Emotional Awareness and Expression Therapy for People With Persistent Pain Following Orthopedic Trauma

Inclusion Criteria: * One or more acute orthopedic injuries * The patient sustained an orthopedic injury including, but not limited to: * Pelvic or acetabulum fracture * Open/displaced comminuted fracture of long bones * Upper extremity injuries with a major nerve involvement * Injuries with significant injuries to major blood vessels * Traumatic amputation of big toe, thumb, or proximal to the wrist or ankle. * Initial admission to the trauma or orthopedic center/service of the participating hospital OR all necessary screening and patient characteristic data available in medical record (determination based on information available at time of enrollment) * 18 years old or older * Received operative fixation for at least one acute orthopaedic injury at a participating hospital. Patients should be recruited at the time of primary injury, not revision or complication surgery * Average Brief Pain Inventory Score \> 3/10 * Presence of pain most days (\> 3 days/week) for past three months Exclusion Criteria: * peri-prosthetic fractures of the femur (regardless of etiology) * non-ambulatory due to an associated spinal cord injury * non-ambulatory pre-injury * currently pregnant * moderate or severe traumatic brain injury (TBI), as evidenced by intracranial hemorrhage present on admission CT * major amputation(s) of the upper or lower extremities * non-English speaking * Likely to have severe problems with maintaining follow-up for any of the following reasons: * The patient has been diagnosed with a severe psychiatric conditions * The patient has current alcohol and/or drug addiction based on medical record or patient self-report. * The patient is intellectually challenged without adequate family support * The patient lives outside the hospital's catchment area * The patient follow-up is planned at another medical center * The patient is a prisoner * The patient is homeless * Other