Right this moment on the Being Properly Podcast, ache psychologist Dr. Rachel Zoffness joins Forrest and Dr. Rick to discover what ache is, why it could possibly persist lengthy after an harm has healed, and what truly helps. Rachel explains why the mind, moderately than the physique half that hurts, is what constructs ache, the distinction between acute and power ache, and the excellence between damage (what you’re feeling) and hurt (what’s broken). They get into the biopsychosocial mannequin, the “ache dial” that stress, sleep, temper, and social connection can flip up or down, the disappointing response charges for many ache therapies, why ache is completely not “simply in your head,” what sham surgical procedure and open-label placebo research reveal about how ache works, and why the analysis is so onerous to interpret.
This isn’t medical recommendation. Please don’t begin, change, or discontinue any medicine based mostly on this episode. All selections ought to be made together with your physician.
About our Visitor: Dr. Rachel Zoffness is a ache psychologist, assistant scientific professor on the UCSF Faculty of Drugs, and the creator of Inform Me The place It Hurts.
Key Matters
- 0:00 Introduction
- 1:42 Acute vs. power ache
- 3:41 What’s ache?
- 9:20 The biopsychosocial mannequin
- 11:11 Harm vs. hurt: the story of two nails
- 19:10 The ache dial
- 23:10 Nociception vs. ache
- 26:46 Your ache recipe
- 29:46 The “all in your head” stigma
- 31:23 Central sensitization
- 35:53 Pushback from ache sufferers
- 40:42 Loneliness and ache
- 46:51 Pacing
- 50:48 Decreasing misery vs. decreasing ache
- 54:26 Does something work?
- 1:00:07 What placebo truly is
- 1:03:19 Acupuncture, sham surgical procedure, and open-label placebo
- 1:09:42 Why the analysis is such a large number
- 1:14:10 Hopelessness, and attempting yet one more factor
- 1:17:46 Mindfulness and a focus
- 1:23:02 Recommendation for family and friends
- 1:30:22 Recap

