Photo of Danielle R Miyasato (Aka Casden), Psychologist in San Francisco, CA
Danielle R Miyasato (Aka Casden)
Psychologist, PhD
Verified Verified
San Francisco, CA 94123
Are you or a loved one having difficulty coping with chronic illness (cancer, HIV, heart disease, diabetes, COPD, pain or other illness) or managing stress in your life? Health issues can affect every aspect of your life, including relationships, work, finances, mood, and sense of self. I have over a decade of experience helping individuals, couples and families improve the quality of life and reduce suffering. As a Clinical Health Psychologist, I take an integrative approach to psychotherapy and will work with you to create a treatment plan that is tailored to your unique needs and goals.
Are you or a loved one having difficulty coping with chronic illness (cancer, HIV, heart disease, diabetes, COPD, pain or other illness) or managing stress in your life? Health issues can affect every aspect of your life, including relationships, work, finances, mood, and sense of self. I have over a decade of experience helping individuals, couples and families improve the quality of life and reduce suffering. As a Clinical Health Psychologist, I take an integrative approach to psychotherapy and will work with you to create a treatment plan that is tailored to your unique needs and goals.
(415) 413-0915 View (415) 413-0915
Photo of Lucia C Cargill in San Francisco, CA
Lucia C Cargill
PhD, MSN, MA, PHN, FNP-C
Verified Verified
San Francisco, CA 94110
l am a cross-cultural specialist with a PhD in Medical Anthropology & a Family Nurse Practitioner with 15 years in psychiatric, pain & primary care practice.
Greetings! Welcome to our multidisciplinary, holistic, integrative mental health coaching practice. We are open to new ideas from Integrative/Functional Medicine, supportive care for your psychiatric needs, drug free care, and nutritional support. We believe whole body health is the best way to good brain health. Good brain health impacts mental health. We invite you to a different approach to brain health and mental health through coaching and support for referrals to the best functional medicine providers sourcing balance, resolution of inflammation & for all your whole body-mind-spirit healing. We invite you to join us for care.
l am a cross-cultural specialist with a PhD in Medical Anthropology & a Family Nurse Practitioner with 15 years in psychiatric, pain & primary care practice.
Greetings! Welcome to our multidisciplinary, holistic, integrative mental health coaching practice. We are open to new ideas from Integrative/Functional Medicine, supportive care for your psychiatric needs, drug free care, and nutritional support. We believe whole body health is the best way to good brain health. Good brain health impacts mental health. We invite you to a different approach to brain health and mental health through coaching and support for referrals to the best functional medicine providers sourcing balance, resolution of inflammation & for all your whole body-mind-spirit healing. We invite you to join us for care.
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Photo of Samuel Khanukayev, Marriage & Family Therapist in San Francisco, CA
Samuel Khanukayev
Marriage & Family Therapist, MFT
Verified Verified
San Francisco, CA 94102
Prospective clients can anticipate the collaborative work of deconstructing, analyzing, and working through psychological pain.
I strive to facilitate a reflective and explorative environment where the unbearable can be held and truth can be spoken. Multicultural and bilingual elements of my identity, and a history of enduring ethnic discrimination and immigration, significantly inform how I listen to my clients, think through trauma and fragmentation with them. Unconscious repetitions of aversion, clinging, and reenactments of familiar/familial ways of being bind us in suffering. Through psychotherapy, rigid frames of being can be deconstructed and psychological space can be reclaimed for creativity, desire and becoming.
Prospective clients can anticipate the collaborative work of deconstructing, analyzing, and working through psychological pain.
I strive to facilitate a reflective and explorative environment where the unbearable can be held and truth can be spoken. Multicultural and bilingual elements of my identity, and a history of enduring ethnic discrimination and immigration, significantly inform how I listen to my clients, think through trauma and fragmentation with them. Unconscious repetitions of aversion, clinging, and reenactments of familiar/familial ways of being bind us in suffering. Through psychotherapy, rigid frames of being can be deconstructed and psychological space can be reclaimed for creativity, desire and becoming.
