Finding Meaning in Life Despite Chronic Pain

A woman with chronic back pain radiating into her left leg was referred to me by her pain specialist. Tearful during our evaluation session, she described how three years of chronic pain had drastically altered her life. Unable to work, she found herself increasingly irritable with her husband and children and felt "worthless" due to the pervasive impact of her pain. It was clear that she was suffering deeply, both physically and emotionally. So, where does a pain psychologist begin in such situations? 

One effective technique I use is to explore how chronic pain has affected the meaning in my clients' lives and, more importantly, how to reshape this impact. Meaning is fundamental to human existence. It motivates us to endure hardships, make sacrifices, and pursue goals. Viktor Frankl’s “Man’s Search for Meaning” is an insightful exploration of this concept, drawing from his experiences in a concentration camp during World War II. Frankl observed that those who maintained a sense of meaning were more likely to survive the brutal conditions, while those who lost it often perished. 

When working with clients suffering from chronic pain, I ask them to reflect on what was important to them before their pain began. For example, in the earlier case, I would ask the woman to describe her sources of meaning prior to her chronic pain. She might mention taking care of her family. Together, we would explore how to adapt these meaningful activities or find new ones, thereby regaining a sense of purpose and fulfillment despite the pain. 

I also help clients recognize the ways they continue to provide value and support to their families, which pain has not taken away. This shift in focus can limit the negative emotional impact of chronic pain and even reduce physical pain. I encourage you to reflect on what is important in your life and how it may have been changed by chronic pain. Consider alternative ways to find meaning and recognize the aspects of your life that remain unaffected by pain. By focusing on what is most important, you can live a more satisfying and fulfilling life despite chronic pain. 

If you find these ideas intriguing and potentially helpful, consider seeking out a pain psychologist skilled in helping individuals live better despite chronic pain. Thank you for reading!