explain
          
        
        
          
            pain
          
        
        
          
            section
          
        
        
          5
        
        
          
            page
          
        
        
          104
        
        
        
          What’s your style?
        
        
          Coping with threats and pain
        
        
          E
        
        
          veryday we all facemany things we need to cope with.
        
        
          Coping is the ability to identify, manage and overcome the
        
        
          issues that stress us. There aremany different ways to cope
        
        
          and coping skills vary between people. One thing is for
        
        
          sure, we can all improve our coping skills. And the good
        
        
          news? Good coping can be learnt. First, let’s cover some
        
        
          background again.
        
        
          Remind yourself that the brain and body can use the same
        
        
          systems to protect us from physical threats and non-
        
        
          physical threats. In fact, ALL threats require physical and
        
        
          psychological coping strategies.
        
        
          Some coping skills that have been shown to be effective
        
        
          when it comes to pain include problem solving, seeking
        
        
          knowledge and understanding, and then changing thoughts,
        
        
          behaviours and beliefs. Coping with your painmeans you
        
        
          have the power to change it. Coping aims to reduce the
        
        
          threat value of different cues, whichwill change the feelings
        
        
          and thoughts that those cues trigger, and the associated
        
        
          biological effects too.
        
        
          161,163
        
        
          Most coping strategies can be categorised as active or
        
        
          passive. There is a large amount of research that shows that
        
        
          active strategies aremore effective than passive strategies
        
        
          when it comes to pain, and to a variety of health issues.
        
        
          Now is a good time to ask yourself ‘What’s your style?’
        
        
          What do you do to cope with your pain?
        
        
          
            Active coping strategy examples
          
        
        
          •
        
        
          Seeking better understanding about the problem (and
        
        
          articulating your understandingwith courage andhonesty)
        
        
          •
        
        
          Exploring different ways tomove and do things
        
        
          •
        
        
          Nudging the edges of pain – not avoiding it altogether
        
        
          and not trying to ‘break through it’
        
        
          •
        
        
          Staying positive
        
        
          •
        
        
          Making plans, setting small, attainable goals andmoving,
        
        
          gradually, towards them
        
        
          •
        
        
          Setting longer term and bigger goals and being patient!
        
        
          
            Passive coping strategy examples
          
        
        
          •
        
        
          Avoiding activity and anything that might be painful
        
        
          •
        
        
          Doing nothing
        
        
          •
        
        
          Resting
        
        
          •
        
        
          Waiting for something to change
        
        
          •
        
        
          Waiting for the right person to change it (the right
        
        
          person is you).
        
        
          So I should just
        
        
          talk about it?
        
        
          ‘
        
        
          ’
        
        
          No, evidence shows that just talking about it, for example in
        
        
          support groups andonline chat groups, doesnot help. Youneed
        
        
          to talk to peoplewho really understand the biology of pain.