3 Doors, Lost Keys: Managing Sleep, Depression, and Chronic Pain

Chronic pain is a biological-psychological-sociological amalgam. It should therefore come as no surprise that depression and sleep disorders, found under the psychological aspects of chronic pain, frequently manifest and need to be treated in a way that enables the entire triad of problems to improve. In this course, we will discuss the neurochemical milieu of depression, its treatment, and that of sleep, as well as their association with chronic pain. Aside from general associations and therapy, we will also discuss a complex pain problem which has specific psychological and sleep issues that may differ from other chronic pain/depression/sleep issues, yet is common enough to be seen frequently: fibromyalgia.

Learning Objectives

  • Describe the inter-relationship of chronic pain, depression and sleep
  • Summarize these issues as seen in central sensitivity syndromes
  • Apply the relationship of chronic pain, depression and sleep to help treatment of these patients
  • List the similarities of the neurobiology of chronic pain, depression and sleep

Additional Information

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Course summary
Available credit: 
  • 1.00 AAFP
  • 1.00 AANP
  • 1.00 ACCME (All Other)
  • 1.00 ACCME (MD/DO Only)
  • 1.00 ACPE Pharmacy
  • 1.00 ANCC
  • 1.00 APA
Course opens: 
06/01/2021
Course expires: 
06/01/2022
Part of: 
Rating: 
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Gary W. Jay, MD, FAAPM

Clinical Professor
University of North Carolina
Chapel Hill, North Carolina

Available Credit

  • 1.00 AAFP
  • 1.00 AANP
  • 1.00 ACCME (All Other)
  • 1.00 ACCME (MD/DO Only)
  • 1.00 ACPE Pharmacy
  • 1.00 ANCC
  • 1.00 APA
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A computer with an internet connection
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