In recent years, there has been an emphasis on assessing the patient's pain when the patient presents to emergency departments. The Joint Commission mandates that all patients who present with pain must have a pain assessment performed and addressed early in their care. Most emergency departments are using a self-reported assessment of pain using a 1-10 scale of pain. This self-reported level of pain is used to determine appropriate treatment. The Joint Commission has only dealt with somatic pain and has not addressed psychological pain.