Pain Speak

Deepak Ravindran

The Pain Speak podcast is presented by Prof Dr Deepak Ravindran, a Consultant specialising in Pain, MSK and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset'. In this podcast Dr Ravindran explores all things related to pain including physical, emotional and social issues including mind body approaches as well as neuromodulation and neuroplasticity enablement. He also looks at the neuroscience of pain and the fantastic advances which have been made in this area of medicine. He also discusses the business of healthcare and pain management. This podcast is all about open and honest discussion and helping find solutions to complex pain problems. For plain speak on pain - this is Pain Speak.

  1. Oct 25

    Pain, Neuroplasticity and AI: Building the Next Generation of Self-Management

    Send us Fan Mail In this episode, I sat down with Nora Rodden (more on her below) as she shares her personal journey from persistent pain to founding Nervana, a digital platform that leverages neuroscience and AI to help manage neuroplastic pain. This episode explores the mind-body connection, the role of neuroplasticity in chronic pain, and how technology can expand access to effective pain care. Nora had the solid clinical and lived experience credentials to be fronting this so it was great to have this conversation. Keywords  neuroplastic pain, chronic pain, mind-body connection, AI in healthcare, pain management, neuroscience, digital health, Nervana app, pain education, mental health Chapters  00:00 Introduction to persistent pain and the nervous system 01:57 Nora Rodden's personal journey from accident to recovery 04:09 Understanding neuroplastic pain and the mind-body connection 06:49 The clinical trial and the role of education in Nirvana 12:08 How the Nirvana app integrates neuroscience and AI 20:06 The role of AI in personalized pain management 29:57 Guardrails, safety, and ethical considerations in AI health tools 39:47 Future of AI and digital tools in pain care 49:53 Nora's vision for Nirvana and closing thoughts  Resources The Nervana App https://www.trynervana.com/about Nora Rodden story https://www.youtube.com/watch?v=x8-3Sg5TG6g Her article on Medium   https://medium.com/authority-magazine/becoming-pain-free-nora-rodden-of-nervana-on-how-to-alleviate-chronic-pain-7f43d6669ede About Nora: Nora Rodden is the Founder and CEO of Nervana, a digital health company that helps people better understand their brain–body connection and learn skills that may reduce the impact of chronic neuroplastic symptoms, such as pain, IBS, fatigue, migraines, sleep issues, and more.  Based in San Francisco, she brings deep experience across biotechnology, healthcare strategy, operations, and digital health to Nervana. Before founding Nervana, Nora led strategy and operations at Bay Area biotech startups, Addition Therapeutics and Alector. She created Nervana after recovering from years of chronic back pain, digestive issues, and insomnia through a nervous system recovery approach. Nora is passionate about chronic symptom recovery, neuroscience, women’s health, patient empowerment, and reducing the stigma around mind-body approaches.  Outside of work, she is a trained yoga teacher and enjoys spending time outdoors with her husband and friends. Nora holds an MS in Biotechnology from Harvard University, an MBA from Harvard Business School, and a BS in Biology from Cornell University. Disclaimer: This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional.  Please provide a feedback and comments on the podcast and any questions that you may have. If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show. The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset' Get in touch: Twitter: @deepakravindra5 Instagram: drdeepakravindran Website: www.deepakravindran.co.uk Linktree: https://linktr.ee/DrDeepakRavindran Youtube Channel: https://www.youtube.com/@drdeepakravindran5361 For Clinical Queries and consultations, please go to Berkshire Pain Clinic Order a copy of the Pain Free Mindset here For Season 1 and 3: Mixed and edited by Rob Cao at...

