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REVIEW

Comorbid Pain, Depression, and Anxiety: Multifaceted Pathology Allows for Multifaceted Treatment

, MD, , MD, , MD, MEd & , MD
Pages 407-420 | Received 17 Dec 2008, Accepted 03 May 2009, Published online: 07 Dec 2009
 

Abstract

The care of patients who suffer from physical pain and a psychiatric illness is typically challenging because of the complex interplay of affective, behavioral, cognitive, and physical aspects of pain. Psychiatrists are often asked to evaluate patients with pain because of a concern for comorbid depression and anxiety, and fears of suicidality as a result of pain. This article reviews the pathophysiology of comorbid pain, anxiety, and depression, along with the treatment modalities (pharmacologic, psychotherapeutic, and “alternative”) that may benefit all three conditions.

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