Chronic Pain Therapists in Mammoth Lakes, CA

Photo of Dr. Lianne Salcido, Psychologist in Mammoth Lakes, CA
Dr. Lianne Salcido
Psychologist, PsyD
Verified Verified
Mammoth Lakes, CA 93546  (Online Only)
I believe that the mind and body are interconnected. We often experience emotional pain when our bodies are struggling with illness or medical problems. As a therapist with specialized training in health psychology and behavioral medicine, my work emphasizes this mind-body connection. My primary areas of expertise focus on the treatment of insomnia, coping with illness, sexual health, chronic pain, and stress management in adults. Additionally, I help individuals cope with psychological concerns, such as anxiety, depression, adjustment to life transitions, and relationship difficulties.
I believe that the mind and body are interconnected. We often experience emotional pain when our bodies are struggling with illness or medical problems. As a therapist with specialized training in health psychology and behavioral medicine, my work emphasizes this mind-body connection. My primary areas of expertise focus on the treatment of insomnia, coping with illness, sexual health, chronic pain, and stress management in adults. Additionally, I help individuals cope with psychological concerns, such as anxiety, depression, adjustment to life transitions, and relationship difficulties.
(650) 797-0322 View (650) 797-0322
Photo of Eastern Sierra Counseling, Clinical Social Work/Therapist in Mammoth Lakes, CA
Eastern Sierra Counseling
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Mammoth Lakes, CA 93546
Eastern Sierra Counseling has ten different therapists including Daniel Ranson, LCSW (pictured) working both in-person and telehealth in Ridgecrest, Bishop, and Mammoth Lakes, California. We also manage the only in-person psychiatry practice in all three of these locations so that our team can offer a comprehensive, behavioral health experience to meet patient needs. We presently operate the largest employee assistance program in Mono and Inyo counties.
Eastern Sierra Counseling has ten different therapists including Daniel Ranson, LCSW (pictured) working both in-person and telehealth in Ridgecrest, Bishop, and Mammoth Lakes, California. We also manage the only in-person psychiatry practice in all three of these locations so that our team can offer a comprehensive, behavioral health experience to meet patient needs. We presently operate the largest employee assistance program in Mono and Inyo counties.
(760) 709-0262 View (760) 709-0262

Online Therapists

Photo of Priscilla J Mucciaccio, Marriage & Family Therapist in Mammoth Lakes, CA
Priscilla J Mucciaccio
Marriage & Family Therapist, MA, LMFT
Verified Verified
Fresno, CA 93711
Are you stuck in a vicious cycle of little to no motivation, low self-esteem, and unfulfilled goals? Has that cycle led to increased anxiety and depression? Whether you find yourself at this point due to traumatic childhood experiences or another reason, one thing’s very clear: pushing through doesn’t work anymore. You can’t control your emotions. The crying spells and angry outbursts are affecting your work and personal life. What do you do? You need to get to the cause of the pain and then work through it. There are many ways to overcome your challenges, but therapy is usually the quickest, most effective, and safest way to do it.
Are you stuck in a vicious cycle of little to no motivation, low self-esteem, and unfulfilled goals? Has that cycle led to increased anxiety and depression? Whether you find yourself at this point due to traumatic childhood experiences or another reason, one thing’s very clear: pushing through doesn’t work anymore. You can’t control your emotions. The crying spells and angry outbursts are affecting your work and personal life. What do you do? You need to get to the cause of the pain and then work through it. There are many ways to overcome your challenges, but therapy is usually the quickest, most effective, and safest way to do it.
(559) 296-3042 View (559) 296-3042
Photo of Dr. Deanna N. Mercado, Marriage & Family Therapist in Mammoth Lakes, CA
Dr. Deanna N. Mercado
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
Visalia, CA 93291
Dr. Deanna Mercado is a Clinical Psychologist and a Licensed Marriage and Family Therapist.She is a first-generation Latina, bilingual clinician with over 18 years of experience in the field of behavioral health. Her background encompuses treating individuals with severe and persistent mental illness, correctional mental health services for incarcerated youth and adults, crisis management, psychological testing services, educational and corporate psychology.