    Pain, Neuroplasticity and AI: Building the Next Generation of Self-Management
  2. Oct 25

    From Flare to foodie: Living well with arthritis

    Send us Fan Mail In this episode, I speak to Emily Johnson (The arthritis Foodie) about her decade-long journey living with seronegative arthritis, exploring her diagnosis, management strategies, and how lifestyle changes complement medical treatment. This episode offers practical insights for living well with chronic arthritis.  I was delighted to contribute not only to Emily's second book but also to her membership program that she now runs. Check out the details below.   Keywords arthritis, chronic pain, lifestyle medicine, nutrition, pain management, autoimmune disease, gut health, mental health, patient advocacy, natural strategies  Chapters  00:00 Introduction to Emily Johnson's Arthritis Journey 04:08 Early Symptoms and Diagnosis Challenges 08:22 Understanding Arthritis as a Whole-Body Condition 10:14 Gaps in Medical Support and Self-Management 17:11 The 2018 Flare and Turning Point 20:17 Building a Natural and Evidence-Based Approach 24:33 Diet, Triggers, and Long-Term Management 32:40 Sleep, Stress, and Lifestyle Strategies 39:02 Understanding Persistent Pain and Brain Involvement 47:12 Creating Resources: Books and Community 54:09 Living Well with Arthritis: Love and Self-Care 01:00:24 Emily's Mission and Future Plans    Resources Live Well with Arthritis course & coaching programme: https://www.livewellwitharthritis.com/waitlistLive Well with Arthritis podcast: https://open.spotify.com/show/2pRHO0ZKyqnkd3ig6YgCHFInstagram: https://www.instagram.com/arthritisfoodieEmily’s website: https://arthritisfoodie.com/Her books: https://www.amazon.co.uk/stores/Emily-Johnson/author/B08V55TBNJ?ref=ap_rdr&shoppingPortalEnabled=trueWho is Emily Johnson? Emily Johnson is a bestselling author, writer, content and recipe creator, and coach. She is the founder of Arthritis Foodie and of the Live Well with Arthritis course and 12-week coaching programme, which brings together 15 expert contributors, including Prof Deepak Ravindran. She also hosts the Live Well with Arthritis podcast. Emily has had seronegative arthritis for 10 years. Through trial and error and scientific research, she has found ways to live better and live well with her arthritis, alongside her medication. Her aim is to help as many people as possible to do the same, through her coaching programme, podcast, books (Beat Arthritis Naturally and Eat Well with Arthritis), blog and further studies as a nutritionist in training. Why follow Arthritis Foodie? Arthritis Foodie is a lot bigger than an Instagram diary! It’s a community and a place to feel less alone, where questions are answered, comfort is given and positivity is shared. There are products to try, recipes to make, exercise tips to give a go, quotes for the days you need them, and much more. Both of Emily’s books have been signed off by rheumatologists and nutritionists. They include contributions from 12 different healthcare experts and draw on scientific research, with nourishing recipes, remedies and more. You can find Arthritis Foodie on Instagram at @ArthritisFoodie and in the FREE Arthritis Foodie Forum support group on Facebook. Disclaimer: This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional.  Please provide a feedback and comments on the podcast and any questions that you may have. If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show. The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset' Get in touch: Twitter: @deepakravindra5 Instagram: drdeepakravindran Website: www.deepakravindran.co.uk Linktree: https://linktr.ee/DrDeepakRavindran Youtube Channel: https://www.youtube.com/@drdeepakravindran5361 For Clinical Queries and consultations, please go to Berkshire Pain Clinic Order a copy of the Pain Free Mindset here For Season 1 and 3: Mixed and edited by Rob Cao at...

