Services

Consulting

image1

Dr. Grinstead offers individualized consultation for treatment professionals who want to how to implement effective chronic pain management plans including the Addiction-Free Pain Management® Treatment System. 


Dr. Grinstead provides services that address the unique challenges encountered when working with patients experiencing chronic pain and coexisting disorders including medication use problems or addiction.


Live, Phone or Video Conference via Zoom 


Contact Dr. Grinstead for a free 15 minute consultation to see if his Consultation Services are right for you.


Email to drgrinstead@yahoo.com or call him at (916) 893-3155

Training

image2

Since 1996 Dr. Grinstead has conducted Private Professional Training, Conference Key Note Presentations and Conference Workshops for over forty thousand healthcare professionals, therapists and counselors at more than 600 training seminars in key cities across the United States and Canada. 


He can also custom design a presentation geared toward your particular audience and topic.


Live, Tele-seminars via Zoom or Webcasts


Contact Dr. Grinstead for a free 15 minute consultation to see if his Training Services are right for you.


Email to drgrinstead@yahoo.com or call him at  (916) 893-3155


Also, you can take Dr. Grinstead's 6  CE Hour Online Course entitled - Freedom From Chronic Pain and Suffering at Psych Seminars.

Empowerment Coaching

image3

Empowerment Coaching is intended for people who, despite their best efforts, have been unable to create and maintain the quality of life they really want. Or for those who choose not to enroll in traditional treatment programs. Many of my coaching clients have completed several traditional treatment programs and either relapsed or were afraid they might.


Empowerment Coaching is very different from therapy or counseling. It is more collaborative and action-oriented than therapy and focuses primarily on the present and immediate future and by setting realistic short and long-term goals.


Live, Phone or Video Conference via Zoom


Contact Dr. Grinstead for a free 15 minute consultation to see if his Empowerment Coaching Services are right for you.


Email to drgrinstead@yahoo.com or call (916) 893-3155

CHRONIC PAIN VIDEO BLOG SERIES

Moving Out of The Problem and Into The Solution

Utilizing an Integrated Approach for Chronic Pain Management

  

In this video I discuss utilizing an integrated whole person approach to chronic pain management. I share why it is important to take a step back from a pure bio-medical model and work on healing the whole person. My Addiction-Free Pain Management® System is designed to transcend the Bio-Medical Model.


I explain how for some people one component of effective chronic pain management might incorporate a bio-medical approach – medication, interventional pain procedures and/or surgery. But I emphasize that there are other Biological, Psychological, Social/Family, and Spiritual interventions that are crucial. I give several examples in each of the four quadrants.



Examining The Stress Pain Connection

  

  

In this Video Blog, I share why it is important to understand the connection between stress levels and pain symptoms, as well as recognizing how managing stress can decrease the perception of pain. You can't manage chronic pain without learning to manage stress.


Of course, before people can learn how to manage stress, they first need to know how to describe their level of stress at any given time. What is important to remember is that when someone reaches the upper moderate to severe levels of stress (6-10 range or what I call the “stress reaction”) thinking, emotions and behaviors are affected. The goal is always to keep the level of stress at six or below as much as possible. 


Differentiating Between Pain and Suffering

In this Video I cover how To differentiate between pain and suffering for more effective chronic pain management. We also explore the four components of chronic pain and I explain why it’s important to learn as much as possible about pain to help stop the suffering.

  

I also discuss Anticipatory Pain – what you believe it will be like when you experience pain and how it affects your brain chemistry; it can either intensify or reduce the amount of physical pain that you experience. You get what you expect!

ALL ABOUT CHRONIC PAIN - LATEST ARTICLES

By Dr. Stephen F. Grinstead, LMFT, ACRPS 


If you have any topics you would like me to cover in future Articles, please 

email me at drgrinstead@yahoo.com or call me at (916) 893-3155.

image4

Exploring The Stress Pain Connection

                                                               Remember!  

