In this episode, Dan and Justine break down how they each set goals and manage expectations with their patients. We dive into why your 'why' matters, how to connect your purpose to your plan, create discipline, tap into motivation, identify your purpose and cultivate confidence, so patients can better tie their actions to their goals and create long-term progress. This episode aims to help patients improve communication and have more effective appointments with their clinicians, and clinicians link their interventions to the goals of the patient in a more compelling way to improve buy-in.

Resources:

www.iniyh.com

https://www.instagram.com/iniyhpodcast/

Timestamps:

00:17 Intro

02:39 Having a Great Why

04:24 Your why matters because this takes time

06:18 Connect your Purpose and your Plan together

08:35 Developing Discipline with a Morning Routine

11:13 Connecting Habits to Discipline to Motivation

12:42 Timeframe - how long will this take?

14:26 How do you identify purpose?

20:47 Finding confidence experiences

27:23 Pain is about loss

30:25 How to talk to your Doctor about this

32:33 Patients need to bring in what they need from Doctors

36:37 Expectation Management

38:38 Disclaimer

In this episode, Dr. Dan and Justine introduce their 'Central Sensitization Algorithm' designed to help healthcare providers diagnose and treat central sensitization and related neuroinflammatory disorders more effectively. The algorithm categorizes symptoms into distinct buckets of nervous system dysfunction, allowing providers to more quickly and efficiently identify and prioritize their treatment plan. By addressing potential pre-existing diagnoses and symptoms, the sensitization algorithm aims to better streamline assessments and improve outcomes for complex patients by creating a clearer picture of an otherwise confusing presentation. The episode highlights the importance of this tool in reducing diagnostic frustration and inadvertent harm, while also empowering patients to better understand and communicate their symptoms.

References:

www.iniyh.com

Timestamps:

00:00 Official Intro

00:17 Intro - How you start to think about it

01:31 Initial Presentation

03:25 Neuropathic / Nociceptive

04:01 Central Sensitization (Other side)

04:45 What is Sensitization?

05:56 How Dan Got Into Hypermobility

08:44 3 Components of Hypermobile EDS

09:18 Two Sides of Central Sensitization

11:03 Justine's Path to Central Sensitization

16:04 Dan's Frown of Frustration

18:57 Looking at the Literature

20:32 7 Main Categories of CS

22:14 Pre-existing Diagnoses

22:37 Disproportionate, prolonged pain

24:24 Symptoms

25:30 Sensory Hypersensitivity

30:22 Sleep Disturbance

34:38 Fatigue

36:47 Cognitive Impairment

40:02 Mood Disturbance

42:46 Motor Dysfunction

45:33 Dysautonomia - Cardiovascular

47:42 Dysautonomia - Gastrointestinal System

48:34 Dysautonomia - Urinary System

49:47 Dysautonomia - Secretor Motor System

50:49 Dysautonomia - Reproductive System

52:22 Assessment

54:31 What do we do as Doctors? What is driving this patient's CS?

57:57 Final Points

01:00:13 Disclaimer

In this episode of "It's Not In Your Head," Dan and Justine dive into the nuanced aspects of how to more effectively communicate about pain with patients, focusing on the significance of specific language and its impact on patient outcomes. They caution against phrases that suggest pain is purely psychological and inadvertently blame and shame the patient, emphasizing pain is a complex interplay of physiological and psychological factors. They stress the importance of clinicians avoiding language that can be perceived as dismissive or condescending, instead advocating for a collaborative, empathetic approach.

The episode highlights the need for patients and clinicians to work together in identifying and addressing the various drivers and amplifiers of pain, including physical injuries, sensitization, and mood disorders. Importantly, they provide crisis resources for those experiencing mental health challenges associated with chronic pain, encouraging listeners to seek help when needed. Through their discussion, Dan and Justine underscore the necessity of understanding and treating chronic pain with empathy, compassion, and a focus on empowering patients in their pain management journey.

Resources:

www.iniyh.com/newsletter

Timestamps:

00:00 Official Intro

00:17 Intro

04:27 Patient Example - Suicidal thoughts

07:33 What do we do?

08:50 Mosley & Butler's Pain Neuroscience

10:11 Asher Perspective

10:57 Pain Neuroscience Messages - Good Side

13:47 The Downside

17:11 Blue Sky Effect

18:40 Pain Scales and Shifting Pain

24:26 Words That Are Misinterpreted

28:23 How to Get Around it?

31:08 4 Part Series, Step 1 - Find & Fix

32:29 Step 2 - Filtering

33:47 Step 3 - Turn Down the Amplifiers

36:14 Step 4 - Rewire

38:25 Summarize It

40:32 From The Patient Side

44:01 Disclaimer