ON Chiropractic Fall 2014 | Page 15

ON Chiropractic and now provides counselling in his practice. Dr. Coghlan earned a Master’s Degree in Counselling Psychology in 2011. His goal in pursuing this degree was to better understand how to incorporate emotional support with the wellness-based chiropractic style he was already practicing. The results have been encouraging. Patients have expressed to him that the emotional support and empathy he provides has helped them. Dr. Coghlan has also observed improvements in his patients as a result of overcoming a psychological barrier to recovery. He has been intrigued by how adding the lens of counsellor to his chiropractic practice has identified opportunities for advancements in patient care. “Many fibromyalgia patients do carry unresolved emotional issues, such as anger, resentment, and hurt, but their denial has become so ingrained in their psyche that they will often resent the exploration,” Dr. Coghlan said. “I see this as an area of further study and would be a natural marriage of chiropractic (body therapy) and psychology (mind therapy).” Dr. Coghlan cautions his colleagues to be careful when engaging with their chiropractic patients on an emotional level. “You must be keenly aware of the patient's needs and interests and not cross professional and ethical boundaries,” he explains. “If you desire to help your patients achieve their health potential you must also recognize the limits of your education and experience. If the patient's needs are beyond your skill set and aptitude, be empathetic to their concerns and refer the patient appropriately.” Dr. Cheng agreed with Dr. Coghlan’s caution. “CBT can certainly be a useful tool for health care practitioners from many disciplines but clinicians retain responsibility for working within their own competencies. At times, significant Recommended Reading Beck, J.S. “Cognitive Therapy: Basics and Beyond.” New York, Guilford Press (1995). Goesling, J. et al. “Pain and Depression: An Integrative Review of Neurobiological and Psychological Factors,” Current Psychiatry Reports 15:421 (2013): 1-8. Online. Henschke, N. et al. “Behavioral treatment for chronic low-back pain (Review),” The Cochrane Collaboration 7 (2011): 1-125. Online. Hill, J. et al. “Comparison of stratified primary care management for low back pain with current best practices (STarT Back): a randomized controlled trial,” The Lancet 378:9802 (2011): 1560-1571. Hoffman, S. et al. “The Efficacy of Cognitive Behavioral Therapy: A Review of Metaanalysis,” Cognitive Therapy Research 36:5 (2012): 427-440. Online. Padesky, C., Greenberger, D. “Clinician’s Guide to Mind Over Mood.” (The Guilford Press New York, London , 1995). Padesky, C., Greenberger, D. “Mind Over Mood. Change How You Feel by Changing the Way You Think.” (The Guilford Press New York, London, 1995). Padesky, C. “Socratic Questioning: Changing Minds or Guiding Discovery?” Centre for Cognitive Therapy, Huntington Beach, California (1993): 1-6. Rector, N. “Cognitive Behavioral Therapy: An Information Guide,” Centre for Addiction and Mental Health (2010): 1-47. Online. van Hoof, M. et al. “A short, intensive cognitive behavioral pain management program reduces health-care use in patients with chronic low back pain,” European Spine Journal 21 (2012): 1257-1264. Online. psychopathology and personality features make it difficult for patients to collaboratively examine an