You Can’t Effectively Manage Your Pain  Without Managing Your Stress  


It is important to understand the connection between stress levels and pain symptoms, as well as how managing stress can decrease the perception of pain. Physically, chronic pain raises stress levels and drains physical energy, while psychologically it impacts the ability to think clearly, logically and rationally, as well as how effectively patients manage their feelings. Not only that, it can impact memory.  In most cases when someone learns how to lower their stress levels, they will also experience a decrease in their perception of pain. 

  

Of course, before patients can manage stress, they first need to learn how to describe their level of stress at any given time. It’s important to remember that when someone reaches the upper moderate to severe levels of stress (6-10 range or what I call the “stress reaction”) thinking, emotions and behaviors are affected. The goal is to keep the level of stress at six or below as much as possible. 


Since self-assessing levels of stress and learning how to implement simple but effective stress management tools is so important, we need an instrument, or tool, to help do that. I use the Gorski-CENAPS®Stress Thermometer below as a starting point to help patients accurately articulate their level of stress. In the next section I will take you through this exercise in the same way I do with patients.


To read the remainder of this article, please connect with me at drgrinstead@yahoo.com.

Back to top
image5

Relapse Prevention Planning for Chronic Pain Management

Understanding What Relapse Really Is 


If you ask someone in the medical field about relapse, they most likely will say relapse is going back to an active state of a disease after a period of remission. When you ask someone recovering from inappropriate use of medications, including using alcohol or other drugs they may say it’s going back to using the substance again. 


While that definition is partially correct, it can be dangerous, especially if people thinks the only criteria for recovery is abstinence. Another common definition of relapse is that a person goes back to their addiction process. The full explanation of relapse is much more complex and must include not only maintaining abstinence or an appropriate medication management plan but also stop following their mental health treatment plan or sabotaging their chronic pain management plan. 


  • People can head back towards chemical use 


  • Start sabotaging their chronic pain plan


  • Stop following their mental health treatment plan


What many people don’t realize is that the chemical use or coming out of remission is not the beginning of a relapse. It is the final step in an ongoing relapse process. In addition, relapse is a common symptom of a medication use disorder or other chemical use disorders, and one-third to two-thirds of all recovering people in chemical recovery relapse despite their best intentions not to do so. 


If someone is also living with a coexisting disorder—e.g., chronic pain, depression, PTSD or an anxiety disorder—the instance of relapse can be even higher because these other problems can easily become a relapse justification. Fortunately, the risk of relapse can be lowered if recovering people are exposed to education and training about relapse prevention and how to deal more effectively with all of their coexisting problems. Prevention is much easier than crisis management. 


To read the remainder of this article, please connect with me at drgrinstead@yahoo.com

back to top
image6

Transcending The Bio-Medical Model

Over the past two decades I have seen that we as a nation have fallen victim to being sold the power of the pure bio-medical model for chronic pain treatment. Even though many research projects have all concluded that ethically, and for better outcomes, effective chronic pain management requires an integrated team approach. 


Many chronic pain patients have been denied integrated services with the payors saying that there is not enough research to validate paying for these services. However, this is not true. In fact, the truth is that there is no level one double blind research that demonstrates opioids are effective for chronic pain management. 


There are, however, many evidence-based and research-based studies that demonstrate that integrated services such as Cognitive Behavioral Therapy, Acupuncture, Equine Therapy and many others can demonstrate improved outcomes for chronic pain patients. Despite this insurance companies have authorized thousands upon thousands of opioid prescriptions that eventually led to the dire problem we are experiencing today including thousands of overdose deaths all around the United States.  

   

Defining The Bio-Medical Model

Part of the big picture is that opioids have proven very effective for acute pain management, such as broken bones, cuts, surgical procedures etc.  Many big companies spent a lot of money and produced credible outcome research that demonstrated opioids we're effective for treating acute pain. 


To read the remainder of this article, please connect with me at drgrinstead@yahoo.com. 

back to top