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Be Heard to Heal

You must understand the nature of a problem before you can solve it. It is well-publicized that over 100 million ...

Evolution of the DOC Framework

DOC beginning The DOC (Direct your Own Care) program evolved after I discovered that, through a systematic approach that addressed ...

Begin Your Healing Journey at Home

It has become increasingly apparent to me that chronic pain is a family issue. Your deepest human interactions happen at ...

Honoring Loss by Living

Objectives: Life is full of loss and unfulfilled wishes. Sehnsucht is intense regret. Stress of a deep loss can trigger ...

Create a Safe Haven – Family

Pain = Frustration. In the presence of unrelenting pain this frustration can be intense. Anger is a survival reaction and it ...

Let’s Wake Up

Overview Our conscious brain interprets our internal bodily sensations. Since we are geared to survive, most of our time is ...

The Gift of Pain – Thanksgiving 2013

Pain, The Gift That Nobody Wants is a book written by an orthopedic hand surgeon, Paul Brand. Through his work ...

“I Want to Believe”

Florence, Italy My wife lived in Florence, Italy from 1983 to 1990. She is fluent in Italian and some of ...

Understand RUTs (Repetitive Unwanted Thoughts) and Solve Them

I am excited about my recent insights that have emerged from writing my new book on RUTs. It will be ...

Connect to Your Dark Side and Heal – Joy will Emerge

Overview Your survival reactions are meant to be deeply unpleasant, since they are protective danger signals. You have absolutely no ...

“Ride It Out!” Thriving After a Back-Breaking Horse Fall

Rachel is a therapist, specializing in trauma. She reached out to me a couple of years ago to learn more ...

“She Just Let Go”

My migraine headaches began on the Fourth of July when I was five years old. By age fifty, I had ...

Stage 1 - Lay the Foundation

Select a step from the dropdown menu below to view the posts in that step. The steps are:

Step 1 - Learn About Your Pain
Step 2 - Expressive Writing
Step 3 - Active Meditation
Step 4 - Sleep
Step 5 - Don't Share Your Pain

B – Non-Structural Pain

Patients often wonder how soft tissues can be so painful. It’s because they have a high density of pain receptors ...

The Three Column Technique

After you have become comfortable with writing down and immediately destroying your thoughts, the next phase involves the “three-column technique ...

Anger

Anger is as important as anxiety when it comes to chronic pain management. Some people are able to come to ...

Sleep

Understanding the importance of sleep and its effect on the perception of pain was my initial insight into the neurological ...

4 – The “Modifiers”

There is a sequence of events that results in chronic pain. It is complex and not linear. The first step ...

Masking

Masking your reaction to stress is a way of dealing with repetitive racing thoughts. Masking is behavior that’s used to ...

Suffering

Repetitive thoughts When you suffer, you have the same set of thoughts over and over; a process that clearly reinforces ...

3 – Memorization of Neurological Circuits

Memorization of neurological circuits is the another phase of the chronic pain experience in addition to pain sensitization. The way ...

Early Sleep Concepts

I learned about the importance of sleep somewhat by chance. It was covered in my medical training. I read a ...

DOC – A Framework of Care

Chronic pain is a complex problem consisting of many variables that affect your perception of it. Additionally, we now know ...

2 – Sensitization to Pain

I frequently encounter patients who feel that there must be an anatomical problem that is progressing as their pain is ...

The Evolution of Chronic Pain

Objectives: Understand the complexity of chronic pain and how it evolves from acute to chronic. The factors to consider are ...

1 – Three Sources of Chronic Pain

Dr. Howard Schubiner Dr. Schubiner is a pain physician practicing in Detroit, MI. He approaches pain from a whole body ...

Stage 2 - Forgive and Play

Select a step from the dropdown menu below to view the posts in that step. The steps are:

Step 1 - Understand the Impact of Anger on Your Life
Step 2 - Acknowledge Your Disguises
Step 3 - Admit Your Victimhood
Step 4 - Choose Not to Remain a Victim
Step 5 - Forgive
Step 6 - Play

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Stage 3 - Move Forward

Select a step from the dropdown menu below to view the posts in that step. The steps are:

Step 1 - Commit to a Daily Practice
Step 2 - Create a Safe Haven - Family
Step 3 - Get Organized
Step 4 - Connect with the Life You Want
Step 5 - Create Your Vision

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Stage 4 Posts - Expand Your Consciousness

Select a step from the dropdown menu below to view the posts in that step. The steps are:

Step 1 - Pass Through the "Ring of Fire"
Step 2 - Step Into Your New Life
Step 3 - "Failing" Well
Step 4 - Look Up - Your Spiritual Journey
Step 5 - Giving Back is Healing

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Stage 5 - Decision-making

Select a step from the dropdown menu below to view the posts in that step. The steps are:

Step 1 - General Principles - The Grid
Step 2 - The Source of Your Pain
Step 3 - The Impact of Stress on Your Pain and Decision-making
Step 4 - Understanding the Magnitude of the Surgery
Step 5 - Making the Final Surgical Decision
Step 6 - Stories of Surgical Despair

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Stage 6 Posts - Procedures

Select a step from the dropdown menu below to view the posts in that step. The steps are:

Step 1 - General Considerations: Magnitude vs. Benefit
Step 2 - Decompressions
Step 3 - Lumbar Fusions
Step 4 - Deformity Surgery
Step 5 - Other Spine Surgeries
Step 6 - Stories of Surgical Despair

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Important Posts

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Stories of Hope

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Expressive Arts Gallery

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Other Posts

Repetitive Unpleasant Thoughts

Click a Show Section button below to view the posts in that section.

