458. The Pain/Brain Connection with Alan Gordon
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In this episode of Psychologists Off the Clock, host Dr. Jill Stoddard interviews Alan Gordon, creator of Pain Reprocessing Therapy (PRT) and founder of the Pain Psychology Center. Gordon shares his personal journey from suffering debilitating chronic back pain to developing a scientifically validated approach that treats neuroplastic pain—pain caused not by structural damage but by the brain’s misinterpretation of neutral bodily signals as dangerous. The episode explores how chronic pain often stems from a learned fear response, where physical positions or activities become conditioned triggers due to the belief that they cause harm. Gordon explains that PRT works by helping patients gather evidence that their pain is not due to injury, then using techniques like somatic tracking—mindful, curiosity-driven attention to pain in a safe, positive emotional state—to break the pain-fear cycle. The therapy emphasizes safety messaging, positive affect induction, and non-attachment to outcomes, distinguishing it from traditional CBT or ACT. Listeners are encouraged to recognize that pain is real, even if its source is psychological, and that the brain can be retrained to stop generating false danger signals. The co-host discussion highlights the broader implications of this model for conditions like IBS and chronic fatigue, reinforcing the idea that the mind-body connection is central to healing.
Neuroplastic pain is real but caused by the brain misinterpreting neutral bodily signals as dangerous, not by structural injury.
Pain reprocessing therapy (PRT) uses somatic tracking, safety messaging, and positive affect to break the pain-fear cycle.
The key to healing is not eliminating pain but changing your relationship to it through evidence-based retraining of the brain.
Conditioned responses (e.g., pain when sitting) are often due to fear, not structural damage—breaking the association can lead to lasting relief.
Non-attachment to outcome and moment-to-moment attention to internal states help prevent pain from escalating.
…and 3 more takeaways available in PodZeus
Introduction: The Hidden Reality of Chronic Pain
The episode opens with a personal story about a teen daughter’s period anxiety and a sponsor for KT period undies, setting a tone of real-life struggles. This transitions into the podcast’s mission: bringing science-based psychology to help people thrive. Host Jill Stoddard introduces Alan Gordon, creator of Pain Reprocessing Therapy (PRT), and expresses excitement about finally covering chronic pain on the show.
Alan Gordon’s Personal Journey with Chronic Pain
Gordon recounts his own experience with chronic back pain starting in 2004, despite seeing top orthopedists who gave conflicting diagnoses. After a temporary relief from an epidural, his pain returned with a new headache, leading him to explore the mind-body connection. His personal suffering became the foundation for developing PRT through clinical practice and research.
Defining Pain: Acute, Chronic, and Neuroplastic
“Pain is an opinion. It's your brain's opinion of how much danger you're in.”
The Brain’s Role in Chronic Pain: From Injury to Learned Fear
“When pain becomes chronic, the part of the brain associated with learning and memory lights up. It's literally become learned pain.”
Overcoming the Mind-Body Disconnect: The Power of Evidence
“When you're in the moment, enjoying yourself, you cut off the pain's vessel of reinforcement—fear and preoccupation.”
“Pain is an opinion. It's your brain's opinion of how much danger you're in.”
“When pain becomes chronic, the part of the brain associated with learning and memory lights up. It's literally become learned pain.”
“When you're in the moment, enjoying yourself, you cut off the pain's vessel of reinforcement—fear and preoccupation.”
Host
Guest
Alan Gordon
person
Pain Reprocessing Therapy
other
Psychologists Off the Clock
media
Dr. Jill Stoddard
person
Dr. Yael Schoenbrunn
person
Dr. Emily Edlin
person
Michael Herold
person
KT Period Undies
product
Dr. Debbie Sorensen
person
Pain Psychology Center
organization
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