Being Well with Forrest Hanson and Dr. Rick Hanson14 Sep

Understanding Pain with Dr. Rachel Zofness

Pain psychologist Dr. Rachel Zoffness joins Forrest and Dr. Rick to explore what pain is, why it can persist long after an injury has healed, and what actually helps. Rachel explains why the brain, rather than the body part that hurts, is what constructs pain, the difference between acute and chronic pain, and the distinction between hurt (what you feel) and harm (what's damaged). They get into the biopsychosocial model, the "pain dial" that stress, sleep, mood, and social connection can turn up or down, the disappointing response rates for most pain treatments, why pain is absolutely not “just in your head,” what sham surgery and open-label placebo studies reveal about how pain works, and why the research is so hard to interpret. This is not medical advice. Please do not start, change, or discontinue any medication based on this episode. All decisions should be made with your doctor. About our Guest: Dr. Rachel Zoffness is a pain psychologist, assistant clinical professor at the UCSF School of Medicine, and the author of Tell Me Where It Hurts. Key Topics: 0:00 Introduction 1:42 Acute vs. chronic pain 3:41 What is pain? 9:20 The biopsychosocial model 11:11 Hurt vs. harm: the tale of two nails 19:10 The pain dial 23:10 Nociception vs. pain 26:46 Your pain recipe 29:46 The "all in your head" stigma 31:23 Central sensitization 35:53 Pushback from pain patients 40:42 Loneliness and pain 46:51 Pacing 50:48 Reducing distress vs. reducing pain 54:26 Does anything work? 1:00:07 What placebo actually is 1:03:19 Acupuncture, sham surgery, and open-label placebo 1:09:42 Why the research is such a mess 1:14:10 Hopelessness, and trying one more thing 1:17:46 Mindfulness and attention 1:23:02 Advice for friends and family 1:30:22 Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Go to https://Zocdoc.com/BEINGWELL to find and instantly book a top-rated doctor today. Check your health the way I do with 160+ lab tests and access to scans through Function, all for only $365 a year. Learn more at https://functionhealth.com/BEINGWELL and use code BEINGWELL25 for a $25 credit. Learn more about your ad choices. Visit megaphone.fm/adchoices

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Episoder(487)

People Pleasing vs. Fawning: Why We Do It and How to Change

Dr. Rick and Forrest talk about what separates people-pleasing from the fawn response, and why those differences affect what actually helps. They trace the surprising history behind both ideas, explai...

11 Sep 1h 12min

Depleted Mother Syndrome: Why Moms Burn Out, and How to Recover with Jan Hanson

Forrest is joined by his parents, psychologist Dr. Rick Hanson and nutritionist Jan Hanson, to discuss "Depleted Mother Syndrome:” the exhaustion, brain fog, and low mood so many mothers experience. T...

31 Aug 1h 17min

How to Feel Your Feelings with Simone Saunders

We’ve all been told to “feel our feelings,” but what does that actually mean, and how do you do it? Forrest talks with trauma therapist Simone Saunders about how to go from knowing your patterns to be...

24 Aug 1h 25min

The Psychology of Manipulation: How to Become Manipulation Resistant

Dr. Rick and Forrest explore how to become more resistant to manipulation, discussing terms like gaslighting, DARVO, and love bombing. They talk about why cynicism doesn’t make you immune to manipulat...

17 Aug 1h 10min

What’s The Problem With Therapy Speak? August Mailbag

Terms like boundaries, gaslighting, triggers, trauma, and attachment are everywhere now. Dr. Rick and Forrest answer a listener question about the consequences - good and bad - of clinical language es...

10 Aug 1h 1min

Burnout: A Practical Guide for Normal People

Dr. Rick and Forrest explore burnout: what it is, why it’s so common, and what people can do about it. They begin by framing burnout as largely a structural problem that individuals are forced to mana...

3 Aug 1h 15min

The Grieving Body: How to Heal After Loss with Dr. Mary-Frances O'Connor

We all understand the emotional impact of grief, but its effects on the body are often overlooked. Forrest is joined by clinical psychologist and researcher Dr. Mary-Frances O’Connor to explore the ph...

27 Jul 1h 28min