- Chapter 1 The Problem of Chronic Pain in Children and Adolescents
- Chapter 2 A Brief History
- Chapter 3 The Evidence Base for Cognitive-Behavioral Therapy for Pediatric Chronic Pain
- Chapter 4 Assessment and Evaluation
- Chapter 5 Education and Treatment Planning
- Chapter 6 Relaxation, Imagery, and Biofeedback Training
- Chapter 7 Parental Intervention Strategies
- Chapter 8 Cognitive Skills Training
- Chapter 9 School Interventions
- Chapter 10 Sleep Interventions
- Chapter 11 Lifestyle and Physical Activity Interventions
- Chapter 12 Conclusions and Future Directions
- Appendix 1 Pain Diary
- Appendix 2 Educational Resources for Parents
- Appendix 3 Basic Abdominal Breathing Instructions
- Appendix 4 Progressive Muscle Relaxation Script
- Appendix 5 Progressive Muscle Relaxation Script
- Appendix 6 Favorite Pleasant Place
- Appendix 7 Muscle Relaxation with Imagery Script
- Appendix 8 Relaxation Practice Tips
- Appendix 9 Relaxation Practice Log and Diary
- Appendix 10 Parent Management Guidelines
- Appendix 11 Point System
- Appendix 12 Privilege System
- Appendix 13 Tips for Parents to Establish an Effective Reward System
- Appendix 14 Tips for Establishing Good Communication Habits
- Appendix 15 Positive Coping Self Statements Worksheet
- Appendix 16 Thought Record
- Appendix 17 Thought Continuum Exercise
- Appendix 18 Thought-Stopping Instructions
- Appendix 19 Sample School Letter
- Appendix 20 Sleep Diary
- Appendix 21 Tips for Improving Your Sleep
- Appendix 22 Difficulty Falling Asleep—Stimulus Control Instructions
- Appendix 23 Instructions for Activity Pacing
- Appendix 24 Pleasant Activities Chart
(p. 166) Basic Abdominal Breathing Instructions
1. Sit comfortably, placing one hand on your chest and one on your abdomen (belly).
2. Breathe in through your nose as much as you can while you count to five, filling your abdomen (belly) with air, then pushing it out. Feel your bottom hand move out. Your top hand on your chest should stay still. You should be able to see your abdomen (belly) moving in and out. (If you’re having trouble seeing your belly moving in and out then lie down, knees bent, and place a book flat on your belly. See if you can make the book go up and down.)
3. Hold your breath and count to five. Your belly should get round.
4. Now breathe out through your mouth, through puckered lips, letting your belly down while you count to eight.
5. Remember to breathe out slowly until your stomach is flat. Feel all the muscle tension flow out of your body.
6. Repeat slowly, 10 times. Remember to breathe from your belly slowly and calmly.
7. Notice your body beginning to feel more relaxed with each breath out.