Dr. Deanna Mercado is a Clinical Psychologist and a Licensed Marriage and Family Therapist.She is a first-generation Latina, bilingual clinician with over 18 years of experience in the field of behavioral health. Her background encompuses treating individuals with severe and persistent mental illness, correctional mental health services for incarcerated youth and adults, crisis management, psychological testing services, educational and corporate psychology.
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Photo of Jeanette Lasater, Marriage & Family Therapist in Mammoth Lakes, CA
Jeanette Lasater
Marriage & Family Therapist, MS, LMFT, 40853
Verified Verified
Columbia, CA 95310  (Online Only)
Waitlist for new clients
Research has shown EFT to be effective in reducing symptoms of anxiety, Trauma, Post Traumatic Stress Disorder (PTSD), and Chronic Pain that is related to stress.
ONLINE SESSIONS NOW AVAILABLE. I help adults recover from childhood and adult trauma with the use of body centered therapies. Unresolved trauma often negatively affects our relationships, careers, and physical, mental, emotional, & spiritual health. People who have experienced trauma are often doing the very best they know how to deal with the emotional and physiological response to what has happened to them. People often don't realize the struggles they are having in their lives can be linked to things that have happened in the past. They try to change their behavior with little to no success, or easily fall back into old habits.
Research has shown EFT to be effective in reducing symptoms of anxiety, Trauma, Post Traumatic Stress Disorder (PTSD), and Chronic Pain that is related to stress.
ONLINE SESSIONS NOW AVAILABLE. I help adults recover from childhood and adult trauma with the use of body centered therapies. Unresolved trauma often negatively affects our relationships, careers, and physical, mental, emotional, & spiritual health. People who have experienced trauma are often doing the very best they know how to deal with the emotional and physiological response to what has happened to them. People often don't realize the struggles they are having in their lives can be linked to things that have happened in the past. They try to change their behavior with little to no success, or easily fall back into old habits.
(209) 661-7457 View (209) 661-7457
Photo of Todd Cospewicz, Licensed Professional Clinical Counselor in Mammoth Lakes, CA
Todd Cospewicz
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Fresno, CA 93705
Todd has extensive experience working with Depression, Anxiety, ADHD/ADD, Mood Disorders, Chronic Pain and Disability, Grief, Loss and other Adjustments and Life Transitions,.
Todd Cospewicz is a Licensed Professional Clinical Counselor in the State of California, a Licensed Clinical Professional Counselor in the State of Nevada, and a Licensed Professional Counselor in the State of Colorado He received his Master of Science in Counseling from California State University, Los Angeles with a concentration in Mental Health Counseling and a Minor in Rehabilitation Counseling. He believes in the unique experiences that shape who we are through life experiences that develop core beliefs.
Todd has extensive experience working with Depression, Anxiety, ADHD/ADD, Mood Disorders, Chronic Pain and Disability, Grief, Loss and other Adjustments and Life Transitions,.
Todd Cospewicz is a Licensed Professional Clinical Counselor in the State of California, a Licensed Clinical Professional Counselor in the State of Nevada, and a Licensed Professional Counselor in the State of Colorado He received his Master of Science in Counseling from California State University, Los Angeles with a concentration in Mental Health Counseling and a Minor in Rehabilitation Counseling. He believes in the unique experiences that shape who we are through life experiences that develop core beliefs.
(657) 571-3366 View (657) 571-3366
Photo of Nnenna Ndika, Psychologist in Mammoth Lakes, CA
Nnenna Ndika
Psychologist, PhD
Verified Verified
1 Endorsed
Fresno, CA 93711  (Online Only)
Healing is a personal and unique journey for each individual, which might be made more tolerable and attainable within a secure and nonjudgmental therapeutic relationship. If you are experiencing mood disturbances, anxiety, relationship difficulties, acculturative stress and other stress related issues, current distress due to past traumatic experiences, chronic pain issues, grief and loss, hallucinatory experiences, phase of life/mid life crisis, and abuse issues, I can be of support to you.