(510) 982-6497 View (510) 982-6497
Photo of Reuben P. Wolff, Psychologist in San Francisco, CA
Reuben P. Wolff
Psychologist, PsyD, SEP
Verified Verified
San Francisco, CA 94109
I have extensive expertise in hypnosis and mindfulness to support the psychotherapy process and to help you if you are dealing with emotions, habits, chronic pain, illness or surgery.
Are you ready to reach your potential? Are you tired of being caught in repeating patterns? Are you facing new challenges? Would you benefit from support and insights? You have shown clear motivation to create a clearer path for yourself because searching for the right collaborative therapist is a courageous act that can help you to achieve greater harmony as you move into your future. Perhaps you are experiencing anxiety or depression, are in life transition, are spiritually stuck, or are curious about what is next for you. I invite you to explore how I can assist you in a safe and accepting environment.
I have extensive expertise in hypnosis and mindfulness to support the psychotherapy process and to help you if you are dealing with emotions, habits, chronic pain, illness or surgery.
Are you ready to reach your potential? Are you tired of being caught in repeating patterns? Are you facing new challenges? Would you benefit from support and insights? You have shown clear motivation to create a clearer path for yourself because searching for the right collaborative therapist is a courageous act that can help you to achieve greater harmony as you move into your future. Perhaps you are experiencing anxiety or depression, are in life transition, are spiritually stuck, or are curious about what is next for you. I invite you to explore how I can assist you in a safe and accepting environment.
(415) 799-4147 View (415) 799-4147
Photo of Leah R Finn, Marriage & Family Therapist in San Francisco, CA
Leah R Finn
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
San Francisco, CA 94109  (Online Only)
I've successfully treated many people who have experienced anxiety, depression, trauma, chronic illness/ pain and other issues.
As your therapist, I create an environment for you to feel safe to explore fears, challenges and your deepest desires. I'm here to empower you! I'll offer a variety of techniques and collaborate with you in developing goals to co-create a therapeutic experience, facilitating healing and personal growth. I use an anti-oppression, disability justice framework and consider how ethnicity, class, gender, age, ability and sexuality intersect. My background as a community organizer for social justice informs my practice. I will tailor our work together to address your unique and specific needs and preferences.
I've successfully treated many people who have experienced anxiety, depression, trauma, chronic illness/ pain and other issues.
As your therapist, I create an environment for you to feel safe to explore fears, challenges and your deepest desires. I'm here to empower you! I'll offer a variety of techniques and collaborate with you in developing goals to co-create a therapeutic experience, facilitating healing and personal growth. I use an anti-oppression, disability justice framework and consider how ethnicity, class, gender, age, ability and sexuality intersect. My background as a community organizer for social justice informs my practice. I will tailor our work together to address your unique and specific needs and preferences.
(510) 560-7164 View (510) 560-7164
Photo of Abbie Endres, Marriage & Family Therapist in San Francisco, CA
Abbie Endres
Marriage & Family Therapist, MA, LMFT, PMH-C
Verified Verified
San Francisco, CA 94131  (Online Only)
Two guiding intentions support this work: Develop tools, awareness, and self-compassion to transform pain and suffering.
You've begun a courageous search. Take heart, healing is possible. My work is rooted in the body/mind connection, nourished by the imagination, and anchored in the support of our therapy relationship. My style includes both directing and listening. I understand that your timing and willingness to explore your concerns are unique and must be navigated with respect. We work together to take stock, talk about your goals, and gather the tools needed - from your own strengths, the training I bring, and a community of resources - to help you continue your journey of wellbeing.
Two guiding intentions support this work: Develop tools, awareness, and self-compassion to transform pain and suffering.
You've begun a courageous search. Take heart, healing is possible. My work is rooted in the body/mind connection, nourished by the imagination, and anchored in the support of our therapy relationship. My style includes both directing and listening. I understand that your timing and willingness to explore your concerns are unique and must be navigated with respect. We work together to take stock, talk about your goals, and gather the tools needed - from your own strengths, the training I bring, and a community of resources - to help you continue your journey of wellbeing.
(415) 322-3318 View (415) 322-3318
Photo of Lusa Hung, Psychologist in San Francisco, CA
Lusa Hung
Psychologist, PsyD
Verified Verified
San Francisco, CA 94122  (Online Only)
Turning pain and loss into wisdom, guilt into gratitude, and shifting from avoidance to awareness are ways that can be helpful.
