Chronic Pain Counselling in Stepney, London

Photo of NeuroAffective-CBT, Psychotherapist in Stepney, London, England
NeuroAffective-CBT
Psychotherapist, MSc, MBABCP
Verified Verified
Stepney, London E1
I coined the term "empathic-mentalisation" to highlight therapist’s skilful ability to connect with his client in a way that would allow the therapist to not just hear and understand (at a cognitive level) patients’ vulnerabilities but instead to allow himself to feel his client’s pain in a way which will help the client.
Sarah is a successful paralegal in the City who struggled with shameful feelings and self-disgust most of her life. Typically as Christmas was approaching and lots of parties invitations started to arrive on her desk, she would surrender into procrastination and self-criticism, in order to avoid a situation she felt likely to fail, supported by an exaggerated set of predictions about social embarrassment or other social disasters. Sarah struggles to improve her confidence and esteem - in spite of a successful academic and professional life. Her efforts are genuine but exhausting and she often is trapped by episodes of depression.
I coined the term "empathic-mentalisation" to highlight therapist’s skilful ability to connect with his client in a way that would allow the therapist to not just hear and understand (at a cognitive level) patients’ vulnerabilities but instead to allow himself to feel his client’s pain in a way which will help the client.
Sarah is a successful paralegal in the City who struggled with shameful feelings and self-disgust most of her life. Typically as Christmas was approaching and lots of parties invitations started to arrive on her desk, she would surrender into procrastination and self-criticism, in order to avoid a situation she felt likely to fail, supported by an exaggerated set of predictions about social embarrassment or other social disasters. Sarah struggles to improve her confidence and esteem - in spite of a successful academic and professional life. Her efforts are genuine but exhausting and she often is trapped by episodes of depression.
07479 276083 View 07479 276083
Photo of Dr Elvis Langley, Psychologist in Stepney, London, England
Dr Elvis Langley
Psychologist, DCounsPsych, CPsychol
Verified Verified
1 Endorsed
Stepney, London E1
Whether you are struggling with a specific issue, or are just looking for more meaning, psychotherapy can help you make sense of your past and present situation, approach your life and relationships with more awareness, self-esteem, direction and purpose, and let go of the pain of the past.
I am a UKCP qualified Integrative Psychotherapist (UKCP) and Chartered Counselling Psychologist (DCPsych, CPsychol.). Everyone deserves to have someone in their lives who can listen compassionately and hold a space of non-judgemental understanding. I try to offer that space, first and foremost. While doing this, I seek to understand where things may have been difficult and hold in mind your potential for growth and change. The underlying core of my approach is based on respecting your needs and safety, as well as helping you bring out your innate wisdom and strengths.
Whether you are struggling with a specific issue, or are just looking for more meaning, psychotherapy can help you make sense of your past and present situation, approach your life and relationships with more awareness, self-esteem, direction and purpose, and let go of the pain of the past.
I am a UKCP qualified Integrative Psychotherapist (UKCP) and Chartered Counselling Psychologist (DCPsych, CPsychol.). Everyone deserves to have someone in their lives who can listen compassionately and hold a space of non-judgemental understanding. I try to offer that space, first and foremost. While doing this, I seek to understand where things may have been difficult and hold in mind your potential for growth and change. The underlying core of my approach is based on respecting your needs and safety, as well as helping you bring out your innate wisdom and strengths.
020 3984 9270 View 020 3984 9270
Photo of Dr Aishwarya Sambath, Psychologist in Stepney, London, England
Dr Aishwarya Sambath
Psychologist, DCounsPsych, HCPC - Clin. Psych.
Verified Verified
Stepney, London E1
I am a Chartered Counselling Psychologist based in Central London. I work with a wide range of emotional difficulties and aim to work towards making a positive change. I appreciate the challenges and stresses life can bring and will aim to work with you by creating a safe, warm and non-judgmental space, whilst using evidenced-based psychological interventions to make sense of your difficulties, reducing your pain and increasing your wellbeing. With 9 years’ experience of counselling and mental health work within the NHS, private and charity sector, I have gained extensive knowledge and skills working with multiple difficulties
I am a Chartered Counselling Psychologist based in Central London. I work with a wide range of emotional difficulties and aim to work towards making a positive change. I appreciate the challenges and stresses life can bring and will aim to work with you by creating a safe, warm and non-judgmental space, whilst using evidenced-based psychological interventions to make sense of your difficulties, reducing your pain and increasing your wellbeing. With 9 years’ experience of counselling and mental health work within the NHS, private and charity sector, I have gained extensive knowledge and skills working with multiple difficulties
