Living with Pain: A New Year – A Slightly New You

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Let's face it, New Year's resolutions aren't always successful.  It is easy to decide to change; it is much more difficult to actually create lasting change. Working towards goals can make a difference in how you feel about living with your pain. If you are thinking about making some changes that will increase your ability to cope with your pain, you may wish to think carefully about  what might help. Then, create a plan that will enhance your ability to succeed. To help you get started, I have listed some areas in which you might want to make some changes. Then I will suggest 3 ways to help you create lasting change.

  • Social – Friends
  • Social – Family
  • Relationships with Intimate Partner
  • Work
  • Activity Level
  • Exercise
  • Emotional
  • Leisure
  • Personal Growth/Learning
  • Household
  • Parenting
  • Self-Care
  • Spiritual/Religious

Creating Lasting Change

Be Realistic: One of the most common barriers to lasting change is resolving to make a very drastic, unrealistic change. Try to be realistic. For example, if you are like many people, you can stand to lose a few pounds. Rather than promising yourself that you will lose 50 pounds, start with 10 or 15. If you have become somewhat asocial due to your pain, it might be beneficial to increase your social contact. But, it will be difficult to go from 1 or 2 social activities per month to 8 or 10. An increase from 1 or 2 get-togethers per month to 4 or 5 may be more realistic. If you have not been exercising for many months or years, it is a great idea to increase your activity level. However, instead of planning to get up at 5 am every day for an hour run, you could start with a 20 minute walk at 7:30 a few times a week.

Small steps do make a difference. Pain doesn't have to take away your ability to pursue goals that matter.

Make a Plan: Without a plan for action, it is difficult for most people to make lasting changes. A plan should include what you would like to change. It should be very specific (“I would like to spend time with at least one friend every week”).  You will need the knowledge and tools to carry out your plan. If you want to lose weight, you will need to know what to eat, how much to eat, and have a scale to measure your progress. You will need to schedule  the tasks that are connected to your plan (“Walk for 15 minutes after dropping the kids at school”). If you use an electronic calendar, send yourself a reminder the day before and the day of your task or activity.  Monitor your progress. Each evening sit down with your plan and check off whether you completed the day's task. If you are having trouble completing your tasks, review your plan. You may be trying to do too much. You may have a problem with the time of day. Look for barriers.

Use Social Support: Other people can be great resources for change. Friends, family, or a professional can provide you with information, emotional support, and tangible assistance.  You may know someone to partner with who wants to make the same change (walking with a friend can be more fun than walking alone).

Chronic pain can make it tough to get through the day, much less to “pursue goals”. But, part of the richness of life comes from looking to the future, setting a goal, figuring out how to get there, doing what it takes, and reaching your goal. The good feelings that accompany working towards and reaching a goal can happen with small, as well as large, goals. Set out to change yourself and your life in small, manageable steps. Create a slightly new you.

About the Author. Dr. Linda Ruehlman is a social/health psychologist and researcher, co-founder of Goalistics, and Director of the Chronic Pain Management Program, an interactive site that helps people with chronic pain to manage their pain and live richer, more effective lives.

DISCLAIMER: This blog is provided as an educational and informational resource only. It is not intended nor implied to be a substitute for professional psychological or medical advice.

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4 Comments

  1. Dave Orchard says:

    Many thanks – so good well thought out ideas here
    BW

  2. Patricia Pearce says:

    Hi Linda, I was just reading your info that I happened to fall upon when looking for a volunteer job 3 or 4 hours per week. I have not worked for 12 years (almost 60 now). Can’t stand staying at home!!! I have very severe osteoarthritis and fibomyalgia since a car accident on Feb. 18, 2000. As you can see, I will never forget this date (changed my life completely).

    I am used to being active and always worked out and did spin classes etc. My husband and I always enjoyed eco trips, climbing volcanos, hicking etc. Now I am in pain after vacuuming!!! I am on Cymbalta for the Fibro and Percoset for the severe pain from arthritis, and also wear a neck brace at home since seeing a neourologist. I have 2 torn rotator cuffs, have had my knee scoped and also have severe arthritis in my right foot. I could go on and on!!

    The one question I have for you is:

    How do I get rid of the depression??? I feel useless, and feel that all of the things I used to enjoy have been taken away from me. I did seek help and saw a life coach that made me feel better about myself, however, I guess that I really am still in denial and need to get on with my life, whatever that may be. I am looking at volunteering at an arthritis centre close to Pickering Ontario, as I feel this would be good for me to get out of the house and it always makes me feel better when I am helping someone else.

    Any tips??

    Sincerely,

    Patricia

    • Hi Patricia,
      I am sorry you have lost the ability to be so active. It is a true loss about which you can expect to feel very sad; there is nothing pathological about grieving for what you have lost. What seems to help people who must change due to pain is finding a new focus, as difficult and unattractive as that may sound. Your depression is likely linked to your statement “I feel useless”. You can reinvent yourself so that you take advantage of other of your many good qualities, despite your pain. However, this process is easier said than done. I would urge you to get help from a therapist who uses cognitive-behavior therapy. He or she can help you to understand where you have been, cope with the losses, and move forward. I wish you the best of luck.

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