"As a scientist and clinician, I've long been struck by how trauma, chronic pain, and addiction often travel together. For many patients, these conditions form a tangled knot that is difficult to unravel with traditional therapies. Most psychotherapeutic approaches treat trauma, pain, and addiction in isolation, yet what patients truly need is an integrated approach that addresses them simultaneously. Post- traumatic stress disorder ( PTSD) is highly prevalent among people with chronic pain."
"We found that Mindfulness-Oriented Recovery Enhancement (MORE) led to clinically significant reductions in PTSD symptoms in 59 percent of participants. In addition, patients in MORE became better at regulating their autonomic nervous system responses through reappraisal, as shown by decreased skin conductance responses (a measure of physiological arousal). Importantly, when patients learned to regulate trauma symptoms through MORE, this led to decreases in opioid misuse."
Mindfulness-Oriented Recovery Enhancement (MORE) targets trauma, chronic pain, and addiction together by integrating mindfulness, cognitive reappraisal, and savoring techniques. An NIH-funded study of 241 patients with PTSD, chronic pain, and opioid misuse found clinically significant PTSD symptom reductions in 59% of MORE participants. MORE enhanced autonomic regulation, evidenced by decreased skin conductance during reappraisal practice, and taught skills that weakened craving cycles. Healing trauma through MORE served as a pathway to reduced opioid misuse. MORE functions as a unified, evidence-based approach that restores emotion regulation, resilience, and adaptive coping without requiring prolonged re-exposure to traumatic memories.
Read at Psychology Today
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