07495 728991 View 07495 728991
Photo of Lisa Michelle Harvey, Psychologist in Stepney, London, England
Lisa Michelle Harvey
Psychologist, HCPC - Clin. Psych.
Verified Verified
Stepney, London E1
It is even more so, when struggling daily with indecision, fear, pain or lack of motivation.
I have been lucky enough in my career to date to work with some incredibly inspiring and brave individuals who have been at a crossroads in their life. Sometimes making change felt frightening or impossible due to past beliefs, stuck patterns of behaviour or limiting thought processes. Others were struggling to move on after devastation, illness, loss or identity crisis. I believe it is a privilege to be able to guide those in need at these times due to the courage and vulnerability they show. They are asking from the heart for a new beginning - to break from the past, not feel scared by the future and live truly in the present.
It is even more so, when struggling daily with indecision, fear, pain or lack of motivation.
I have been lucky enough in my career to date to work with some incredibly inspiring and brave individuals who have been at a crossroads in their life. Sometimes making change felt frightening or impossible due to past beliefs, stuck patterns of behaviour or limiting thought processes. Others were struggling to move on after devastation, illness, loss or identity crisis. I believe it is a privilege to be able to guide those in need at these times due to the courage and vulnerability they show. They are asking from the heart for a new beginning - to break from the past, not feel scared by the future and live truly in the present.
01798 305084 View 01798 305084
Photo of Gordon Wax, Psychotherapist in Stepney, London, England
Gordon Wax
Psychotherapist, MBACP
Verified Verified
Stepney, London E14
Hi, my name is Gordon. Welcome! I’m an experienced counsellor based in East London, working both online and in person. I was born and raised in London. Personal therapy helped me to untangle my relationship with myself and my emotions. The world alone is a chaotic place to manage our own unknowns, anxieties, and traumas. I understand that everyone experiences the world in different ways, so unique problems require bespoke responses. Our lives are constantly changing, so it’s natural to feel emotions strongly, think differently and respond atypically. I help clients explore all spheres of their life to help build hope and cope
Hi, my name is Gordon. Welcome! I’m an experienced counsellor based in East London, working both online and in person. I was born and raised in London. Personal therapy helped me to untangle my relationship with myself and my emotions. The world alone is a chaotic place to manage our own unknowns, anxieties, and traumas. I understand that everyone experiences the world in different ways, so unique problems require bespoke responses. Our lives are constantly changing, so it’s natural to feel emotions strongly, think differently and respond atypically. I help clients explore all spheres of their life to help build hope and cope
020 3871 8210 View 020 3871 8210
Photo of Gabriella Carpentieri, Psychotherapist in Stepney, London, England
Gabriella Carpentieri
Psychotherapist, MBABCP
Verified Verified
Stepney, London E3  (Online Only)
We begin therapy by having a shared understanding of the problems you are experiencing, including how the problems came about and what is keep them going. and what you would like to get out of therapy. We would like then to make a plan together to uncover deep-rooted patterns, belief systems, memories and examine their impacts on your different aspects of your life. We would gently exploring alternative routes together to embrace changes going forward. Although beginning therapy can be scary, you will be provided a space in which you will feel heard and comfortable.
We begin therapy by having a shared understanding of the problems you are experiencing, including how the problems came about and what is keep them going. and what you would like to get out of therapy. We would like then to make a plan together to uncover deep-rooted patterns, belief systems, memories and examine their impacts on your different aspects of your life. We would gently exploring alternative routes together to embrace changes going forward. Although beginning therapy can be scary, you will be provided a space in which you will feel heard and comfortable.
020 3816 3689 View 020 3816 3689
Photo of Sarah Marzillier, Psychologist in Stepney, London, England
Sarah Marzillier
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Stepney, London E1  (Online Only)
Hi, I'm Sarah. I specialise in trauma/PTSD, anxiety and depression, physical health conditions, spirituality and sexual and relationship problems. I am very experienced in third wave CBT, the trauma therapies (including EMDR) and energy psychology. I am polyamory, BDSM and kink aware. I am sex positive and supportive of diverse relationship orientations, sexualities and lifestyles. I have just completed a Certificate in Psychosexual Therapy.
Hi, I'm Sarah. I specialise in trauma/PTSD, anxiety and depression, physical health conditions, spirituality and sexual and relationship problems. I am very experienced in third wave CBT, the trauma therapies (including EMDR) and energy psychology. I am polyamory, BDSM and kink aware. I am sex positive and supportive of diverse relationship orientations, sexualities and lifestyles. I have just completed a Certificate in Psychosexual Therapy.
