Stronger Than Chronic Pain: Week 2

Contents

You’ve made it through week one! Hooray! Congratulate yourself on doing a week of this work - this stuff is hard, and you’re so brave for doing it!

This week, there are two different writing exercises and two different meditations. I recommend trying each one a couple of times. If after that you’re not connecting with one of the exercises, that’s okay! You can do whichever ones you connect with most. 

Again, it’s ideal to do the writing exercises, followed by the meditation exercises, every day if you can, but you also don’t want to be perfectionistic about it – it’s totally okay if you miss a day. And if you don’t have time to write, it’s okay to just do a meditation. 

And again, I recommend you continue immersing yourself in information and thought about chronic pain. If you like reading books, refer back to week one resources for some recommendations. At the bottom of this page, you’ll find new podcast recommendations for this week. 

Okay, let’s do it!

Week 2 Meeting Recording

Week 2 Exercises:

Brain training

1. Talking to Parts of Self

The brain training exercises for this week are to be used as needed, whenever your symptoms, feelings, and triggers come up, which will likely be multiple times each day. 

I encourage you to customize them into your own words, so that they feel comfortable and true for you. In these exercises, you are going to be having a little talk with some part of you, like yourself, your brain, your mind, your subcincuous, or your pain. I tend to vacillate between different ones. I have conversations with these different parts in the exercises below, so you can get a sense of how I use them. I recommend you play around and see what feels best to you!

  • Take a deep breath, and remind yourself that there's nothing wrong with your body. Remind yourself that you're healthy, and that your symptoms will pass. 

    Talk to your brain and tell it that you know it is trying to warn you that you're in danger. But you’re safe. Tell your brain that you can deal with the pain and that you're not afraid of it, and that you know that the pain can't harm you. 

    Remind yourself that these symptoms are learned neural pathways that you can unlearn, and that there's nothing wrong with your body. Tell your brain that it can relax, and that you can deal with whatever stressful situations are occurring. 

    Take a few more deep breaths, then move on with your day.

  • Take a deep breath, and take a few minutes to talk to your brain. Tell your brain that emotions, even big ones, are normal and healthy to have. Take another deep breath. 

    Now, tell your brain that you're not afraid of big thoughts and emotions. Tell your brain that they're normal to have and they cannot hurt you. Tell your brain that you are learning to deal with feelings without having reactions that cause pain and physical symptoms. 

    Thank your brain for alerting you that something in your life is needing attention or movement. Tell your brain that you're going to deal with the things causing these emotions, and that you are very capable. Tell your brain that it doesn’t need to cause uncomfortable symptoms, because you are handling things. Tell your brain that it can relax and allow the symptoms to fade away. 

    Take another deep breath and go on with your day. 

  • Stop and take a deep breath. Take a moment to speak with your mind, and tell it that this activity or trigger is healthy, and it will not hurt you. Tell your mind that this activity or trigger does not have to cause pain. 

    Tell your mind that even if this activity or trigger does cause pain today, it is because you have learned that neural pathway, not because what you are being exposed to is dangerous. Tell your mind that you are working on building new neural pathways, and soon you will be able to do this activity or be exposed to this trigger without having pain or symptoms.

    If your learned neural pathway with this trigger is very strong, it may be helpful to almost chant or lecture this to yourself while engaging in the activity. For example, I used to get migraines every time I did strength training exercises with my upper body. So, when I was healing my chronic pain, as I was working out, I would repeat to myself, over and over: 

    “Working out is good for my body and it is safe. It’s not going to hurt me. My body is safe. Strength training is good for my body and doesn’t have to cause pain. If it does cause pain, that’s because of the learned neural pathway, not because strength training is dangerous. I’m working to unlearn this pathway so that my brain can know that this activity is safe, and eventually do it without causing pain. I am safe, this is good for my body…” etcetera etcetera.

2. Continue daily reminders

Refer to the daily reminders from Dr. Sarno in week 1, or refer back to your own daily reminder that you wrote for yourself. 

