Photo of Tanya C Vyhovsky, Clinical Social Work/Therapist in 05404, VT
Tanya C Vyhovsky
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Winooski, VT 05404
Waitlist for new clients
I have a focus on providing collaborative support within a framework of social justice and a strong belief that each person has everything they need within them and sometimes we all lose touch with these things and could use some outside support to discover our answers. I view my role as a therapist as the bridge to the answers within that may be difficult to see. I believe that the context of our lives is important to understanding our experiences.
I have a focus on providing collaborative support within a framework of social justice and a strong belief that each person has everything they need within them and sometimes we all lose touch with these things and could use some outside support to discover our answers. I view my role as a therapist as the bridge to the answers within that may be difficult to see. I believe that the context of our lives is important to understanding our experiences.
(802) 779-9616 View (802) 779-9616
Photo of Kara DeLeonardis Kraus, Clinical Social Work/Therapist in 05404, VT
Kara DeLeonardis Kraus
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Winooski, VT 05404  (Online Only)
As a clinical social worker, I believe that we all have unique strengths and capacities to face the challenges in our lives. I work with my clients in a collaborative, empowering way. Through the therapy process, solutions and plans to move forward reveal themselves, as you grow more confident in your strengths, intuition and your vision for your life. Working with the stories and thoughts we carry about ourselves and the world, we work to create new ideas, beliefs and behaviors that will lead to a more fulfilling life.
As a clinical social worker, I believe that we all have unique strengths and capacities to face the challenges in our lives. I work with my clients in a collaborative, empowering way. Through the therapy process, solutions and plans to move forward reveal themselves, as you grow more confident in your strengths, intuition and your vision for your life. Working with the stories and thoughts we carry about ourselves and the world, we work to create new ideas, beliefs and behaviors that will lead to a more fulfilling life.
(802) 359-7232 View (802) 359-7232
Photo of Casey Goldman, Counselor in 05404, VT
Casey Goldman
Counselor, LCMHC
Verified Verified
Winooski, VT 05404
Not accepting new clients
*** I am NOT taking new clients at this time*** I am an advance-trained clinical hypnotherapist and LCMHC. I have personally experienced the healing and growth that comes from using clinical hypnotherapy within a supportive therapeutic milieu. I find the accelerated, effective results from clinical hypnosis very impressive and enjoy helping others heal and actualize change with this powerful technique. I approach counseling from a client-centered perspective, meet people where they are at, and help them get to where they want to be without judgement or pressure.
*** I am NOT taking new clients at this time*** I am an advance-trained clinical hypnotherapist and LCMHC. I have personally experienced the healing and growth that comes from using clinical hypnotherapy within a supportive therapeutic milieu. I find the accelerated, effective results from clinical hypnosis very impressive and enjoy helping others heal and actualize change with this powerful technique. I approach counseling from a client-centered perspective, meet people where they are at, and help them get to where they want to be without judgement or pressure.
(802) 731-9577 View (802) 731-9577
Chronic Pain Therapists

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, catastrophizing, 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 behavioral 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.