01904 929110 View 01904 929110
Photo of Jamil Ahmed, Psychotherapist in Stepney, London, England
Jamil Ahmed
Psychotherapist, MA, MBACP
Verified Verified
Stepney, London E1
As we are thrown into the thick of life, it is our response to these circumstances which reveal who we are and where we may want to go. As life is anything but a linear process - we may often stumble or get stuck along the way. We may even describe the stumbling blocks as anxiety, depression, numbness or even shame. Some of our work could involve examining those stumbling blocks and challenging your ideas, choices and reasoning processes. I encourage you to remain open to all aspects and stimulate you to consider ones often overlooked.
As we are thrown into the thick of life, it is our response to these circumstances which reveal who we are and where we may want to go. As life is anything but a linear process - we may often stumble or get stuck along the way. We may even describe the stumbling blocks as anxiety, depression, numbness or even shame. Some of our work could involve examining those stumbling blocks and challenging your ideas, choices and reasoning processes. I encourage you to remain open to all aspects and stimulate you to consider ones often overlooked.
020 4538 9011 View 020 4538 9011
Photo of Daniel Oppioli, Psychotherapist in Stepney, London, England
Daniel Oppioli
Psychotherapist, MSc, MUKCP
Verified Verified
Stepney, London E1
Hello my name is Daniele Oppioli and I am fully qualified Clinical Psychotherapist and Counsellor. I offer counselling and psychotherapy in a non-judgmental, highly confidential, safe, accepting and affirmative environment where you will be fully supported in exploring your challenges at your own pace, getting to the sources of your concerns, doubts, anxieties and insecurities and allowing you to develop a reparative awareness of those patterns that were not available to you before. I work with LGBTQ, heterosexual and cysgender individuals of different age, gender identity, sexual orientation, origins, culture, profession etc.
Hello my name is Daniele Oppioli and I am fully qualified Clinical Psychotherapist and Counsellor. I offer counselling and psychotherapy in a non-judgmental, highly confidential, safe, accepting and affirmative environment where you will be fully supported in exploring your challenges at your own pace, getting to the sources of your concerns, doubts, anxieties and insecurities and allowing you to develop a reparative awareness of those patterns that were not available to you before. I work with LGBTQ, heterosexual and cysgender individuals of different age, gender identity, sexual orientation, origins, culture, profession etc.
01748 901507 View 01748 901507
Photo of Nakita Jangra, Counsellor in Stepney, London, England
Nakita Jangra
Counsellor, MBACP
Verified Verified
Stepney, London E1
Whatever may be troubling you, I can help. Our lives are impacted by our history, culture, social circumstances, friendships and a whole host of other factors. These aspects condition us to respond and interact with people and situations in our lives in very particular ways. My work with you would be to understand your life from your unique perspective and help you get in touch with a more resourced part of yourself, which is beyond the psychological and social conditioning, to help you overcome any difficulties or challenges you may be facing.
Whatever may be troubling you, I can help. Our lives are impacted by our history, culture, social circumstances, friendships and a whole host of other factors. These aspects condition us to respond and interact with people and situations in our lives in very particular ways. My work with you would be to understand your life from your unique perspective and help you get in touch with a more resourced part of yourself, which is beyond the psychological and social conditioning, to help you overcome any difficulties or challenges you may be facing.
020 3871 8591 View 020 3871 8591
Photo of Carlotta Castiglioni, Psychotherapist in Stepney, London, England
Carlotta Castiglioni
Psychotherapist, MA, MBACP Accred
Verified Verified
Stepney, London E1
I have always been fascinated by the complexity of human beings, their darkness and their lights. I consider the therapeutic room not only as a space for self-reflection and exploration of what feels difficult to process on your own, but also a place to speak the unspeakable. Therapy can provide an opportunity to challenge behaviours that may appear unchangeable or automatic. As a practitioner I am interested in the integration of cultural and gender studies and have experience working with depression, isolation, sexual identity, existential difficulties, relational dilemmas and bereavement.
I have always been fascinated by the complexity of human beings, their darkness and their lights. I consider the therapeutic room not only as a space for self-reflection and exploration of what feels difficult to process on your own, but also a place to speak the unspeakable. Therapy can provide an opportunity to challenge behaviours that may appear unchangeable or automatic. As a practitioner I am interested in the integration of cultural and gender studies and have experience working with depression, isolation, sexual identity, existential difficulties, relational dilemmas and bereavement.
020 3962 0733 View 020 3962 0733