As a reminder, here is the one I wrote for myself. You can use it as is, or edit it to your liking:

My migraines and neck/shoulder pain are due to a learned neural pathway, not a structural issue in my body. There is nothing wrong with my body. My body is safe and strong. The reason I experience pain is because my brain learned to create these symptoms to distract me from my big, scary emotions. As I learn to handle these emotions, my body will not need to trigger this pathway anymore. I will not live in fear of my pain, or let my pain limit me from doing what I want in my life. I know that as I am healing, when I still experience chronic pain, that is not because these things *have* to cause pain, but because my learned neural pathways are strong, and it will take time and repetition to unlearn them. I am doing that work right now, and I believe I can heal myself. 

Writing Exercises 

This week, there are two different writing exercises, Clustering and Free Writing, and Renegotiating Traumas. Each day you will pick one of these exercises to complete (though I encourage you to try both of them over the course of the week), followed by a meditation. Set aside about an hour each day for this work.

1. Clustering and Free-Writing

For this exercise, you will use the writing techniques of “clustering” and “free writing” to explore one of the items from your Past Stressors/Traumas, Current Stressors, or Personality Traits lists. You can pick a new topic each day, or you can write about the same item multiple days (though if you feel you are getting stuck writing the same things over again without making progress, I encourage you to pick something else to work on and circle back to that topic in the future). 

Start by choosing a topic from your list of Past Stressors, Current Stressors, and Personality Traits.

Write the topic in the middle of the page, draw a circle around it, and then set a timer for 5 minutes and “free associate” any feelings, thoughts, or ideas you have about the topic. Try to keep each idea to a few words, then circle it and connect it to the circles to which it is related.

Here’s an example from my own process:

The second part of this exercise is “free writing.” Coined by Natalie Goldberg in 1989, free writing is the practice of stream-of-consciousness writing without stopping to think, or going back to make any edits. Try to keep your hand moving for the entire duration of the exercise.

You will set a timer for 10 minutes, writing about whatever feelings you have uncovered doing the clustering portion of the exercise. Do not worry about grammar, spelling, or punctuation, and do not cross anything out.

Try to fully express any emotions that come up, especially anger, guilt, shame, sadness, and grief.

Complete this free-write by writing three times, “I am relieved to express these feelings.”

Then, set another 10 minute timer, and free write about your understandings you have uncovered from the clustering and previous free-write.

Complete this portion of the free-write by writing three times, “Understanding these issues helps me feel better.”

Here’s the short version of the instructions:

  1. Set a timer for 5 minutes and do your clustering now. 

  2. Set a timer for 10 minutes and free-write about whatever feelings came up during your clustering. 

  3. At the bottom of the page, write, “I am relieved to express these feelings” three times. 

  4. Set another 10 minute timer, and free write about whatever understandings you now have uncovered during the clusteing and the previous free-write.

  5. At the bottom of the page, write, “understanding these issues helps me feel better” three times. 

  6. Now, do one of this week’s meditations.

2. Renegotiate Traumas

This exercise is one that I have done many times myself, and it is my personal adaptation using elements of parts work, inner child work, and trauma renegotiation work (as described by Peter Levine in Waking the Tiger; I highly recommend reading this book).

In the book, Levine demonstrates that hard or scary events are not inherently traumatic, but rather it is how we are able to respond to them that determines if they are held in the body and mind as trauma. When the individual can do something about the event, whether that’s a fight or flight response, though it can be scary and life-changing, generally, trauma is not experienced (Levine, 1977).

The good news is that we can go back to traumatic events in a therapeutic setting, and renegotiate that trauma, to do whatever we needed to be able to do in that moment to protect ourselves, thereby resolving the trauma held in our bodies. 

This renegotiation exercise can be done in writing, in a meditative state, or even on a walk. Years ago, I did this on a walk with my dog, and it shocked me that it ended up being the most therapeutic 20 minutes of my entire life. 

For this exercise, you are going to choose a traumatic event from your past to work on. I recommend you don’t start with some of your deeper and more intense traumas, but instead start with smaller hurts to get used to this kind of work. I also recommend that, when doing these kinds of exercises, you are also working with a mental health professional, or at least have one on call. 

Now, choose what past hurt you’re going to focus on today, and begin to bring yourself back into that moment. Picture the younger version of yourself, and the setting in which the event occurred. Feel into who you were at that time. Notice how old you were, and what your developmental state or maturity level was. Picture the room you were in, trying to remember the layout, the things you could see, the sounds and smells of the space. Picture how you felt in that setting, and at that time in your life. 