Healing is a personal and unique journey for each individual, which might be made more tolerable and attainable within a secure and nonjudgmental therapeutic relationship. If you are experiencing mood disturbances, anxiety, relationship difficulties, acculturative stress and other stress related issues, current distress due to past traumatic experiences, chronic pain issues, grief and loss, hallucinatory experiences, phase of life/mid life crisis, and abuse issues, I can be of support to you.
(559) 927-7007 View (559) 927-7007
Photo of Claudia Forster, LMFT, Marriage & Family Therapist in Mammoth Lakes, CA
Claudia Forster, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sonora, CA 95370
I treat ADHD, depression, anxiety, parenting issues, substance abuse, self-injurious behaviors, trauma/PTSD, life transitions, and chronic pain.
Are you worried, fearful or depressed? Would you like guidance, options and a new perspective? I can help you live a more satisfying life through compassionate listening, honest feedback, and a focus on results. My goal is that you learn skills to maintain the changes that satisfy you. If you desire a greater ability to understand and control your emotions and feel content, I can help you. Discover opportunities to see yourself differently than you currently do and create an effective, positive and lasting change. We will focus on getting the results you need to live a more satisfying life.
I treat ADHD, depression, anxiety, parenting issues, substance abuse, self-injurious behaviors, trauma/PTSD, life transitions, and chronic pain.
Are you worried, fearful or depressed? Would you like guidance, options and a new perspective? I can help you live a more satisfying life through compassionate listening, honest feedback, and a focus on results. My goal is that you learn skills to maintain the changes that satisfy you. If you desire a greater ability to understand and control your emotions and feel content, I can help you. Discover opportunities to see yourself differently than you currently do and create an effective, positive and lasting change. We will focus on getting the results you need to live a more satisfying life.
(209) 323-2952 View (209) 323-2952
Photo of Elisa Villafana, Clinical Social Work/Therapist in Mammoth Lakes, CA
Elisa Villafana
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Exeter, CA 93221  (Online Only)
I want to be that guiding light and help you overcome the pain and conflict you are experiencing.
Are you struggling with anxiety or depression? Maybe you are feeling overwhelmed with work or life transitions and need support to manage the stress? Are you struggling with internal pain, grief and sadness due to a chronic illness or loss of a loved one? My goal is to create an environment that is supportive, safe, promotes self-growth and healing. I use certain therapeutic approaches to help meet your needs and goals for therapy. I also provide Advance Care Planning services and help to facilitate difficult conversations for patients and their family/caregiver.
I want to be that guiding light and help you overcome the pain and conflict you are experiencing.
Are you struggling with anxiety or depression? Maybe you are feeling overwhelmed with work or life transitions and need support to manage the stress? Are you struggling with internal pain, grief and sadness due to a chronic illness or loss of a loved one? My goal is to create an environment that is supportive, safe, promotes self-growth and healing. I use certain therapeutic approaches to help meet your needs and goals for therapy. I also provide Advance Care Planning services and help to facilitate difficult conversations for patients and their family/caregiver.
(707) 289-8495 View (707) 289-8495
Photo of Emily Gomez, Marriage & Family Therapist in Mammoth Lakes, CA
Emily Gomez
Marriage & Family Therapist, LMFT
Verified Verified
Clovis, CA 93612
I have also enjoyed working with people dealing with grief and loss, LGBTQA+, chronic illness, and mood disorders.
Hi, my name is Emily Gomez, LMFT and I have been practicing since 2006. I have worked in a variety of settings and specialties throughout my career, such as outpatient psychiatric, substance abuse recovery, IOP/PHP, and private practice, so I bring an eclectic approach to my work with clients. I believe therapy is a brave and rewarding growth opportunity for those who choose to take the journey!
I have also enjoyed working with people dealing with grief and loss, LGBTQA+, chronic illness, and mood disorders.
Hi, my name is Emily Gomez, LMFT and I have been practicing since 2006. I have worked in a variety of settings and specialties throughout my career, such as outpatient psychiatric, substance abuse recovery, IOP/PHP, and private practice, so I bring an eclectic approach to my work with clients. I believe therapy is a brave and rewarding growth opportunity for those who choose to take the journey!