    From Flare to foodie: Living well with arthritis
  3. Sep 25

    Healing through Connection: A relational lens into FND

    Send us Fan Mail Dr Abrar Hussain is a Consultant Psychiatrist and Fellow of the Royal College of Psychiatrists, specialising in general adult and liaison psychiatry at the interface of physical and psychological health. He has worked with Functional Neurological Disorder (FND) for around fifteen years, runs a specialist NHS FND service, is a member of the FND Hope UK Medical Expert Committee, advises the patient-led Neuro-log platform, and served as a Principal Investigator within the national CODES trial for dissociative seizures. He is a newly published author of the book "I can heal - A journey through FND" - Link below In this episode, I sit down to chat with a good friend and colleague, Abrar with another perspective towards a condition like FND that has pain as one of its main symptoms and where the neuroscience is starting to show lots of similarities with pain. We explore Functional Neurological Disorder (FND), emphasizing the importance of relational, biopsychosocial approaches, validation, and the integration of psychological and neurological care.  keywords FND, neurological disorder, biopsychosocial, validation, relational psychiatry, trauma, multidisciplinary care, mental health, pain management, patient-centered care Chapters 00:00 Introduction to FND and its challenges 01:59 Dr. Hussain's background and motivation in FND 04:01 Understanding the holistic approach to FND 06:09 Explaining FND to patients: language and validation 08:06 The concept of sense-making in FND 09:22 Relational psychiatry and its application in FND 11:57 Patient journey and systemic barriers 13:27 Symptoms as expressions of the nervous system 16:00 Screening for trauma and stress in FND patients 20:04 The FND service in Berkshire and multidisciplinary pathways 22:08 Role of primary care and community support 23:56 Overlap between FND and persistent pain 25:55 Mental health comorbidities in FND 27:55 Psychological therapies: CAT and EMDR 31:06 Dr. Hussain's upcoming book on FND 33:02 Resources and online tools for FND awareness 35:00 Final messages and hope for FND patients Resources Dr Hussains website https://www.berkshirepsychiatrist.co.uk/ https://www.drabrarhussain.com Linkedin: https://www.linkedin.com/in/dr-abrar-hussain-b2923747/ His book: I can heal https://www.amazon.co.uk/dp/1065401507/ref=asc_df_1065401507?mcid=69c6ea6ec7f338ed939e6cf1831d0efe&th=1&psc=1&tag=googshopuk-21&linkCode=df0&hvadid=799489365597&hvpos=&hvnetw=g&hvrand=4928001865647588019&hvpone=&hvptwo=&hvqmt=&hvdev=c&hvdvcmdl=&hvlocint=&hvlocphy=9045969&hvtargid=pla-2503325594760&psc=1&hvocijid=4928001865647588019-1065401507-&hvexpln=0&gad_source=1 Disclaimer: This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional.  Please provide a feedback and comments on the podcast and any questions that you may have. If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show. The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset' Get in touch: Twitter: @deepakravindra5 Instagram: drdeepakravindran Website: www.deepakravindran.co.uk Linktree: https://linktr.ee/DrDeepakRavindran Youtube Channel: https://www.youtube.com/@drdeepakravindran5361 For Clinical Queries and consultations, please go to Berkshire Pain Clinic Order a copy of the Pain Free Mindset here For Season 1 and 3: Mixed and edited by Rob Cao at...

    Healing through Connection: A relational lens into FND
  4. Sep 10

    Rethinking Back Pain: Cognitive Functional Therapy, Fear, Recovery and the Future of Pain Care

    Send us Fan Mail In this episode, I interview Professor Peter O'Sullivan about his pioneering work in cognitive functional therapy (CFT) for persistent musculoskeletal pain. We explore the science, philosophy, and clinical application of CFT, emphasizing hope, confidence, and a biopsychosocial approach to pain management. Peter is a John Curtin Distinguished Professor at the School of Allied Health Sciences at Curtin University, and a practicing Specialist Musculoskeletal Physiotherapist. CFT has demonstrated efficacy in numerous clinical trials, including a recent landmark trial published in The Lancet (restorebackpain.com). With his team he has published more than 372 scientific papers. With his team Peter has developed a social enterprise to support clinician training in cognitive functional therapy called evoolvepaincare.academy.  Chapters 00:00 Introduction to Peter O'Sullivan and his work 02:18 Peter's journey from traditional physiotherapy to CFT 06:44 The shift from pathology-focused to person-centered care 09:01 Core principles of cognitive functional therapy 12:10 The patient journey and clinical process in CFT 17:30 The importance of time and relationship in effective care 23:07 Key findings from the Restore Trial 26:27 Mediators and moderators of treatment success 28:48 The role of movement and confidence in recovery 36:33 Differentiating CFT from other psychological approaches 44:40 Building clinician skills and confidence in pain management 52:58 Training, implementation, and global dissemination of CFT 01:00:57 The future of pain science and research 01:06:09 Final message of hope and empowerment for patients Resources Evolve Pain Acadmy: https://evoolvepaincare.academy/ Socia media https://www.instagram.com/evoolvepaincareacademy/ https://www.facebook.com/evoolvepaincare.academy/ https://www.linkedin.com/company/evoolvepaincareacademy/ Dr Rangan Chatterjee Podcast: https://drchatterjee.com/how-to-break-free-from-chronic-pain-and-reclaim-your-life-with-professor-peter-osullivan/ Restore Back pain Trial: https://www.restorebackpain.com/ Linkedin link here Disclaimer: This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional.  Please provide a feedback and comments on the podcast and any questions that you may have. If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show. The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset' Get in touch: Twitter: @deepakravindra5 Instagram: drdeepakravindran Website: www.deepakravindran.co.uk Linktree: https://linktr.ee/DrDeepakRavindran Youtube Channel: https://www.youtube.com/@drdeepakravindran5361 For Clinical Queries and consultations, please go to Berkshire Pain Clinic Order a copy of the Pain Free Mindset here For Season 1 and 3: Mixed and edited by Rob Cao at...

