Pain Management - Cognitive Behavioral Therapy for Chronic Pain (CBT-CP) - VHA Pain Management
Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.

VHA Pain Management

Menu
Menu

Quick Links

Veterans Crisis Line Badge
My healthevet badge
 

Pain Management - Cognitive Behavioral Therapy for Chronic Pain (CBT-CP)

picture of CBT-CP

PROVIDERS - Cognitive Behavioral Therapy for Chronic Pain (CBT-CP)

The Department of Veterans Affairs (VA) offers Cognitive Behavioral Therapy for Chronic Pain (CBT-CP) as an effective treatment for reducing the negative impacts of chronic pain on Veterans’ lives.

CBT-CP equips individuals with an active, problem-solving approach to manage and decrease the challenges associated with chronic pain. By understanding helpful strategies, it is possible to change one’s pain experience, physically and emotionally.

The goals of CBT-CP are to help Veterans:
  • Increase participation in meaningful activities
  • Manage pain flare-ups more effectively
  • Decrease pain intensity
  • Reduce worries about increased pain or injury
  • Improve overall quality of life
 
By focusing on self-management of pain through shaping expectations, increasing activity, and improving mindset, the “volume” on pain can be turned down.

CBT-CP is available to Veterans throughout the VA health care system. Please encourage Veterans with pain to take advantage of the accessibility of CBT-CP within VA. Share the CBT-CP Veteran Brochure (below) with your patients so they can learn more. Refer them to a clinician who can help today! If you are unsure who offers CBT-CP treatment at your facility, contact the Local Evidence-Based Psychotherapy Coordinator who can help facilitate a referral for treatment. You may also contact the VA CBT-CP National Training Program at CBT-CPStaff@va.gov for assistance with finding a CBT-CP clinician near you.

What exactly does CBT-CP look like? Access VA’s Therapist Manual and examples of sessions and structure below:

Title Link                                               
Cognitive Behavioral Therapy (CBT) for Chronic Pain - Therapist Manual Cognitive Behavioral Therapy (CBT) for Chronic Pain - Therapist Manual (PDF)
Cognitive Behavioral Therapy (CBT) for Chronic Pain - Clinician Fact Sheet Cognitive Behavioral Therapy (CBT) for Chronic Pain - Clinician Fact Sheet (PDF)
Cognitive Behavioral Therapy (CBT) for Chronic Pain - Veterans Brochure Cognitive Behavioral Therapy (CBT) for Chronic Pain - Veterans Brochure (PDF)
Video Vignettes Title Video Link                                               
CBT- CP: Treatment Models https://bcove.video/2xXSSfn*
CBT-CP: SMART Goals https://bcove.video/2P6DJ1I *
CBT-CP: Kinesiophobia and Walking https://bcove.video/2xV8lgf *
CBT-CP: Time-Based Pacing https://bcove.video/2P73Q8O *
CBT-CP: Relaxation Techniques https://bcove.video/2DS2eyz *
CBT:CP:  Pleasant Activities https://bcove.video/2PczfXm *
CBT-CP:  Cognitive Coping https://bcove.video/2y1Zj1d *
CBT-CP: Discharge Planning https://bcove.video/2xP7T39 *

Brief Cognitive Behavioral Therapy for Chronic Pain (Brief CBT-CP)

Brief CBT-CP was developed to address the need for a brief, focused non-pharmacological intervention for chronic pain in primary care. This protocol was designed for delivery by Primary Care-Mental Health Integration (PCMHI) providers but can be used by other qualified behavioral health providers who are looking to address chronic pain earlier in the trajectory of care with a brief protocol.

Title Link                                               
Brief CBT-CP - Therapist Manual Brief Cognitive Behavior Therapy for Chronic Pain: Therapist Manual (PDF)
Brief CBT-CP – Patient Guidebook Brief Cognitive Behavior Therapy for Chronic Pain: Patient Guidebook (PDF)

Cognitive Behavioral Therapy for Headache Diseases (CBT-HA)

CBT-HA was developed to better address the needs of Veterans with various types of headaches. This treatment can be used by behavioral health providers across the continuum of care. Find the complete therapist manual in the table below which includes all the accompanying patient worksheets. They are also available separately with PDF links if helpful.

Title Link                                               
Cognitive Behavioral Therapy for Headache Diseases - Therapist Manual Cognitive Behavioral Therapy for Headache Diseases - Therapist Manual (PDF)
CBT-HA Worksheet: Headache Diseases A-1 (PDF)
CBT-HA Worksheet: Headache Diary B-1 (PDF)
CBT-HA Worksheet: Relaxation Strategies C-1 (PDF)
CBT-HA Worksheet: Contributing Factors D-1 (PDF)
CBT-HA Worksheet: Goal Setting DD-1 (PDF)
CBT-HA Worksheet: Muscle Stretches E-1 (PDF)
CBT-HA Worksheet: Getting to Know You F-1 (PDF)
CBT-HA Worksheet: Combatting Unhelpful Thoughts G-1 (PDF)
CBT-HA Worksheet: Thought Log H-1 (PDF)
CBT-HA Worksheet: Planning Ahead I-I (PDF)

Learn more about how CBT-HA can help with this video

Cognitive Behavioral Therapy for Chronic Pain (CBT-CP) Resource Topics

Veterans-Public CBT Provider CBT    

Literature Alerts for VA Staff

The VA Library Network will provide VA staff an index of recent articles related to opioids and many other areas of interest right to your work mailbox. If you are interested in subscribing to this alert click here.

Disclaimer: *Links will take you outside of the Department of Veterans Affairs Website. VA does not endorse and is not responsible for the content of the linked websites.