Cognitive Behavioural Therapy (CBT) can help you manage your physical health condition, anxiety and or depression through the inter relatedness of your thoughts, feelings, physical sensations and actions that underpin behaviour (1). Your concerns can be broken down and each part explained to help you alter interactions and behaviour to ultimately change the way you feel. Feelings make up an experience and pain is categorised as a sensory-emotional experience (2).
Generalised Anxiety has psychological as well as physical symptoms such as muscle aches and tension (3). Depression is another condition that has psychological and physical symptoms. Not only that but depression is a predictor of future back pain episodes (4). This means that a current episode of back pain could be more disabling due to a previous period of depression. Whilst repeated bouts of back pain can lead to depression and greater disability (5).
In short, there can be cross over between muscle and joint pain with anxiety and depression. As an example a psychiatrist might call joint pains a brief somatic disorder. Cognitive Behavioural Therapy can form part of Chiropractic Care (6).
(4) Hauser W, Schmutzer G, Brahler E, Shiltenwolf M and Hilbert A. The Impact of Body Weight and Depression on Low Back Pain. Pain Med (2014) 15(8) 1316
(5) Campbell P, Hope K and Dunn K. The Pain, depression, disability pathway in those with low back pain J Pain Res (2017) 10 2331
(6) General Chiropractic Council. The Code (2016). Glossary