Now, begin to remember what happened. Think of the situation that was stressful, or the person that was hurting you. Begin to remember the first few moments of that event. 

Then, step into the scene as your strong, capable, emotionally-regulated adult-self. Have your adult-self stop whatever is happening from continuing. If there is a person or other threat, have your adult-self make that person or thing go away for a few moments. If it is a person, tell them to go away until they can calm down and return to the scene in a healthy, regulated state. 

Go to your younger-self and tell them what they need to hear. Give them a hug if they need that, or hold them in your lap. Maybe they need to hear that they are safe, and that you are going to take care of them. Maybe they need to hear that it is not their fault, that they don’t deserve whatever is happening to them. Let them sit with the things you are hearing, and let them cry, or shake, or just be held. 

You can ask them if there is anything else they need from you - things you can do for them or say to them. Give them whatever they are needing at this moment, remembering that they are a small child or a young adult, and they are not yet capable of fully taking care of themself. But you are a very capable adult, and you can help them meet their needs. 

Now, if there was a person who was hurting them, ask them what they need from that person to feel good, safe, and complete. They may need the person to come back in the room and apologize, tell the younger-self that what they did was not their fault, that they are an adult and that they need to take responsibility for their actions and handle themself better in the future. The younger-self may want to hear the person who hurt them tell them that they are a good person, and that they don’t deserve that treatment. Visualize the person who hurt your younger-self telling them what they need to hear. 

Maybe your younger-self has things they need to tell the person who hurt them. Maybe they need to yell, scream, or call this person names. Let the younger-self get whatever they need to off their chest, and imagine the person who hurt them just sitting and hearing it. Maybe it is helpful to imagine the person who hurt them feeling guilt or shame. That is fine. It is not the younger-self’s job to hold space for the feelings of the person who hurt them. 

Maybe your younger-self will need more than words. Maybe your younger-self will need to actually hurt, immobilize, or even kill the person who hurt them. That is okay if your younger-self needs that. This is a thought exercise, not reality, and a hurt part of you wanting to do that does not mean that you are actually going to hurt anyone in real life, or that you are a bad person. So if your younger-self needs this, imagine them doing it. Let them take it as far as they need to, until all of their rage is released. 

Once the younger-self feels they have said what they needed to say, and done what they needed to do, allow them to come back to you, the adult-self, once more. Give them another hug, or let them sit in your lap. Tell them they are safe now. That that person or situation cannot hurt them any longer. Tell them that they are a good person, that they deserve to be treated with kindness. Tell them that you love them, and that you are going to take care of them. Hold them and breathe with them for a minute more.

When you both are ready, take a few more deep breaths and return to the present moment slowly. 

I highly recommend doing a calming meditation, such as the Body Scan or Loving Kindness Meditation, immediately following this work, and being very gentle to yourself as you transition into whatever comes next in your day. 

Meditations

Loving Kindness Meditation

I recommend doing this meditation after doing the Dialogues Towards Understanding Writing Exercise, especially if the exercise brought up a lot of hard emotions.  

Loving-kindness meditations come from the Brahma Vihara meditation practices taught by the Buddha (Feldman, 2017), and focus on extending love and kind thoughts towards the oneself, loved ones, and those with whom we have had conflict. There are thousands of adaptations of this kind of meditation.

This one will invite you to forgive someone who has hurt you in the past, so that you no longer have to hold onto challenging and painful feelings about this person or experience, but it is totally okay if you’re not ready to forgive or you do not desire to forgive this person. You can instead direct your love and kind wishes back to yourself.

Body Scan

A body scan meditation is a common mindfulness practice involving scanning the body for whatever sensations are there. In this meditation, I combine a basic body scan with safety reappraisal, a technique used in treating chronic pain to help you shift your assessment of pain sensations from dangerous to non-threatening, and to try to accept your body as it is right now.

Resources

Podcasts for Week 2

Other Resources

  • It’s for You, Not Them: Forgive to Help Yourself Heal

    Read Article →

  • Why Is Forgiveness Important In Healing? (Written for folks in addiction recovery, but also applies to chronic pain)

    Read Article →