Section 1 - Overview of RUTs

Overview of RUTs

RUTs - Defining the Problem

“The Curse of Consciousness” – Trapped by Your Thoughts

Objectives: Unpleasant thoughts are impossible to avoid and can significantly impact your quality of life. They are a “neurological trick” created by your unconscious brain. They are not subject to rational interventions. The root cause of the problem is the ...

Quit Fighting Darkness and Turn on the Light

Objectives We are trained that if we can solve enough of our problems, we’ll have an “enjoyable life.” Life’s challenges never stop, and we may slowly sink into darkness, “The Abyss.” We become desperate trying to escape; especially from our ...

Am I Operating on Your Pain or Anxiety?

My surgical decision-making dramatically changed over the last five years of my practice. In spite of watching so many successes of people healing from chronic pain without surgery, I still had a surgical mindset and was always looking for a ...

My Descent Into The Abyss

Objectives There are many different physical and mental symptoms that are possible when you are in sustained flight or fight physiology. At my lowest point, I was experiencing 17 of them. No one could tell me what was happening despite ...

Section 2 - Solving RUTs

Solving RUTs

Separating Your Identity from Your Physiology

The Gift of Anxiety – Your Bodyguard or Prison Guard?

Objectives: Since the body’s response to threats affects every cell in your body, it feels like part of who you are. We spend a lot of time attempting to avoid this intentionally unpleasant sensation when it is necessary for life ...

Four Aspects of Solving RUTs

Objectives Mental and physical pain are processed in similar regions of the brain. Our inability to escape from RUTs relentlessly drives flight or fight physiology, and people may become ill. There is a healing sequence for solving them: separation of ...

The Popcorn Machine – Healing RUTS

Objectives Repetitive Unpleasant Thoughts (RUTs) are solvable with a multi-pronged self-directed approach. Consider the four aspects in the metaphor of a popcorn machine. They are 1) the kernels 2) the cooking pot 3) the storage compartment 4) the power source ...

Write and Don’t Stop!

There are over 2200 research papers that document that expressive writing in some form is effective for improving both your mental and physical health. I have been adamant for a long time that you should write down just negative ...

Unhooking from the Train

Your body under chronic stress There are multiple physical and mental manifestations of a chronically fired up nervous system. With engagement of the principles that calm it down, the improvements in my patients’ quality of life are consistent and frequently ...

The Three Column Technique

After you have become comfortable with writing down and immediately destroying your thoughts, the next phase involves the “three-column technique that Dr. David Burns outlines in his book, Feeling Good. It provides an excellent format in which to apply the principles ...

Active Meditation

A basic tenet of many Eastern philosophies is that worrying about the future and thinking about the past causes internal unrest. There is anxiety around the future and many regrets and frustrations about the past. By staying only in the ...

Anger Academy

Objectives Processing anger is more doable if it is broken down into its components. Anger is a powerful, necessary, and hard wired survival reflex. You cannot tame it with the conscious brain. It is an acquired skill that requires ongoing ...

Directly Calming the Threat Response

Your capacity to enjoy your life, feel safe and content is dependent on your body’s neurochemical profile. When you are stressed you don’t feel good. There are methods to regulate your body’s stress reaction and inflammatory response. The gift of ...

“5–3–2” – Processing Anger in Three Steps

Objectives Anxiety is an unpleasant sensation generated by your body’s physiological response to real or perceived danger. It compels you to take action to resolve the threat and live another day. If you cannot escape or solve the threat, your ...

RUTs – Can’t Take Your Hand Off the Stove? Turn Down the Heat

Holding your hand over a hot burner triggers an immediate threat response (anxiety) and prompts action to address that threat. This sequence is part of the protective pain response known as the nociceptive pain system. Numerous danger cues activate this ...

Quit Fighting Darkness and Turn on the Light

Section 3 - The Evolution of RUTs

The Evolution of RUTs

The Need for Mental Control – The “Ironic Effect”

Your Demons are Robots

It is critical to understand how deeply negative anxiety-producing thoughts are etched into your nervous system. A 1987 Harvard experiment (1) documented that when you suppress unpleasant thoughts, they become more powerful. Unfortunately, they documented a trampoline effect in that they ...