    Rethinking Back Pain: Cognitive Functional Therapy, Fear, Recovery and the Future of Pain Care
  5. Aug 26

    Understanding FND and Pain: A New Paradigm with Prof Jon Stone

    Send us Fan Mail In this episode, i got the opportunity to interview a person I hugely admire. He is  the person most responsible for putting Functional Neurological Disordeer (FND) on the scientific map. Professor Jon Stone is Professor of Neurology at the University of Edinburgh. Since 1999, he has published over 400 papers, built the world's most widely used patient resource for FND — neurosymptoms.org — and led on international diagnostic criteria. As you may know, FND is a real, disabling, neurological condition. It affects how the brain processes and generates movement, sensation and — critically for this audience — pain. It is not feigning. It is not malingering. And for many patients, it is treatable.  keywords FND, pain, neurology, diagnosis, treatment, neuroimmune, predictive processing, multidisciplinary rehab key topics FND as a neurological condition affecting movement and sensationThe overlap between FND and chronic pain conditionsDiagnostic signs like Hoover sign and tremor entrainmentThe neuroimmune and predictive processing models of FNDMultidisciplinary approaches to FND and pain managementChapters 00:00 Understanding Functional Neurological Disorder (FND) 03:15 The Intersection of FND and Pain 07:44 Defining FND in Modern Medicine 11:28 Clinical Signs and Diagnosis of FND 13:29 FND as a Software Problem 15:52 Prevalence of Chronic Pain in FND Patients 19:08 Mechanisms Behind FND and Pain Overlap 21:10 Reconciling CRPS and FND 23:08 Understanding the Overlap in Pain Conditions 30:26 Predictive Processing and Its Role in FND 35:58 Interdisciplinary Approaches to FND Treatment 43:31 The Role of Pain Physicians in Managing FND 46:15 Resources for Learning About FND  Resources neurosymptoms.org - https://neurosymptoms.org International FND Society - https://fndhope.org FND in chronic pain clinics: 2023 -  DOI: 10.1111/ene.15892  CRPS and FND : 2018:  Popkirov S, Hoeritzauer i, Colvin L, doi:10.1136/jnnp-2018 318298  Pain and FND 2024 review:  Steinruecke M, Mason I, Keen M, et al. J doi:10.1136/jnnp-2023 332810  Migraine and FND 2025 review:  https://doi.org/10.1093/braincomms/fcaf288  Disclaimer: This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional.  Please provide a feedback and comments on the podcast and any questions that you may have. If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show. The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset' Get in touch: Twitter: @deepakravindra5 Instagram: drdeepakravindran Website: www.deepakravindran.co.uk Linktree: https://linktr.ee/DrDeepakRavindran Youtube Channel: https://www.youtube.com/@drdeepakravindran5361 For Clinical Queries and consultations, please go to Berkshire Pain Clinic Order a copy of the Pain Free Mindset here For Season 1 and 3: Mixed and edited by Rob Cao at...