I practice exclusively with online clients residing in WA, CA & NY. I am out of network for all insurance panels. Psychology has always been a passion of mine in some shape or form. I have 14 yrs of clinical experience working with culturally diverse populations in international and domestic settings. My approach is mindfulness-based with a blend of CBT, person-centered therapy and Motivational Interviewing. I have expertise treating a wide range of psychological issues spanning the spectrum of depression, trauma/anxiety, relationship difficulties, and life adjustments, serving people across the lifespan and in different settings.
Turning pain and loss into wisdom, guilt into gratitude, and shifting from avoidance to awareness are ways that can be helpful.
I practice exclusively with online clients residing in WA, CA & NY. I am out of network for all insurance panels. Psychology has always been a passion of mine in some shape or form. I have 14 yrs of clinical experience working with culturally diverse populations in international and domestic settings. My approach is mindfulness-based with a blend of CBT, person-centered therapy and Motivational Interviewing. I have expertise treating a wide range of psychological issues spanning the spectrum of depression, trauma/anxiety, relationship difficulties, and life adjustments, serving people across the lifespan and in different settings.
(415) 825-3514 View (415) 825-3514
Photo of Denise Stilwell, Psychologist in San Francisco, CA
Denise Stilwell
Psychologist, RN, PsyD
Verified Verified
San Francisco, CA 94109  (Online Only)
Dr. Denise Stilwell is a licensed clinical psychologist with seven years of experience providing psychotherapy in a variety of clinical settings. She worked as a nurse for sixteen years before she became a psychotherapist and brings that rich experience into her practice. She specializes in treating anxiety, depression, identity issues, interpersonal issues, grief, managing chronic illness, and somatic symptom disorder. Dr. Stilwell collaborates with her clients to ensure they feel seen and heard in their sessions while utilizing evidence-based therapy approaches that are culturally sensitive and individually focused.
Dr. Denise Stilwell is a licensed clinical psychologist with seven years of experience providing psychotherapy in a variety of clinical settings. She worked as a nurse for sixteen years before she became a psychotherapist and brings that rich experience into her practice. She specializes in treating anxiety, depression, identity issues, interpersonal issues, grief, managing chronic illness, and somatic symptom disorder. Dr. Stilwell collaborates with her clients to ensure they feel seen and heard in their sessions while utilizing evidence-based therapy approaches that are culturally sensitive and individually focused.
(415) 306-8574 View (415) 306-8574
Photo of Roxanne Shooshani, Marriage & Family Therapist in San Francisco, CA
Roxanne Shooshani
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94114  (Online Only)
Are you struggling to cope with getting through the day? Feeling burnt out, anxious, depressed, and isolated? If you are experiencing emotional difficulties, you do not have to go through it alone. I can support you through life's many challenges - Whether it's the mental health impacts from chronic pain, medical illnesses, social isolation, questioning your gender and/or sexuality, trauma, difficulties in relationships, existential issues, grief, or the hardships that come along with being in different stages of life - from teenagehood to older age.
Are you struggling to cope with getting through the day? Feeling burnt out, anxious, depressed, and isolated? If you are experiencing emotional difficulties, you do not have to go through it alone. I can support you through life's many challenges - Whether it's the mental health impacts from chronic pain, medical illnesses, social isolation, questioning your gender and/or sexuality, trauma, difficulties in relationships, existential issues, grief, or the hardships that come along with being in different stages of life - from teenagehood to older age.
(415) 895-9571 View (415) 895-9571
Photo of Ilene Rich-Holtzberg Ph.D., Psychologist in San Francisco, CA
Ilene Rich-Holtzberg Ph.D.
Psychologist, PhD
Verified Verified
San Francisco, CA 94104
My specialty areas are substance abuse, couples issues, eating disorders, life coaching, bariatric surgery issues, infertility/adoption, helping caregivers cope with dealing with a loved one's chronic illness.
My focus is to develop a relationship with the client. This is called the two person model which is different than the old fashion practice where the doctor is one up and the client is one down. Rather, the two person model attempts to understand the client through questions and mutual discussion. I am not a silent therapist. I give feedback and remain fully engaged with the patient. Together we build a rapport. I adhere to a humanistic approach.
