Mark R. Carlson is Founder, President, CEO, and co-owner of Mental Health Systems (MHS), Minnesota. He is also Vice-President of the Dialectical Behavior Therapy National Certification and Accreditation Association (DBTNCAA) and Adjunct Professor in Psychology at Argosy University, Twin Cities. He served as the Clinical Director of multiple clinics before leaving to found MHS.

• Acknowledgments viii 1 Introduction to Comorbid Mental Health and Chronic Pain 12 Treatment Organization, Outline, and Structure of the Program 63 Clinical Manual for TAG Program 15Biological Section 15Goal setting and motivation 15Functioning and loss 21Sleep 26Emergence and patterns 29Adherence to treatment protocols 33Complexity 38Working with your team 41Psychological Section 46Orientation to change 46Readiness to change 50Depression 54Anxiety 59First step toward change 64Anger management 69Attending to distress 73Meaning and pain 79Stress management 83Defense mechanisms and coping styles 87Stigma 91Chemical abuse 96Lifespan issues 101Managing fl are-ups 104Social Section 108Managing confl ict 108The 3 Is 112Problem-solving 116Nurturing support systems 120Social roles in relationships 124Intimacy 129Styles of interacting 1324 Handouts and Homework 136Master Skills Sheet 223Appendix – Safety Contract 230References 231Index 234

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