ask for Help
Skill 3.15 Social Support
Section 4: Chronic Pain Skills
Skill 4.1 Assess Pain Type
Section 4.A Pain Management for Nociceptive or Neuropathic Pain
Skill 4.A.1 Awareness of Pain Without Judgment
Skill 4.A.2 Distraction
Skill 4.A.3 Cognitive Behavioral Therapy for Pain Management
Skill 4.A.4 Mindfulness for Pain Management
Skill 4.A.5 ACT for Managing Pain
Skill 4.A.6 Neurofeedback for Chronic Pain
Section 4.B Pain Management for Nociplastic Pain
Skill 4.B.1 Understand and Rewire Nociplastic Pain
Skill 4.B.2 Increase Tolerance for Pain Symptoms
Skill 4.B.3 Change Your Relationship with Pain
Skill 4.B.4 Turn Down Pain-Related Fear
Skill 4.B.5 Pain Reprocessing Therapy
Section 5: Mind-Body-Spirit Skills
Skill 5.1 Identify Values
Skill 5.2 Identify Health Beliefs
Skill 5.3 My Reasons
Skill 5.4 Be of Service
Skill 5.5 Healing Images
Skill 5.6 Healing Meditation
Skill 5.7 Intuition
Skill 5.8 Connect to Nature
Skill 5.9 Tapping into Religious or Spiritual Beliefs
Skill 5.10 Tapping into Spiritual Energy
Skill 5.11 Preparing to Die
Section 6: Positive Affirmations
Affirmation Overview
Affirmation 6.1 I Am Getting Well
Affirmation 6.2 That Feels Better
Affirmation 6.3 I Do What I Need To
Affirmation 6.4 I Can Feel Better
Affirmation 6.5 I Am Thankful
Affirmation 6.6 All Is Well
Affirmation 6.7 It’s Going to Be Alright
Affirmation 6.8 I Feel Happy
Affirmation 6.9 I Am Kind to Myself
Affirmation 6.10 Things I Say to Myself
Affirmation 6.11 I Am Safe
Affirmation 6.12 I Love Myself
Affirmation 6.13 My “Why”
Affirmation 6.14 Rewire Nociplastic Pain
References
Acknowledgments
About the Author
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