My specialty areas are substance abuse, couples issues, eating disorders, life coaching, bariatric surgery issues, infertility/adoption, helping caregivers cope with dealing with a loved one's chronic illness.
My focus is to develop a relationship with the client. This is called the two person model which is different than the old fashion practice where the doctor is one up and the client is one down. Rather, the two person model attempts to understand the client through questions and mutual discussion. I am not a silent therapist. I give feedback and remain fully engaged with the patient. Together we build a rapport. I adhere to a humanistic approach.
(415) 366-8999 View (415) 366-8999
Photo of Laine Demetria, Marriage & Family Therapist in San Francisco, CA
Laine Demetria
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94104
Couples, parents of children with chronic medical conditions as well as adult survivors of childhood abuse and illness.
Do you feel trapped by your past and anxious about your future, unable to live in the present? This malaise of modern living is often a sign of past trauma. I can help you uncover and release the experiences that keep you from living a full and zestful life. My primary focus is women and parents, particularly those with a history of trauma. We’ll explore the feelings that arise in your body, and notice their links to your thoughts and behaviors. I’ll empower you to choose a more positive narrative, to look at your life through a different lens.
Couples, parents of children with chronic medical conditions as well as adult survivors of childhood abuse and illness.
Do you feel trapped by your past and anxious about your future, unable to live in the present? This malaise of modern living is often a sign of past trauma. I can help you uncover and release the experiences that keep you from living a full and zestful life. My primary focus is women and parents, particularly those with a history of trauma. We’ll explore the feelings that arise in your body, and notice their links to your thoughts and behaviors. I’ll empower you to choose a more positive narrative, to look at your life through a different lens.
(415) 800-3249 View (415) 800-3249
Photo of Rebecca A. Ward, Marriage & Family Therapist in San Francisco, CA
Rebecca A. Ward
Marriage & Family Therapist, MS, MA, LMFT, SEP, PCC
Verified Verified
4 Endorsed
San Francisco, CA 94117  (Online Only)
Regardless of your suffering, there is a way through it and because we each have our own way of processing emotional wounds, I take an individualized approach to help you transform pain into healing. I specialize in addressing trauma and grief. This includes the loss of a loved one, traumatic loss (event-related, developmental), as well as psychological symptoms associated with chronic and terminal illness. Through an integrated approach, my work is about healing the soul and finding light in the darkness despite facing life-threatening conditions afflicting the body, mind, heart, and spirit.
Regardless of your suffering, there is a way through it and because we each have our own way of processing emotional wounds, I take an individualized approach to help you transform pain into healing. I specialize in addressing trauma and grief. This includes the loss of a loved one, traumatic loss (event-related, developmental), as well as psychological symptoms associated with chronic and terminal illness. Through an integrated approach, my work is about healing the soul and finding light in the darkness despite facing life-threatening conditions afflicting the body, mind, heart, and spirit.
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Photo of Mindfulness Psychotherapy, Jim Mathis LMFT, Marriage & Family Therapist in San Francisco, CA
Mindfulness Psychotherapy, Jim Mathis LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94101  (Online Only)
I use the principles of Positive Psychology and Mindfulness to teach techniques that increase awareness and ability to control attention so that you can experience happiness and not be a slave to compulsive thinking. You will learn and experience living in a way that frees energy that is being spent on habitual regrets of the past and worries of the future. I can guide you through loneliness, isolation, emotional pain, grief, relationship distress and trauma.
I use the principles of Positive Psychology and Mindfulness to teach techniques that increase awareness and ability to control attention so that you can experience happiness and not be a slave to compulsive thinking. You will learn and experience living in a way that frees energy that is being spent on habitual regrets of the past and worries of the future. I can guide you through loneliness, isolation, emotional pain, grief, relationship distress and trauma.
(530) 723-1649 View (530) 723-1649
Photo of Susan Harden, Psychologist in San Francisco, CA
Susan Harden
Psychologist, PhD
Verified Verified
1 Endorsed
San Francisco, CA 94102
I am a cognitive behavioral psychologist and as such I utilize a goal oriented focus in working with problems that you may be experiencing. I also believe that understanding the meaning of experiences are essential to working through them. I have worked both with children and adults in my practice and have done a great deal of work with people experiencing anxiety, depression, and chronic illness.