Online Therapists

Photo of Sinem Uyanik, Psychotherapist in Stepney, London, England
Sinem Uyanik
Psychotherapist, MBACP Accred
Verified Verified
London NW5  (Online Only)
I specialize in working with depression, anxiety, relationship problems and break-down, major life changes, life crisis, eating disorders, trauma, PTSD, OCD, Borderline Personality Disorder, bereavement, managing stress relating to chronic illness and medical crisis.
Life can become overwhelming, confusing, and difficult to manage. Experiences such as loss, bereavement and major life changes like a medical crisis can make us lose our sense of self and purpose. Depression, anxiety and personality disorders can distort our sense of self, rob us off our full personal potential and quality of life leaving us feeling depleted. Therapy is a place to regain and restore your sense of self and purpose and to help you turn these experiences to an opportunity to grow.
I specialize in working with depression, anxiety, relationship problems and break-down, major life changes, life crisis, eating disorders, trauma, PTSD, OCD, Borderline Personality Disorder, bereavement, managing stress relating to chronic illness and medical crisis.
Life can become overwhelming, confusing, and difficult to manage. Experiences such as loss, bereavement and major life changes like a medical crisis can make us lose our sense of self and purpose. Depression, anxiety and personality disorders can distort our sense of self, rob us off our full personal potential and quality of life leaving us feeling depleted. Therapy is a place to regain and restore your sense of self and purpose and to help you turn these experiences to an opportunity to grow.
01792 720572 View 01792 720572
Photo of Jodun Du Puy, Psychotherapist in Stepney, London, England
Jodun Du Puy
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
London SE16
If you are looking for a psychotherapist who can help you to explore the root cause of your difficulties and find creative solutions to help you find more freedom, joy and peace then I could be right for you. As an experienced and state registered Art Psychotherapist MA (2009) I've worked in the NHS, schools, charities and mental health services to help people to make sense of their pain, heal their grief, find their voice and create a new life for themselves. Finding the right therapist is really important (and sometimes a little intimidating!) so I offer a free 15 minute chat before a consultation.
If you are looking for a psychotherapist who can help you to explore the root cause of your difficulties and find creative solutions to help you find more freedom, joy and peace then I could be right for you. As an experienced and state registered Art Psychotherapist MA (2009) I've worked in the NHS, schools, charities and mental health services to help people to make sense of their pain, heal their grief, find their voice and create a new life for themselves. Finding the right therapist is really important (and sometimes a little intimidating!) so I offer a free 15 minute chat before a consultation.
020 3947 4018 View 020 3947 4018
Photo of Samantha Jayne Byron, Psychotherapist in Stepney, London, England
Samantha Jayne Byron
Psychotherapist, BACP
Verified Verified
As a clinical psychotherapist,​ I have over 10 year’s experience of working with patients and clients with many different struggles and difficulties. Trained as an integrative therapist, I work in a unique way that is based on your own individual needs. I believe that everyone is different and not every modality suits everyone. I know only too well how difficult life can be, yet uniquely different, we all suffer pain and loss in many similar ways. I feel truly humbled to work in this field and would be honoured to support you. You are not alone.
As a clinical psychotherapist,​ I have over 10 year’s experience of working with patients and clients with many different struggles and difficulties. Trained as an integrative therapist, I work in a unique way that is based on your own individual needs. I believe that everyone is different and not every modality suits everyone. I know only too well how difficult life can be, yet uniquely different, we all suffer pain and loss in many similar ways. I feel truly humbled to work in this field and would be honoured to support you. You are not alone.
020 3984 8715 View 020 3984 8715
Photo of Lucy Okocha, Counsellor in Stepney, London, England
Lucy Okocha
Counsellor, MBACP Accred
Verified Verified
London W5  (Online Only)
I specialise in substance misuse, mental illness and Domestic Violence.
Life is an adventure. Only through exploring a new path, the strength you will feel tomorrow will move you forward for that change. Reaching out can be overwhelming, daunting draining & can lead to a downward spiral, of being in a dark place, if you do not have the support, which pushes you to your comfort zone. This can sometimes be more harmful than helpful to your journey of change, if you cannot trust, feel uncomfortable to open up, or have no one that really listens to your cries, as you feel you are seen, but not heard, undervalued or not acknowledged. Let alone checked in, if you are okay. Well guess what? YOU are not alone.
I specialise in substance misuse, mental illness and Domestic Violence.
Life is an adventure. Only through exploring a new path, the strength you will feel tomorrow will move you forward for that change. Reaching out can be overwhelming, daunting draining & can lead to a downward spiral, of being in a dark place, if you do not have the support, which pushes you to your comfort zone. This can sometimes be more harmful than helpful to your journey of change, if you cannot trust, feel uncomfortable to open up, or have no one that really listens to your cries, as you feel you are seen, but not heard, undervalued or not acknowledged. Let alone checked in, if you are okay. Well guess what? YOU are not alone.
01748 901331 View 01748 901331
Photo of Geraldine Beirne, Counsellor in Stepney, London, England
Geraldine Beirne
Counsellor, MBACP
Verified Verified
2 Endorsed
I work with all sorts of issues including low self-esteem, trauma, anxiety, chronic pain, spirituality, creativity, life purpose, and psychedelic integration and preparation.
I'm a qualified and experienced Psychosynthesis therapist registered with the BACP, offering short and long term counselling and psychotherapy to adults, as well as plant medicine preparation and integration sessions. This will be in-person at my healing space in north London and on Zoom. Psychosynthesis is psychodynamic in its roots (ie your current problems and behaviour patterns are related to childhood) but takes a humanistic approach ie we look for the potential for self growth in your life challenges and suffering, instead of just trying to fix the problem.
