How to Effectively Communicate Chronic Pain to Your Doctor - Psychiatry

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I'm not sure how to communicate?


Hello Doctor: I currently have chronic headaches, and recently they have been getting more painful, with increasing frequency of episodes.
I want to return for a follow-up appointment, but I'm unsure how to communicate with the doctor...
Previously, the doctor said, "Aren't you better now? Why are you back? I don't even know what medication to prescribe you." But in reality, I am in a lot of pain! I have seen other doctors, but they dismissed me in less than three minutes and told me to schedule my next appointment myself, which left me feeling very discouraged...
How can I make the doctor believe that I am truly in pain and really need medication to manage it? I find communication so difficult...

Xiao Yun, 20~29 year old female. Ask Date: 2015/12/04

Dr. Su Zongwei reply Psychiatry


Consult another physician for a second opinion.

Reply Date: 2015/12/04

More Info


Communicating chronic pain effectively to your doctor can be a challenging yet crucial aspect of receiving appropriate care. Here are some strategies to help you articulate your pain experience clearly and effectively.

1. Prepare for Your Appointment: Before your visit, take some time to write down your symptoms, including the frequency, intensity, and duration of your headaches. Note any triggers you’ve identified, such as stress, lack of sleep, or specific activities. This preparation will help you present a clear picture of your condition to your doctor.

2. Use a Pain Scale: When discussing your pain, consider using a numerical scale from 1 to 10, where 1 represents minimal pain and 10 represents the worst pain imaginable. This can help your doctor understand the severity of your pain. Be honest about your pain levels, even if they seem high.

3. Describe Your Pain: Use descriptive language to explain your pain. Is it throbbing, sharp, dull, or constant? Does it radiate to other areas? Providing specific details can help your doctor understand the nature of your pain and its impact on your daily life.

4. Discuss the Impact on Your Life: Explain how your chronic pain affects your daily activities, work, and emotional well-being. For example, if your headaches prevent you from attending classes or engaging in social activities, make sure to communicate this. This context can help your doctor appreciate the urgency of your situation.

5. Be Honest About Previous Treatments: Share your history with previous treatments, including medications you’ve tried, their effectiveness, and any side effects you experienced. If certain treatments have not worked for you, be clear about that. This information is vital for your doctor to consider alternative options.

6. Express Your Needs: Don’t hesitate to express your need for pain relief and your desire for a treatment plan that addresses your chronic pain. If you feel that medication is necessary, communicate this directly. You might say something like, “I understand that my pain has been challenging to manage, but I believe that medication could help improve my quality of life.”
7. Ask Questions: Engage your doctor by asking questions about your condition and treatment options. This shows that you are proactive about your health and encourages a collaborative approach to your care.

8. Consider Bringing a Support Person: If you feel comfortable, bring a family member or friend to your appointment. They can help advocate for you and provide additional insights into how your pain affects your life.

9. Follow Up: If you feel that your concerns were not adequately addressed during your appointment, don’t hesitate to follow up. You can call the office or send a message to express your ongoing concerns and request further evaluation.

10. Seek a Second Opinion: If you continue to feel unheard or dismissed by your current doctor, consider seeking a second opinion. Finding a healthcare provider who takes your pain seriously and collaborates with you on a treatment plan is essential.

Chronic pain is a complex issue that often requires a multifaceted approach to treatment. It’s important to remember that you have the right to advocate for your health and seek the care you need. Effective communication with your healthcare provider is key to managing your chronic pain and improving your overall quality of life.

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