Course Overview

Re-Thinking History Intake to Improve Pain-Coping

This course will explore the use of clinical history-intake as a treatment technique, supported by the current evidence and reveal how to incorporate Emotion Coaching into each patient encounter.
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2021 Annual Conference

October 29-31, 2021

Required Lessons

1 lesson with video, quiz, and evaluation

Time to Complete

45 minutes

CME Eligible*

0.75 credits
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Course Info
Course Faculty

What you will learn

 Course Summary

There is increasing evidence that instead of being exclusively a reaction to outside triggers (for example: posture, inflammation and stress), pain - just like emotion is a prediction made by the central nervous system. Such predictions are based on the data of past experience. Research by neuroscientists like Dr. Lisa Feldman Barrett (Northeastern University) explains and exposes the tight link between pain and emotion, both of which have been found to share the brain's predictive mechanism. Past experiences are shaped by context. Context is built on observation, language and conversation. This means how we healthcare providers communicate with patients about their pain, and how we teach them to communicate about it, has a much greater, evidence-based impact on clinical outcomes than many of us realize. Dr. John Gottman (University of Washington) did the groundbreaking research which led to what is now widely referred to as Emotion Coaching. This is a five step strategy that has been shown to improve coping and resilience with regard to emotions. These five emotion-coaching steps are an important addition to any clinical practice, given the shared neurobiology by both pain and emotion. When appropriately re-tooled for the application to pain-care, these five steps become the Five S's of Better Pain Coping. Instead of simply addressing emotions as a way to modulate pain, the Strategic Patient Conversation approach addresses the pain and pain-coping directly. This course will elucidate how to incorporate this revolutionary yet intuitive five step strategy into each patient encounter. Attendees will be introduced to the use of clinical history-intake as a treatment technique, supported by the current evidence.

 Course Objectives

By the end of this course, learners will be able to:
  • Name and implement the Five S's of Better Pain Coping based on five steps of Gottman's Emotion Coaching.
  • Link the components of the OPQRST history-intake infrastructure for clinical information-gathering, with the five Better Pain-Coping steps.
  • Explain the three main benefits of structured history-intake, not just for the goals of clinical data-gathering but specifically for the benefit to the patient.
  • Cite the supporting neuroscientific concepts.
See course outline below for additional information.

This course includes:

  • Video recording
  • Downloadable audio
  • Speaker handout(s)
  • 1 Quiz
  • 1 Evaluation
  • Certificate of Completion

Course Faculty

Ya-Ling Liou, DC


Ya-Ling J. Liou, D.C. is a TEDx speaker, author and teacher. She was born and raised in Montreal, Canada, graduated from New York Chiropractic College in 1994 and now calls Seattle Washington home. Dr. Liou has held adjunct faculty positions at both Ashmead College and Bastyr University teaching anatomy, physiology and kinesiology as well as physical medicine.

In 2016 she published the award-winning, first book in her series The Everyday Pain Guide. She’s the host and creator of the podcast Conversations About Everyday Pain and founder of Stop Everyday Pain® where the mission is to transform pain-coping on a global scale.

Dr. Liou is passionate about connecting through conversation, empowering everyday people and teaching healthcare providers the art and science of human connection for more effective pain care in clinical practice.


No financial relationships with any ineligible companies to disclose.

Accreditation and CME

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of California, Irvine School of Medicine and the Academy of Integrative Health & Medicine. The University of California, Irvine School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. 

This activity is in compliance with California Assembly Bill 1195, which requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. For specific information regarding Bill 1195 and cultural and linguistic competency, please visit the
CME website.

*CME/CEU Credits

The University of California, Irvine School of Medicine designates this enduring materials for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

All other healthcare professionals
 completing this activity will be issued a certificate of participation. To successfully earn credit, participants must review the content, complete a quiz with a score of 75% or higher, and submit an evaluation. This course is CME-eligible ending on December 31, 2023. After this date, you will continue to have access to your purchased content, however you will no longer be able to claim CME credits for your participation in the course.
The views and opinions expressed in this activity are those of the faculty and do not necessarily reflect the views of the University of California, Irvine School of Medicine and/or the Academy of Integrative Health & Medicine.

Enroll Now!

This course is self-paced with no set beginning or end date. You may complete this course on your own schedule and pace. Enrolling in and purchasing this course grants you access to its contents in perpetuity. All required course activities must be completed to earn any eligible continuing education credit(s) and obtain a certificate of completion for this course.