I am a cognitive behavioral psychologist and as such I utilize a goal oriented focus in working with problems that you may be experiencing. I also believe that understanding the meaning of experiences are essential to working through them. I have worked both with children and adults in my practice and have done a great deal of work with people experiencing anxiety, depression, and chronic illness.
(310) 341-0907 View (310) 341-0907
Photo of Barbara Claire Freeman, Licensed Psychoanalyst in San Francisco, CA
Barbara Claire Freeman
Licensed Psychoanalyst, PhD
Verified Verified
San Francisco, CA 94101
Sometimes it seems life asks us to bear the unbearable. A heartbreaking loss, difficult transition, illness of yourself or loved one, the lack of anything that might make your life meaningful and pleasurable—these are some of the issues I respond to and can help with. If you’re suffering or your life lacks purpose look at my website and, if you feel a connection, please reach out. I work from a generous and flexible sliding scale and am committed to providing accessible treatment. Whatever you’re facing, you don’t have to do this alone. Psychoanalytic therapy, especially as practiced by Lacanian analysts, can be transformative.
Sometimes it seems life asks us to bear the unbearable. A heartbreaking loss, difficult transition, illness of yourself or loved one, the lack of anything that might make your life meaningful and pleasurable—these are some of the issues I respond to and can help with. If you’re suffering or your life lacks purpose look at my website and, if you feel a connection, please reach out. I work from a generous and flexible sliding scale and am committed to providing accessible treatment. Whatever you’re facing, you don’t have to do this alone. Psychoanalytic therapy, especially as practiced by Lacanian analysts, can be transformative.
(341) 888-7964 View (341) 888-7964
Photo of Mirjam Afeni Hatton, Psychologist in San Francisco, CA
Mirjam Afeni Hatton
Psychologist, PsyD
Verified Verified
2 Endorsed
San Francisco, CA 94105  (Online Only)
, combat, childhood, race-based, sexual, and military sexual), depression, anxiety, grief/loss, substance abuse and severe mental illness.
Clients have described me as collaborative and compassionate within my strength-based multicultural approach to therapy. You may experience a disconnect from yourself and others that leaves you feeling isolated and limited within your options. Difficult life circumstances, including trauma or harsh self-criticism can lead to rejecting parts of yourself and collaboratively we can work on understanding and reclaiming your identity. Together we will build upon your strengths and recover a sense of hope. I’d be honored to accompany you on your journey to healing from various obstacles in your life.
, combat, childhood, race-based, sexual, and military sexual), depression, anxiety, grief/loss, substance abuse and severe mental illness.
Clients have described me as collaborative and compassionate within my strength-based multicultural approach to therapy. You may experience a disconnect from yourself and others that leaves you feeling isolated and limited within your options. Difficult life circumstances, including trauma or harsh self-criticism can lead to rejecting parts of yourself and collaboratively we can work on understanding and reclaiming your identity. Together we will build upon your strengths and recover a sense of hope. I’d be honored to accompany you on your journey to healing from various obstacles in your life.
(818) 666-2428 View (818) 666-2428
Photo of Shannon Knorr, Pre-Licensed Professional in San Francisco, CA
Shannon Knorr
Pre-Licensed Professional, AMFT
Verified Verified
San Francisco, CA 94101  (Online Only)
I enjoy in working with; self esteem & worth, trauma healing & recovery, body image & body positivity, disordered eating & relationship to body, belonging as our birthright, transforming deep shame into liberation, body & sex shame, relationships and boundaries, anxiety, stress & hyper-vigilance, nervous system imbalances, life transitions & identity, honoring grief, loss & death, life threatening illness, cancer, auto-immune disease, rites of passage, aging, adolescence, menopause, women's empowerment, highly sensitive people & empaths, people pleasers, intergenerational trauma & ancestral healing, mothering & the mother wound.
