Cognitive-behavioral therapy for chronic pain in children and adolescents

Introduction to cognitive-behavioral therapy for chronic pain in children and adolescents

The problem of chronic pain in children and adolescents

A brief history: development of CBT in pediatric pain management

The evidence base for cognitive-behavioral therapy for pediatric chronic pain

Assessment, education, and treatment planning

Assessment and evaluation

Education and treatment planning

Interventions

Relaxation, imagery, and biofeedback training

Parental intervention strategies

Cognitive skills training

School interventions

Sleep interventions

Lifestyle and physical activity interventions

Conclusions and future directions

Pain diary

Educational resources for parents

Basic abdominal breathing instruction

Progressive muscle relaxation script for younger children (under 10 years)

Progressive muscle relaxation script for older children (ages 10 and above)

Pleasant place imagery

Muscle relaxation with imagery script

Relaxation practice tips

Relaxation practice log and diary

Parent management guidelines

Point system contract and tracking calendar

Privilege system contract

Tips for parents to establish an effective reward system

Tips for establishing good communication habits

Positive coping self statements worksheet

Thought record

Thought-stopping instructions

Thought continuum exercise

School letter sample

Sleep diary

Tips for improving your sleep

Stimulus control instructions

Instructions for activity pacing

Pleasant activities chart.