(747) 281-2863 View (747) 281-2863
Photo of April Taylor-Salery, Marriage & Family Therapist in Mammoth Lakes, CA
April Taylor-Salery
Marriage & Family Therapist, MA, LMFT
Verified Verified
Fresno, CA 93720
I am a licensed marriage and family therapist who enjoys working with individuals, couples and families; while providing a safe and affirming environment. As a therapist I have worked with a wide range of populations such as at risk youth, substance abuse and recovery, individuals with severe mental illness, families, couples, anxiety, depression, ADHD, OCD, interpersonal relationships, and the LGBTQ+ community. I have worked with individuals ranging in age from 8 years old to 70 years old.
I am a licensed marriage and family therapist who enjoys working with individuals, couples and families; while providing a safe and affirming environment. As a therapist I have worked with a wide range of populations such as at risk youth, substance abuse and recovery, individuals with severe mental illness, families, couples, anxiety, depression, ADHD, OCD, interpersonal relationships, and the LGBTQ+ community. I have worked with individuals ranging in age from 8 years old to 70 years old.
(559) 364-9503 View (559) 364-9503
Photo of Rebecca Orchard, Marriage & Family Therapist in Mammoth Lakes, CA
Rebecca Orchard
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Fresno, CA 93720
You can have healing, confidence, peace, and harmony in your life. I have experience with adults, teens, and children. Topics include: emotional regulation, behavioral concerns, anxiety (and anxiety related topics like hoarding, OCD, OCPD, and panic attacks), anger management, grief, suicidal thoughts, cutting, performance growth (music, sports, acting), negative or intrusive thoughts, depression, trauma, secondary trauma, abuse (physical, emotional, sexual, spiritual), infertility, chronic pain, and parenting support.
You can have healing, confidence, peace, and harmony in your life. I have experience with adults, teens, and children. Topics include: emotional regulation, behavioral concerns, anxiety (and anxiety related topics like hoarding, OCD, OCPD, and panic attacks), anger management, grief, suicidal thoughts, cutting, performance growth (music, sports, acting), negative or intrusive thoughts, depression, trauma, secondary trauma, abuse (physical, emotional, sexual, spiritual), infertility, chronic pain, and parenting support.
(559) 475-9468 View (559) 475-9468
Photo of Joy360 Wellness, Marriage & Family Therapist in Mammoth Lakes, CA
Joy360 Wellness
Marriage & Family Therapist, MA, MS, LMFT
Verified Verified
4 Endorsed
Fresno, CA 93722  (Online Only)
Struggling with IBS, GI problems, or pain is not for the faint of heart. You may feel alone at times, ignored by your doctors, misunderstood by family, & most of all, betrayed by your own body. But Sis, I see you! I am passionate about helping Women, Black, and BIPOC folks heal their body image and relationships with food, cope with the stress associated with medical illness (or exacerbating it!), & create joyful & more fulfilling lives despite their medical concerns or struggles with chronic pain. My name is Jaryn Warren-Brown, and I can't wait to use my mental health and nutrition & wellness background to help you feel good again.
Struggling with IBS, GI problems, or pain is not for the faint of heart. You may feel alone at times, ignored by your doctors, misunderstood by family, & most of all, betrayed by your own body. But Sis, I see you! I am passionate about helping Women, Black, and BIPOC folks heal their body image and relationships with food, cope with the stress associated with medical illness (or exacerbating it!), & create joyful & more fulfilling lives despite their medical concerns or struggles with chronic pain. My name is Jaryn Warren-Brown, and I can't wait to use my mental health and nutrition & wellness background to help you feel good again.
(559) 838-0238 View (559) 838-0238
Photo of Beth Kolakoski, Marriage & Family Therapist in Mammoth Lakes, CA
Beth Kolakoski
Marriage & Family Therapist, LMFT
Verified Verified
Merced, CA 95348
My name is Beth Leigh Kolakoski and I am a licensed Marriage and Family Therapist (LMFT) in Marin County, California. In a supportive and empathetic environment, issues such as grief and loss, sadness/depression, anxiety, life transitions, personal growth, low self-esteem, trauma, chronic pain, ADHD difficulties, as well as parent struggles, can be addressed through a strength-based and solution-oriented approach. I specialize in working with adults who are struggling with anxiety, sadness/depression, grief and loss, major life transitions, shame, neurodivergent differences, trauma, PTSD, chronic pain, and parent struggles.