I work with all sorts of issues including low self-esteem, trauma, anxiety, chronic pain, spirituality, creativity, life purpose, and psychedelic integration and preparation.
I'm a qualified and experienced Psychosynthesis therapist registered with the BACP, offering short and long term counselling and psychotherapy to adults, as well as plant medicine preparation and integration sessions. This will be in-person at my healing space in north London and on Zoom. Psychosynthesis is psychodynamic in its roots (ie your current problems and behaviour patterns are related to childhood) but takes a humanistic approach ie we look for the potential for self growth in your life challenges and suffering, instead of just trying to fix the problem.
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Photo of Dr Haris Yennadiou, Psychologist in Stepney, London, England
Dr Haris Yennadiou
Psychologist, HCPC - Clin. Psych.
Verified Verified
2 Endorsed
Hello my name is Dr Haris Yennadiou. I am a compassionate HCPC registered Principal Clinical Psychologist with more than 12 years experience working in the NHS in physical health and mental health services. I provide specialist support for a wide range of psychological difficulties including anxiety, depression and PTSD. I also have extensive experience working with people affected by health conditions including cancer, haematological conditions (thrombosis, haemophilia, sickle cell) and chronic pain.
Hello my name is Dr Haris Yennadiou. I am a compassionate HCPC registered Principal Clinical Psychologist with more than 12 years experience working in the NHS in physical health and mental health services. I provide specialist support for a wide range of psychological difficulties including anxiety, depression and PTSD. I also have extensive experience working with people affected by health conditions including cancer, haematological conditions (thrombosis, haemophilia, sickle cell) and chronic pain.
020 3958 4048 View 020 3958 4048
Photo of Daska Hatton, Psychotherapist in Stepney, London, England
Daska Hatton
Psychotherapist, MUKCP
Verified Verified
1 Endorsed
Come home to yourself. Allow the mind to calm and the body to soften and release. Who are you underneath the noise of the world?  What needs to be heard today and on what level? For over 25 years, I have assisted people in profound transformation through bodywork and psychotherapy. As I am trained in Integrative Transpersonal Psychotherapy, the Alexander Technique and Craniosacral Therapy, my work can help to identify and resolve pain and discomfort, whether manifesting in the body, mind, or more usually a combination of both. Where, after all, do your thoughts and feelings occur if not in the body?
Come home to yourself. Allow the mind to calm and the body to soften and release. Who are you underneath the noise of the world?  What needs to be heard today and on what level? For over 25 years, I have assisted people in profound transformation through bodywork and psychotherapy. As I am trained in Integrative Transpersonal Psychotherapy, the Alexander Technique and Craniosacral Therapy, my work can help to identify and resolve pain and discomfort, whether manifesting in the body, mind, or more usually a combination of both. Where, after all, do your thoughts and feelings occur if not in the body?
020 3871 8332 View 020 3871 8332
Photo of Soul Full Psychotherapy, Psychotherapist in Stepney, London, England
Soul Full Psychotherapy
Psychotherapist
Verified Verified
London NW8  (Online Only)
Being validated by another human, being witnessed in our emotional pain helps us to heal and to understand ourself better.
Are you done with wondering why you're different? Are you exploring neurodiversity and noticing that pieces of the puzzle are falling together? Are you looking to make sense of your self, and understand yourself better so that you can be the best, most authentic version of yourself? I see you. Do you want to be better able to communicate your needs, to make life easier for yourself and those around you? Adults who suspect or are diagnosed as neurodiverse go through a transition process, of shedding who we thought we were and truly accepting who we are. I can help you with that.
Being validated by another human, being witnessed in our emotional pain helps us to heal and to understand ourself better.
Are you done with wondering why you're different? Are you exploring neurodiversity and noticing that pieces of the puzzle are falling together? Are you looking to make sense of your self, and understand yourself better so that you can be the best, most authentic version of yourself? I see you. Do you want to be better able to communicate your needs, to make life easier for yourself and those around you? Adults who suspect or are diagnosed as neurodiverse go through a transition process, of shedding who we thought we were and truly accepting who we are. I can help you with that.
020 3912 7474 View 020 3912 7474
Photo of Dr Kitty Clark-McGhee, Psychologist in Stepney, London, England
Dr Kitty Clark-McGhee
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
London E9  (Online Only)
Waitlist for new clients
I specialise in individual and couples therapy for stress and anxiety, low mood and depression, grief and bereavement, relationship difficulties, and challenges at times of life transition (for example, severe illness, new parenthood, menopause, retirement).
Each one of us has times in life when we feel uncertain of how to move forward. Perhaps you’ve noticed yourself getting stuck in unhelpful patterns or cycles of behaviour and you’re finding it hard to see a way out? Or you’re experiencing difficult feelings that are getting in the way of living a more fulfilled, contented life? I work collaboratively with clients to make sense of, and work through, the challenges that have brought them to therapy, and I have witnessed profound psychological growth within my clients, as they have engaged in the often-challenging process of therapy.
I specialise in individual and couples therapy for stress and anxiety, low mood and depression, grief and bereavement, relationship difficulties, and challenges at times of life transition (for example, severe illness, new parenthood, menopause, retirement).
Each one of us has times in life when we feel uncertain of how to move forward. Perhaps you’ve noticed yourself getting stuck in unhelpful patterns or cycles of behaviour and you’re finding it hard to see a way out? Or you’re experiencing difficult feelings that are getting in the way of living a more fulfilled, contented life? I work collaboratively with clients to make sense of, and work through, the challenges that have brought them to therapy, and I have witnessed profound psychological growth within my clients, as they have engaged in the often-challenging process of therapy.
020 3835 2251 View 020 3835 2251
Chronic Pain Counsellors

