Table 1.

Session outlines for the Cognitive Behavioral Therapy (CBT) group treatment protocol

Session	Group CBT
1	Discussing the connection between stress and pain
2	Identification of automated, negative thoughts
3	Evaluation of automated, negative thoughts
4	Challenging the automatic, negative thoughts and constructing alternatives
5	Nuclear beliefs
6	Nuclear beliefs about pain
7	Changing coping strategies
8	Coping with ruminations-obsessions-worrying. Session focused on pain catastrophizing.
9	Expressive writing and assertive communication