    Understanding FND and Pain: A New Paradigm with Prof Jon Stone
  6. Aug 26

    Pain Is “Pay Attention I Need”: Exploring Trauma, Touch and Transformation with Rodger Duckworth

    Send us Fan Mail In this episode , I sit down with good friend and colleague Rodger Duckworth and explore one of the most fascinating frontiers in pain medicine—the intersection of trauma, touch, physiology, psychology and healing. Rodger has spent more than three decades evolving from conventional physiotherapy into a practitioner integrating neuroscience, autonomic regulation, body psychotherapy, Somatic Experiencing, EMDR and much more. he is truly one of a kind and his thinking and treatment style reflects that personalised approach.  Some of these ideas may challenge your assumptions. Others may resonate deeply with your own experience. Drop a comment and let us know how this conversation felt to you.  keywords trauma, holistic health, somatic experiencing, PNIE, fascia, manual therapy, healing, pain management, integrative medicine key topics The influence of trauma and past experiences on painThe role of fascia and fascial therapy in healingThe connection between mind, body, and spirit in healthThe importance of therapeutic relationship and trustThe concept of PNIE (psycho-neuro-immuno-endocrinology) and its relevanceThe use of touch and neuroaffective touch in therapyThe impact of developmental trauma and early life experiencesThe integration of Zen philosophy and mindfulness in healingThe evolving landscape of holistic and integrative medicinePractical advice for clinicians working with complex trauma and painChapters 00:00 The Complexity of Pain 02:26 Roger Duckworth's Journey in Physiotherapy 06:28 Mind-Body Connection and Personal Healing 09:24 The Mind-Body Dualism Debate 11:33 Understanding the PNIE System 14:30 Somatic Experiencing and Its Relation to PNIE 20:01 Neuroaffective Touch and Therapeutic Touch 29:28 The Importance of Fascia in Health 35:48 Manual Therapy: Benefits and Limitations 41:49 Creating Safe Spaces for Survivors 50:23 The Influence of Zen Philosophy on Healing 55:47 Hope for the Future of Integrative Medicine Links: The Grange RD physio website: https://www.rdphysio.com/ Disclaimer: This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional.  Please provide a feedback and comments on the podcast and any questions that you may have. If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show. The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset' Get in touch: Twitter: @deepakravindra5 Instagram: drdeepakravindran Website: www.deepakravindran.co.uk Linktree: https://linktr.ee/DrDeepakRavindran Youtube Channel: https://www.youtube.com/@drdeepakravindran5361 For Clinical Queries and consultations, please go to Berkshire Pain Clinic Order a copy of the Pain Free Mindset here For Season 1 and 3: Mixed and edited by Rob Cao at...

  7. Aug 26

    Beyond Flexibility: Hypermobility, Chronic Pain, Movement and Hope with Jeannie Di Bon

    Send us Fan Mail In this episode, I sit down to chat with Jeannie Di Bon—movement therapist, educator, founder of The Zebra Club, author, and creator of the Integral Movement Method. Through both professional expertise and lived experience, she has helped thousands of people rethink movement not as something to fear, but as a pathway towards confidence, resilience and recovery..  When most people think about hypermobility, they imagine someone who's simply very flexible. But for many people, hypermobility comes with persistent pain, fatigue, autonomic symptoms, gastrointestinal problems, anxiety, neurodivergence, repeated injuries, and years of being misunderstood. Today we're exploring a movement that is changing that narrative. keywords hypermobility, EDS, Zebra Club, pain management, movement therapy, neurodivergence, chronic pain, patient support, NHS, integrative movement key topics Hypermobility and EDS diagnosis journeyThe Integral Movement Method and its principlesThe role of breath, proprioception, and nervous system regulationCommunity support through the Zebra ClubImpact of misconceptions and the importance of early diagnosisThe overlap between hypermobility, neurodivergence, and mental healthChallenges within NHS pathways and the need for integrated careResearch and future directions in hypermobility and pain managementChapters 00:00 Understanding Hypermobility and Its Challenges 03:01 Jeannie Di Bon's Personal Journey with EDS 05:58 The Birth of the Integral Movement Method 08:55 The Zebra Club: A Community for Hypermobility 12:01 The Role of Education and Awareness in EDS 14:49 The Biopsychosocial Model in Pain Management 18:04 Innovative Approaches to Movement Therapy 20:56 The Importance of Breath and Proprioception 23:52 Challenges in Traditional Rehabilitation for Hypermobility 26:57 The Evolving Landscape of EDS Awareness 29:58 Future Directions for Hypermobility Care 33:38 Fragmentation and Community Support 34:45 Hypermobility and Neurodivergence 36:41 Understanding Misconceptions in EDS 38:46 The Role of Clinicians in EDS Care 43:00 Community Collaboration with Clinical Models 48:30 Transformative Patient Stories 51:34 Future Directions in EDS Research Resources Website The Zebra Club : https://thezebra.club/ Disclaimer: This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional.  Please provide a feedback and comments on the podcast and any questions that you may have. If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show. The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset' Get in touch: Twitter: @deepakravindra5 Instagram: drdeepakravindran Website: www.deepakravindran.co.uk Linktree: https://linktr.ee/DrDeepakRavindran Youtube Channel: https://www.youtube.com/@drdeepakravindran5361 For Clinical Queries and consultations, please go to Berkshire Pain Clinic Order a copy of the Pain Free Mindset here For Season 1 and 3: Mixed and edited by Rob Cao at...

