This chapter describes cognitive behavioral techniques for pain management. Cognitive behavioral therapy (CBT) has been shown to be effective in the treatment of pain caused by disease states and musculoskeletal problems. The ultimate goals of CBT for pain management are to increase functional activities and to improve self-management of pain. CBT teaches the application of new skills through the use of homework and self-monitoring. This chapter covers the psychoeducation, symptom monitoring, exercise, communication skills training, pacing, and relaxation. While CBT has the most empirical support for the treatment of chronic pain, research has shown that acceptance and commitment therapy (ACT) has modest support as an empirical treatment for pain management.