My name is Beth Leigh Kolakoski and I am a licensed Marriage and Family Therapist (LMFT) in Marin County, California. In a supportive and empathetic environment, issues such as grief and loss, sadness/depression, anxiety, life transitions, personal growth, low self-esteem, trauma, chronic pain, ADHD difficulties, as well as parent struggles, can be addressed through a strength-based and solution-oriented approach. I specialize in working with adults who are struggling with anxiety, sadness/depression, grief and loss, major life transitions, shame, neurodivergent differences, trauma, PTSD, chronic pain, and parent struggles.
(760) 389-1626 View (760) 389-1626
Photo of Lucia Thomas Olson, Marriage & Family Therapist in Mammoth Lakes, CA
Lucia Thomas Olson
Marriage & Family Therapist, LMFT
Verified Verified
Murphys, CA 95247
I enjoy working with clients who are experiencing transitions: divorce, separation, a new diagnosis of a mental illness or chronic physical illness, coming out as an LGBTQ individual, and discovering you have a child with a learning disability, ADD/ADHD, or a child on the autism spectrum. I also enjoy working from the perspective of narrative therapy, because we always have the opportunity to "rewrite" our life story at any time. Part of therapy is rewriting our life story and narrative, and I greatly enjoy being part of this rewriting process with clients.
I enjoy working with clients who are experiencing transitions: divorce, separation, a new diagnosis of a mental illness or chronic physical illness, coming out as an LGBTQ individual, and discovering you have a child with a learning disability, ADD/ADHD, or a child on the autism spectrum. I also enjoy working from the perspective of narrative therapy, because we always have the opportunity to "rewrite" our life story at any time. Part of therapy is rewriting our life story and narrative, and I greatly enjoy being part of this rewriting process with clients.
(209) 353-8903 View (209) 353-8903
Photo of Margot Tepperman, Clinical Social Work/Therapist in Mammoth Lakes, CA
Margot Tepperman
Clinical Social Work/Therapist, MA, MSW, LCSW, ACC
Verified Verified
Fresno, CA 93701
EMDR works on the physiological and emotional basis of problems to facilitate change in treatment of trauma, phobias, chronic pain, grief.
I provide a holistic counseling approach providing rapid, positive changes in areas of depression, anxiety, trauma, stress management, relationship, pain management and grief work with adults and children. My resources include the powerful technique of EMDR, Eye Movement Desensitization and Reprocessing, as well as HYPNOSIS, visual imagery and new thought. Hypnosis is a powerful, effective and immediate tool to bring about profound change. It is useful for eliminating addictive behaviors, improving sports performance, reducing anxiety while giving presentations, taking tests and also used for post surgery healing.
EMDR works on the physiological and emotional basis of problems to facilitate change in treatment of trauma, phobias, chronic pain, grief.
I provide a holistic counseling approach providing rapid, positive changes in areas of depression, anxiety, trauma, stress management, relationship, pain management and grief work with adults and children. My resources include the powerful technique of EMDR, Eye Movement Desensitization and Reprocessing, as well as HYPNOSIS, visual imagery and new thought. Hypnosis is a powerful, effective and immediate tool to bring about profound change. It is useful for eliminating addictive behaviors, improving sports performance, reducing anxiety while giving presentations, taking tests and also used for post surgery healing.
(559) 472-0863 View (559) 472-0863
Photo of Leticia J Chavez, Psychologist in Mammoth Lakes, CA
Leticia J Chavez
Psychologist, PsyD
Verified Verified
2 Endorsed
Fresno, CA 93704
Treatment of pain management may address potential addiction to prescribed medication.
I work with adults and adolescents who are coping with various concerns such as depression, anxiety, and posttraumatic stress disorder. I also work effectively with individuals experiencing situational stressors such as bereavement, relationship conflicts, or loss. In a supportive and confidential environment, I help clients reduce emotional distress, understand problematic behaviors, and develop tools to improve their quality of life.
