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

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!

Exploring Effective Chronic Pain Management

In this Video I share why it is important to take a step back from a purely bio-medical model and work toward healing the whole person. My Addiction-Free Pain Management® System is designed just for this purpose. 

I emphasize the Biological, Psychological, Social/Family, and Spiritual interventions that are crucial to health and healing and give several examples in each of the four quadrants.

the stress pain connection

In this Video I discuss why it is important to understand the connection between stress levels and chronic pain symptoms, as well as recognizing how managing stress can decrease the perception of chronic pain. 

You will also learn how to develop your own Stress Thermometer and develop an effective stress management plan.  When you learn to better manage your stress you will better manage your chronic pain.



The Addiction Free Pain Management® Integrated Treatment System

I started developing The Addiction Free Pain Management® (APM) Manualized Treatment System in 1996. The APM™ System is s a comprehensive method of addressing the four quadrants of suffering: biological (psychical), psychological, social, and spiritual. This system was developed by me in my own quest to find chronic pain relief without reliance on opioid medication.  

 The APM™ Treatment System is based in part on the Gorski-CENAPS® Developmental model of recovery. It also includes the best practice standards reported by the National Institute on Drug Abuse (NIDA), the American Society of Addiction Medicine (ASAM) and the Substance Abuse and Mental Health Services Administration (SAMHSA) along with the leading chronic pain management research.  

As a result of my research and personal work with thousands of chronic pain patients, I wrote several books and peer reviewed publications as well as trained over 40,000 healthcare professionals to help this traditionally underserved population. I helped implement some of my synergistic model in treatment programs across the United States and Canada.

The APM™ System proports that healing must occur in the whole person – Biological, Psychological, Social/Family, and Spiritual. After years of continued research, my system served as the core curriculum for the Healing Place Triple Diagnosis Chronic Pain Program, that addressed patients suffering within those four quadrants. So not only is the  APM™ System evidence-based, now we have patient outcome measures proving it's efficacy.


The Addiction Free Pain Management® PLUS System – offered at our Full Day Treatment and Residential Treatment Programs – offered the manualized treatment curriculum and exposure to holistic and nonpharmacological modalities to see what worked best to enable therapeutic growth. 

Addressing Biological/Physical Symptoms of Pain

Biological: Imagine the most intense pain you have experienced in your life. This could be breaking a bone, suffering a dislocation, or even the pain of child labor. Focus on that memory and try to remember that pain. Now imagine having this pain with you nearly every moment of every day for over six months. This is life living with a chronic pain condition. 

At A Healing Place – The Estates, we treated individuals who hit a therapeutic ceiling in their pain management. Traditional or “western focused” treatments like shots and surgeries do not offer lasting relief. Furthermore, opioid medications may work great at first, but soon come with a host of problematic side effects – including raising your pain sensitivity. It is for this reason for this segment of the chronic pain population that we must look outside the box of western medicine to offer pain relief to our patients. Some of the modalities we used to address the physical suffering of pain included dietary changes, acupuncture, chiropractic, massage, and restorative yoga.

Addressing Psychological Symptoms of Pain 

Psychological: In order to effectively manage one’s pain, we have to address how someone interprets or perceives their pain. An individual’s suffering is shaped by how they perceive their pain. Terms agonizing, dreadful, and debilitating are a few of the words used to describe psychological suffering associated with pain. Furthermore, co-occurring psychological disorders contribute to how someone perceives their pain. This includes depression, anxiety, trauma, and PTSD. These psychological disorders are commonly associated with chronic pain conditions, and if left untreated, can amplify or cause additional pain. 

We developed a number of holistic and technological modalities to address the psychological symptoms of pain. Mindfulness and meditative practices are intertwined into every component of our program. Whether it is morning meditation or mindful meals, we are creating an environment of mindfulness to help shape the patient’s perception of what they are experiencing. 

We also helped our patients manage their co-occurring disorders with another set of modalities. Equine therapy, neurofeedback and biofeedback were some of the treatment methods used to address the depression, anxiety, trauma, and PTSD associated with a chronic pain condition. Each of these are complex modalities in and of themselves. 

Addressing Social/Family Symptoms of Pain

Social/Family: I’ve seen many marriages and partnerships come to a tragic end due to one of the partners living with an unde-rtreated or mistreated chronic pain condition. Sometimes family members and significant others develop their own healthcare problems while trying to help someone they love, cope with chronic pain. Family and significant others often get burned out, or they become frustrated and resentful towards the person living with chronic pain. A support person can become just as hopeless and helpless as their family member who is suffering with chronic pain and may even develop severe depression, anxiety or a sleep problem.

When it comes to healing in the Social area it is important to realize that many people living with chronic pain have been isolated for a long time – sometimes decades. An important part of improving levels of functioning in this area includes helping people connect with family and friends in a new and healthy manner. Our Online Family Program prepared family and friends to better participate in our three day Intensive Family Workshop. Friends and family received parallel information that their loved ones are receiving in our program.

Another important part in the Social Arena was to develop appropriate Relapse Prevention Teammates and accountability partners. We helped our patients get used to working as a apart of an integrated team and help them develop relapse prevention and continuing care plans that pushes them to reduce isolation and connect with others in a healthy way.

Addressing Spiritual Symptoms of Pain

Spiritual: When someone is living for years with a chronic condition, it has the potential to disconnect someone for their spiritual higher power. Even if someone grew up with a strong connection to a church or organized religion, the persistence of pain and suffering can drive a wedge between spiritual connectedness. Many people entering our program tell us they feel as if their higher power has abandoned them. 

One of the treatment objectives at A Healing Place – The Estates was to help people reconnect with their former identified faith or religion. Many people see that spirituality is a component of our program and fear they will be influenced away from their religion of choice. This is not the case. We want people to create a stronger connection with their higher power, whatever that may be. We have also had patients who connect to their higher power and experience spirituality through art, music, and nature. These mediums can be used as well for people with an identified religion. Regardless of where you are at in your journey to spirituality, this approach helps strengthen the relationship between you and your higher power. 

We offered weekly Spiritual Direction led by Shannon Savage-Howie, Certified Spiritual Director and owner of Ransacked Soul. She brought a most needed dimension to our treatment curriculum by creating a sacred space for patients to connect with deep questions, longings, and life experiences that invite meaningful soul searching and connection.

The APM™ Integrated System works best as the core clinical component of a multidisciplinary treatment team using a Manualized Treatment approach. Manualized Treatment is used to measure therapy or treatment outcomes to ensure uniformity across therapists/counselors and to minimize variability. It is treatment that is presented in a "manual" format and comes with a series of prescribed goals and techniques to be used during each session/phase of treatment. When used with strategic outcome measures, a program can document that its treatment system provides significant improvement in levels of functioning and quality of life. 

Go to my About Me Page to learn more about my  APM™  Publications


If you have any topics you would like me to cover in future Articles, please either email me at or call me at (916) 893-3155.