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Clinical psychology


We have a clinical psychology service for patients for whom pain is associated with high levels of distress and disability. These patients will see a psychologist either during individual sessions or in the context of the group during a pain management programme.


Dr. Scott is highly specialised for pain psychology and does not have expertise in addiction or relationship counselling which the GP can access from the community mental health team. Patients who have pre-existing or primary mental health issues should be referred to CMHT, IAPT or for GP counselling.


The clinical psychology service aims to help patients to manage and minimise the ongoing distress and disability that they experience in relation to living with persistent pain. Pain is acknowledged as being, in part, an emotional experience that is unpredictable and invisible. The service focuses on how patients make sense of their situation and the impact this can have on their thoughts, behaviours and relationships.


The psychology service bases its approach on helping patients to appreciate the ‘normal’ psychology of persistent pain and works with patients to address themes such as confusion, loss, threat and the struggle to accept both the change and altered future with pain. Emotions such as anger, bitterness, frustration, self-criticism and shame are common, patients often worry about being believed and can have a disabling fear of movement.


Referral to Dr. Scott can only occur from within pain clinic. There is no facility to directly refer from primary care or the hospital.