    Beyond Flexibility: Hypermobility, Chronic Pain, Movement and Hope with Jeannie Di Bon
  8. Jul 27

    Mental Wealth, Trauma and Pain Management: Speaking with Dr Rani Bora

    Send us Fan Mail Summary In this episode of Pain Speak, Deepak Ravindran and Dr. Rani Bora explore the concept of mental wealth, emphasizing the importance of cultivating mental health beyond merely reducing symptoms. They discuss the intersection of mental health and chronic pain and the evolving perspectives on mental health treatment.  The conversation delves into the definitions of mental wealth, the mind-body-spirit connection, and the trauma-informed paradigm, while also addressing the challenges of nervous system dysregulation and the impact of medication on mental health.  In this conversation, Rani and Deepak explore the complexities of deprescribing medications, particularly in the context of pain management. They discuss the challenges patients face when trying to come off medications, the role of trauma in pain perception, and the importance of understanding the kindling effect.   Additionally, they touch on the role of spirituality in well-being and the importance of empowering patients in their healing journey. Takeaways Mental health should focus on cultivating mental wealth, not just symptom reduction. Chronic pain is deeply connected to mental health and trauma. The conventional approach often focuses on fixing people rather than empowering them. Mental wealth encompasses mind, body, and spirit, not just the mind-body connection. The trauma-informed paradigm shifts the focus from 'what happened to you' to 'what happened inside of you.' Nervous system dysregulation can manifest in various physical and psychological symptoms. Medication tapering must be approached with caution to avoid dysregulation. Deprescribing can be challenging, especially for long-term users. The kindling effect can make withdrawal more difficult for some patients. Recovery can begin before symptoms fully resolve. Spirituality plays a crucial role in overall well-being and healing. Mental health recovery involves more than just symptom reduction. Keywords mental health, mental wealth, chronic pain, trauma, resilience, holistic psychiatry, nervous system dysregulation, medication, healing, well-being deprescribing, pain management, trauma, medication withdrawal, kindling effect, diagnostic labels, recovery, spirituality, mental health, holistic psychiatry Dr Rani Bora's Clinic is both online and Brick and mortar and she can be found at https://holisticpsychiatryclinic.com/ Disclaimer: This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional.  Please provide a feedback and comments on the podcast and any questions that you may have. If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show. The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset' Get in touch: Twitter: @deepakravindra5 Instagram: drdeepakravindran Website: www.deepakravindran.co.uk Linktree: https://linktr.ee/DrDeepakRavindran Youtube Channel: https://www.youtube.com/@drdeepakravindran5361 For Clinical Queries and consultations, please go to Berkshire Pain Clinic Order a copy of the Pain Free Mindset here For Season 1 and 3: Mixed and edited by Rob Cao at...

    Mental Wealth, Trauma and Pain Management: Speaking with Dr Rani Bora

About

The Pain Speak podcast is presented by Prof Dr Deepak Ravindran, a Consultant specialising in Pain, MSK and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset'. In this podcast Dr Ravindran explores all things related to pain including physical, emotional and social issues including mind body approaches as well as neuromodulation and neuroplasticity enablement. He also looks at the neuroscience of pain and the fantastic advances which have been made in this area of medicine. He also discusses the business of healthcare and pain management. This podcast is all about open and honest discussion and helping find solutions to complex pain problems. For plain speak on pain - this is Pain Speak.

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