Gynecological and urological chronic pelvic pain: tactics of cognitive behavioral psychotherapy

In everyday gynecological and urological practice, the multimorbid phenotype and polysyndromicity of a patient with chronic pelvic pain syndrome (СPPS) are underestimated.  The functional States of the patient partially overlap with mental comorbidity (anxiety spectrum disorders, depression, PTSD, somatoform disorders), which contributes to the strengthening of resistance.   The model of bladder-intestines-nervous system. The article describes for the first time the multimodal therapy of СPPS, which includes the integration of medical, physiotherapeutic and psychotherapeutic (cognitive-behavioral and somatocognitive therapy) approaches taking into account the needs of patients and their partners. The goals and targets of cognitive behavioral psychotherapy (CBT) of a patient with   СPPS are identified.  Cognitive-behavioral vicious circles of gynecological and urological pelvic pain are presented. The main СBT protocols are presented and their effectiveness is shown.