How does chronic pain therapy work?

Engaging with a psychotherapist to help treat chronic pain does not mean that one’s pain is all in their head. Therapy for chronic-pain patients has been shown to benefit both the mind and the body, targeting physical symptoms and increasing daily functioning. In other words, for many, addressing their emotional health through therapy affects their physical health. A therapist can help a client challenge unhelpful thoughts about pain and develop new ways to respond to it, such as distraction or calming breathing techniques. Studies have found that therapy can be as effective as surgery for certain cases of chronic pain and many doctors recommend trying psychotherapy in advance of considering invasive surgery.

What are the most effective treatment options for chronic pain?

Stress, anxiety, depression, catastrophising, ruminating, lack of activity, and social withdrawal all make chronic pain worse. Addressing these issues, research shows, can help people gain control over their pain symptoms. Therapeutic approaches such as cognitive behavioural therapy, biofeedback, and mindfulness-based stress reduction, along with greater pain-management education, have been found to help people reduce fear and disability.

Are there new treatments for chronic pain?

Many cases of chronic pain, particularly those involving back pain, remain medically unexplained. But there is evidence that changes in the brain or nervous system are caused by previous physical ailments such as tissue damage; in such cases, the brain may continue to send out pain signals despite the physical cause having healed. To aid patients under these circumstances, a recently developed treatment known as pain reprocessing therapy (PRT) is designed to help the brain “unlearn” this response. A PRT practitioner helps individuals to reduce the “threat value” of their ongoing pain signals until they can reappraise them as less threatening and fear-inducing. They also help an individual to develop new emotional regulation skills.

How long does therapy for chronic pain take?

There is no set timeline for recovery from chronic pain, especially as there may be a range of physical and psychological causes for any individual’s discomfort, but most patients should expect to see a therapist for a number of weeks or months, typically spanning at least 12 sessions. Studies of pain reprocessing therapy found that many individuals’ experience of pain lessened in eight sessions over four weeks.