Pain Coping Classes

What Are Pain Coping Classes For?

This 6-week series provides holistic interventions and skills useful in managing chronic pain. These sessions use “Cognitive Behavioral Therapy” for Chronic Pain, which is an evidenced based therapy. The meetings are taken in chronological order as a fix curriculum and prescribed by your physician. A referral by your physician is needed, along with a screening to assess your eligibility for this group.

Patients interested in joining our pain coping lessons must first schedule a 30 minute evaluation conducted by Dr. Patrick DeMarco, Jason Vaught, or Dr Teresa Collett.

All group sessions will be facilitated by Sound Pain Alliance’s Kaitlin Ohde, PhD.

All group sessions are exclusively held online via telehealth on zoom. This group comprises up to 15 group


Please reach out and let us know that you are intersted in joining one of our groups.


Call: (360) 543-8813

1. Pain Education & CPT Model of Pain:

  • Brief introduction
  • Time 1 Questionnaires
  • Ground Rules
  • Pain Education
    • Acute Pain
    • Chronic Pain
    • The Three Components of Pain
  • Goals of CBT Pain Group
  • Introduction to CBT model as it relates to pain
  • Therapy Assignment: Pain Diary

2. Stress, Physical & Mental Relaxation:

  • Discuss Pain Diary Assignment
  • Rationale for Relaxation Techniques
  • Introduction to Quick Relaxation Techniques
    • Progressive (& Passive) Muscle Relaxation
    • Diaphragmatic Breathing
  • Therapy Assignment: Quick Relaxation

3. Activity Pacing & Pleasant Event Scheduling:

  • Discuss Quick Relaxation Assignment
  • Introduction to Guided Imagery
  • Introduction and Rationale for Activity Pacing Methods for Time-Based Pacing
  • Pleasant Event Scheduling
  • Therapy Assignments: Pleasant Events Schedule Questionnaire & Time-Based Activity

4. Cognitive Components of Pain:

  • Discuss Pleasant Events Schedule & Time-Based Activity Assignment
  • Introduction to the Relationship between Automatic Thoughts & Pain
    • Cognitive Appraisal Model of Stress
  • Thinking Styles that Can Contribute to Negative Emotions, Stress & Pain.
    • List of Cognitive Errors
  • Introduction to Techniques to Challenge Negative Thoughts
  • Introduction to Self- Monitoring
  • Therapy Assignment: Self Monitoring ABC Sheet

5. Challenging Negative Thoughts & Introduction to Sleep:

  • Discuss Self-Monitoring Assignment
  • Review of Cognitive Restructuring Techniques
  • Introduction to Sleep
    • Basic Sleep Facts
  • Changing Thinking Patterns about Sleep
  • Therapy Assignment: Sleep Diary

6. Restful Sleep @ Relapse Prevention:


  • Discuss Sleep Diary Assignment
  • Introduction to Sleep Hygiene
  • Stimulus Control Therapy
  • General Overview, Relapse Prevention, Flare-Up Planning
  • Supplemental Materials
  • Time 2 Assessment Questionnaires