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Chronic pain also affects the psychological and emotional states of patients, and can affect their confidence, communication, and actions. Assertiveness training helps patients take charge of their pain management. Patients need to accept and believe the presence of their pain, in addition to the real impacts it has on their lives.

After a patient has accepted their chronic pain, barriers are removed to treatment and management. It is important that patients remove the psychological barriers, including guilt, rash behavior, or the belief that their pain is imaginary.

Assertiveness training can also improve communication skills, which can aid in reducing and managing the emotional impact of chronic pain.