I enjoy in working with; self esteem & worth, trauma healing & recovery, body image & body positivity, disordered eating & relationship to body, belonging as our birthright, transforming deep shame into liberation, body & sex shame, relationships and boundaries, anxiety, stress & hyper-vigilance, nervous system imbalances, life transitions & identity, honoring grief, loss & death, life threatening illness, cancer, auto-immune disease, rites of passage, aging, adolescence, menopause, women's empowerment, highly sensitive people & empaths, people pleasers, intergenerational trauma & ancestral healing, mothering & the mother wound.
(510) 983-4457 View (510) 983-4457
Photo of Jenny Vladimirov, Clinical Social Work/Therapist in San Francisco, CA
Jenny Vladimirov
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94102
As we age, our well-being is impacted by various life transitions such as retirement, physical health issues, relocation, and loss of loved ones. I provide assistance in navigating this new territory with a focus on building resilience, supporting personal agency, developing coping skills, and increasing mindfulness. During psychotherapy sessions and care consultations, I offer guidance in the following areas: mental health issues such as depression and anxiety, sleep disorders, grief and loss, living with illness, disability, and chronic pain, planning for retirement and aging, caregiving and care-receiving.
As we age, our well-being is impacted by various life transitions such as retirement, physical health issues, relocation, and loss of loved ones. I provide assistance in navigating this new territory with a focus on building resilience, supporting personal agency, developing coping skills, and increasing mindfulness. During psychotherapy sessions and care consultations, I offer guidance in the following areas: mental health issues such as depression and anxiety, sleep disorders, grief and loss, living with illness, disability, and chronic pain, planning for retirement and aging, caregiving and care-receiving.
(650) 610-1842 View (650) 610-1842
Photo of Elika Razmjou, Psychologist in San Francisco, CA
Elika Razmjou
Psychologist, PsyD
Verified Verified
2 Endorsed
San Francisco, CA 94102  (Online Only)
In my practice, I offer specialized treatments for insomnia (CBTi), chronic pain, coping with chronic illness, and stress/anxiety; I am also a mindfulness facilitator and yoga teacher.
Therapy is an opportunity to invest in the emotional education your younger self may have never received, and wished they had. It's a space to explore old patterns and habits, and to discern which ones are serving you, and which may be getting in the way of the life you'd like to live. I help my clients get unstuck, through exploring and shifting their relationship with their own thoughts and emotions. I empower clients by equipping them with coping tools to manage stress and balance the nervous system, ultimately in service of reconnecting with whatever it is that drives them- their core values.
In my practice, I offer specialized treatments for insomnia (CBTi), chronic pain, coping with chronic illness, and stress/anxiety; I am also a mindfulness facilitator and yoga teacher.
Therapy is an opportunity to invest in the emotional education your younger self may have never received, and wished they had. It's a space to explore old patterns and habits, and to discern which ones are serving you, and which may be getting in the way of the life you'd like to live. I help my clients get unstuck, through exploring and shifting their relationship with their own thoughts and emotions. I empower clients by equipping them with coping tools to manage stress and balance the nervous system, ultimately in service of reconnecting with whatever it is that drives them- their core values.
(213) 394-9687 View (213) 394-9687
Photo of Amynta Hayenga, Psychologist in San Francisco, CA
Amynta Hayenga
Psychologist, PsyD
Verified Verified
2 Endorsed
San Francisco, CA 94104
You may feel lost, but you are not alone. We all experience suffering as a part of the human condition, yet sometimes our symptoms of stress, despair, worry, or self-criticism stand in the way of living the life that we want. If you find yourself troubled by a particular life problem or psychological condition, or generally lacking a sense of vitality and purpose, working with a clinician can help you reconnect with yourself and your strengths. Therapy often helps us to make useful connections between our actions, our thinking, our emotional reality, and patterns in relationships that we have developed over years.
You may feel lost, but you are not alone. We all experience suffering as a part of the human condition, yet sometimes our symptoms of stress, despair, worry, or self-criticism stand in the way of living the life that we want. If you find yourself troubled by a particular life problem or psychological condition, or generally lacking a sense of vitality and purpose, working with a clinician can help you reconnect with yourself and your strengths. Therapy often helps us to make useful connections between our actions, our thinking, our emotional reality, and patterns in relationships that we have developed over years.
(510) 781-9761 View (510) 781-9761

See more therapy options for San Francisco

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.