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Table 3 Contents of treatment focusing on the alteration of pain-related catastrophizing

From: Cognitive behavioral therapy for psychosomatic problems in dental settings

  Treatment contents
 Session 1 Psychoeducation for burning mouth syndrome
Provide information on symptoms of burning mouth syndrome, possibility of serious disease, averse effect of cognition and feeling on pain, strategies used in treatment program.
Progressive muscle relaxation
Self monitoring of pain symptoms
 Session 2 Distraction
Identification of automatic thoughts in painful situation
Practice monitoring feeling and automatic thoughts (catastrophizing thoughts).
 Session 3 Evaluation automatic thoughts
Practice evaluating of automatic thoughts
 Session 4 Replacement of automatic thoughts
Practice replacing catastrophizing thoughts with more adaptive thoughts