Treatment of pain management may address potential addiction to prescribed medication.
I work with adults and adolescents who are coping with various concerns such as depression, anxiety, and posttraumatic stress disorder. I also work effectively with individuals experiencing situational stressors such as bereavement, relationship conflicts, or loss. In a supportive and confidential environment, I help clients reduce emotional distress, understand problematic behaviors, and develop tools to improve their quality of life.
(559) 717-4885 View (559) 717-4885
Photo of Sacred Bonds Counseling & Wellness, Clinical Social Work/Therapist in Mammoth Lakes, CA
Sacred Bonds Counseling & Wellness
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sonora, CA 95370
The fact that you are reading these words tells us you have been attempting to overcome some type of life adversity. We often do not seek this type of help, mostly because of the many negative judgments that have influenced us since our childhood. It is these vary experiences, along with our own perception of them, that has caused and exacerbated the very symptoms we seek help for. It has been my experience that this history needs to be revisited, reviewed, and re-addressed so that we can overcome many of the chronic conditions that affect far too many in this world. “There is no birth of consciousness without pain”, Carl Jung
The fact that you are reading these words tells us you have been attempting to overcome some type of life adversity. We often do not seek this type of help, mostly because of the many negative judgments that have influenced us since our childhood. It is these vary experiences, along with our own perception of them, that has caused and exacerbated the very symptoms we seek help for. It has been my experience that this history needs to be revisited, reviewed, and re-addressed so that we can overcome many of the chronic conditions that affect far too many in this world. “There is no birth of consciousness without pain”, Carl Jung
(209) 457-7407 View (209) 457-7407
Photo of Tyeast Brown, Marriage & Family Therapist in Mammoth Lakes, CA
Tyeast Brown
Marriage & Family Therapist, LMFT
Verified Verified
Clovis, CA 93611
I am LGBTQIA+ affirming and can delve into issues from sexual exploration to chronic pain.
My name is Tyeast Brown, and I am a Licensed Marriage Family Therapist (LMFT) in California and work with various clients via telehealth. I have worked in the mental health field for over 25 years and utilize different tools to fit the needs of each client. My approach to therapy varies depending on the needs of each client. I work well with children, teens/adolescents, young adults, transitional-age youth, couples, and individuals via different evidence-based modalities.
I am LGBTQIA+ affirming and can delve into issues from sexual exploration to chronic pain.
My name is Tyeast Brown, and I am a Licensed Marriage Family Therapist (LMFT) in California and work with various clients via telehealth. I have worked in the mental health field for over 25 years and utilize different tools to fit the needs of each client. My approach to therapy varies depending on the needs of each client. I work well with children, teens/adolescents, young adults, transitional-age youth, couples, and individuals via different evidence-based modalities.
(619) 815-5731 View (619) 815-5731
Photo of Derric Devon Brown, Clinical Social Work/Therapist in Mammoth Lakes, CA
Derric Devon Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fresno, CA 93704
Men have been taught to internalize our problems, but internalizing problems only causes more pain for us and the people we love.
As a trauma informed counselor, I lead from a place of authenticity, vulnerability and empathy. My life experiences have provided me with the ability to develop rapport with people from all walks of life. My ideal clients are male teenagers, or male adults trying to make meaning and find their purpose in life. This process requires you to address your needs of self esteem, identity and intimacy. In our time together we will explore these needs and you will feel empowered to improve your mental, physical, social and spiritual well being.
Men have been taught to internalize our problems, but internalizing problems only causes more pain for us and the people we love.
As a trauma informed counselor, I lead from a place of authenticity, vulnerability and empathy. My life experiences have provided me with the ability to develop rapport with people from all walks of life. My ideal clients are male teenagers, or male adults trying to make meaning and find their purpose in life. This process requires you to address your needs of self esteem, identity and intimacy. In our time together we will explore these needs and you will feel empowered to improve your mental, physical, social and spiritual well being.
(559) 586-6801 View (559) 586-6801

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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.