Your “Authentic Self”

The only “authentic self” that exists is the one who is present today – right this very second. Your actions and reactions reflect your entire lifetime of programming. Much of our programming is less than ideal but it is what ...

Your Personal Brain Scanner

Every second of your life depends on your brain scanning your surroundings for trouble. This unconscious process guides your behavior so as to avoid danger and maximize your chances of survival. You will become conscious of this ongoing interaction with ...

Threat versus Safety Physiology

Lesson Objectives Consider ongoing environmental input separately from your body’s responses. Understand the essence of illness/ disease is sustained exposure to real or perceived threats. It creates an adverse chemical profile that increases metabolism (your rate of fuel consumption) and ...

Common Links to Chronic Disease – RUTs are Relentless

Objectives: Understanding the nature of chronic disease and the principles behind the solutions, allows you to fully engage in your care. Characteristics that keep us alive are what also create disease states. Chronic pain is a neurological diagnosis that has ...

We have no protection from mental pain

Objectives: Pain from any body part is a protective danger signal that guides our behavior and physical responses to avoid danger and remain safe. This system is called the nociceptive system, which guides behaviors to not exceed the limits of ...

Section 4 - Consequences of RUTs

Consequences of RUTs

Clinical Manifestations / illnesses/ Diseases

Extreme Mental Pain – OCD

Obsessive Compulsive Disorder (OCD) is an extreme form of anxiety. A relentless assault of unwelcome intrusive thoughts characterizes it. I suffered from OCD for several decades, well before I knew what OCD meant. It is becoming increasingly apparent that many ...

School or Prison – What’s the Difference?

Bullying bothers me–a lot. When I was in middle school and high school, I was very fortunate in that I was not a target of bullying. However, I have watched dozens of friends and family come under attack from bullies ...

Threat Physiology Can’t be Controlled with Behavioral Approaches

Objectives Many people are focused on controlling anger and anxiety with behavioural approaches. These powerful reactions are not controllable and suppressing them increases threat physiology. We all need to be heard, supported, and taught methods to regulate and lower these ...

School or Prison – What’s the Difference?

Threat Physiology Can’t be Controlled with Behavioral Approaches

Section 5 - Healing Principles

Healing Principles

Addressing RUTs

The “C”quence of Healing Chronic Illness

Objectives Connecting to every aspect of your life is difficult but is essential for allowing your body to heal. “Being” with your past may be challenging, but it is necessary in order to learn and grow. It is the opposite ...

Your “Authentic Self”

Navigating Life is Similar to Playing Major League Baseball

Feeling safe is the essence of enjoying life, healing, and thriving Healing chronic illness happens by moving towards health not by “fixing” yourself. An analogy can be made to becoming a professional baseball player. The goal is to be “safe” ...

Become a Genius at Solving Pain

I always wanted to play golf at a level where I could consistently shoot in the 70’s. I began to play when I was 14 but I never took lessons and didn’t practice much. Then in college I subscribed to ...

Repetition and Healing

Objectives Learning any new material or skill is an active process than can only be acquired through repetition. There are few people with a photographic memory and even they need repetition to embed a skill. Living your life in the ...

“She Just Let Go”

My migraine headaches began on the Fourth of July when I was five years old. By age fifty, I had over fifteen physical and mental symptoms from being in a state of sustained threat physiology. They became extreme and intolerable ...

A Bunch of Balloons

Much, if not most, of what the DOC project presents about creating a central nervous shift is 180 degrees different than how most of us are taught to deal with our conscious mind. One of the most important paradoxes to ...

Let's Wake Up

Falling in Love

Remember the first time you fell in love? Maybe you had a crush on a classmate in sixth grade. What about your first true love and being head over heels to the point you felt you couldn’t live without them? ... Read More

Honoring Loss by Living

Objectives: Life is full of loss and unfulfilled wishes. Sehnsucht is intense regret. Stress of a deep loss can trigger chronic pain, and there is nothing you can do. Remaining attached to your trauma prolongs the pain. Live your life ... Read More

Let’s Wake Up

Overview Our conscious brain interprets our internal bodily sensations. Since we are geared to survive, most of our time is spent in survival physiology. In this state, blood flow shifts away from our highest thinking brain, and we react more ... Read More

Overview of RUTs

RUTs - Defining the Problem

Solving RUTs

Separating Your Identity from Your Physiology

Four Aspects of Solving RUTs

Thought Diversion

“Turn Down the Heat” – Anger

Nurturing Creativity

The Evolution of RUTs

The Need for Mental Control – The “Ironic Effect”

We are brainwashed by our life experiences

The Physiology / Mental Mechanics

Consequences of RUTs

Clinical Manifestations / illnesses/ Diseases

Behaviors Driven by RUTs

Punishment Can’t and Won’t Stop Destructive Behaviors

Healing Principles

Addressing RUTs

Becoming a Professional at Living Life

“Letting Go” – Freedom from Mental and Physical Pain