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 or call him at (916) 893-3155



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 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


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 or call (916) 893-3155


Moving Out of The Problem and Into The Solution

Examining The Obstacles To Positive Treatment Outcomes


In this Video Blog I discuss many of the challenges and hidden obstacles that confront many chronic pain patients and why they do not obtain optimum treatment outcomes. Often healthcare providers "Blame the Victim" so to speak and do not realize that their very thinking is a part of the problem.

I believe that there are three primary areas that problems   

occur: Family Systems; Healthcare Provider Bias; and Patients Self-defeating Patterns.  I explore each of those three areas and discuss possible treatment solutions for better outcomes.

Freedom From Suffering With Chronic Pain - A Journey of Discovery and Hope!

In this video I talk about how people can achieve Freedom From Suffering With Chronic Pain by embarking on a Journey of Discovery and Hope!  I clearly identify what leads to most poor treatment outcomes and focus and explain the Coexisting Chronic Pain Syndrome™ that creates a synergistic treatment problem. 

I also discuss how the traditional bio-medical model does not work well for people experiencing chronic pain and coexisting disorders including medication misuse, abuse and/or addiction. Then I talk about the synergistic treatment solution – my Addiction Free Pain Management® System. 

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!


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

email me at or call me at (916) 893-3155.  


Relapse Prevention Planning Is Crucial In Chronic Pain Management

By: Dr. Stephen F. Grinstead, LMFT, ACRPS

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. 

If you would like to read the remainder of this article, please connect with me at

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Examining The Role of Spirituality In Chronic Pain Management

By: Dr. Stephen F. Grinstead, LMFT, ACRPS 


Chronic pain is often misunderstood and undertreated. In addition to the biopsychosocial impact a chronic pain condition frequently has on a person, a spiritual crisis often accompanies the situation as well. Long-term chronic pain is a body-mind-spiritual problem that requires a multifaceted solution. I believe that complementary spiritual practices are necessary components of any effective chronic pain management plan. 

Many people have found spiritual interventions like the traditions of prayer and meditation to contribute to the reduction of the sense of suffering. Unfortunately, in our fast-paced world and the secular treatment modality, adding a spiritual component to chronic pain management does not get enough attention. 

The concept of spiritual pain requires healthcare providers to go beyond the bounds of traditional clinical treatments and be prepared to devote the time required to give supportive and understanding care.  It is crucial to explore spirituality and its impact on a person’s pain in a multidimensional assessment.

Spirituality is vital aspect of being human which is difficult to fully understand or measure using scientific methods; yet convincing evidence in medical literature supports its beneficial role in the practice of medicine. It will take many more years of study to understand exactly which aspects of spirituality hold the most benefit for health and well-being. 

Many of the world's great wisdom traditions suggest that some of the most important aspects of spirituality lie in the sense of connection, inner strength, comfort, love and peace that individuals derive from their relationship with self, others, nature and the transcendent.

I believe that spiritual healing is an important component of a multifaceted chronic pain treatment plan. One goal of spiritual healing is to help patients improve their well-being and quality of life, rather than to cure specific diseases or in this case eliminate pain. Spirituality as part of a treatment plan may include encouraging patients to use visualization, prayer and positive thinking.

If you would like to read the remainder of this article, please connect with me at

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Stepping Away From The Bio-Medical Model

By: Dr. Stephen F. Grinstead, LMFT, ACRPS  


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. 

If you would like to read the remainder of this article, please connect with me at 

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