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 Roxanne Shooshani, Marriage & Family Therapist in San Francisco, CA
Roxanne Shooshani
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94114  (Online Only)
Hello and welcome to your psychotherapy journey. I am here to join you as you weather life's storms. Whether it's trauma, family tensions, illness, depression, anxiety, relationship issues, loneliness, work stress, or just plain existential dread - I can support you on your healing path. I bring a breadth of experience to my sessions, including a history of therapeutic work with teens, families, the LGBTQIA community, folks with chronic pain and illnesses, college students, and elderly adults.
Hello and welcome to your psychotherapy journey. I am here to join you as you weather life's storms. Whether it's trauma, family tensions, illness, depression, anxiety, relationship issues, loneliness, work stress, or just plain existential dread - I can support you on your healing path. I bring a breadth of experience to my sessions, including a history of therapeutic work with teens, families, the LGBTQIA community, folks with chronic pain and illnesses, college students, and elderly adults.
(415) 895-9571 View (415) 895-9571
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 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 Alina Liu, Psychologist in San Francisco, CA
Alina Liu
Psychologist, PsyD, MSW
Verified Verified
3 Endorsed
San Francisco, CA 94122
Anxiety and emotional pain are part of being human, but you don't have to suffer alone and I am here to help.
Are you burned out from "imposter syndrome" at work, stuck in an unfulfilling relationship, or feeling perpetually disconnected and isolated? Living inauthentically can feel exhausting. I work with individuals and couples to provide a range of therapy services from short-term evidence-based treatment for anxiety/depression to long-term relational work. Mental health is about having choices; in our first session, I am excited to get to know you and walk you through the process of therapy. My goal is to help you release painful emotions, reflect on patterns of thoughts and behaviors, and reconnect with a deeper sense of inner freedom.
Anxiety and emotional pain are part of being human, but you don't have to suffer alone and I am here to help.
Are you burned out from "imposter syndrome" at work, stuck in an unfulfilling relationship, or feeling perpetually disconnected and isolated? Living inauthentically can feel exhausting. I work with individuals and couples to provide a range of therapy services from short-term evidence-based treatment for anxiety/depression to long-term relational work. Mental health is about having choices; in our first session, I am excited to get to know you and walk you through the process of therapy. My goal is to help you release painful emotions, reflect on patterns of thoughts and behaviors, and reconnect with a deeper sense of inner freedom.
(415) 639-5225 View (415) 639-5225
Photo of Stanley Fuller, Marriage & Family Therapist Associate in San Francisco, CA
Stanley Fuller
Marriage & Family Therapist Associate, AMFT, MA
Verified Verified
San Francisco, CA 94114
I work extensively with Queer and LGBT community, Kink Affirmative/ Sex Positive, Sexual abuse, Substance Use, PTSD, Anxiety, Depression, Chronic pain, Aging, Childhood Trauma, Grieving, and Couples.
You are unique. My approach is from a holistic lens through relational humanistic psychodynamics. I hope that we build a foundational relationship that is based on trust and acceptance. I will walk with you through your journey of healing and self-discovery. I utilize my self-reflective journey through humanistic transpersonal psychodynamics, meeting you where you are in the here and now, offering acceptance and understanding.
I work extensively with Queer and LGBT community, Kink Affirmative/ Sex Positive, Sexual abuse, Substance Use, PTSD, Anxiety, Depression, Chronic pain, Aging, Childhood Trauma, Grieving, and Couples.
You are unique. My approach is from a holistic lens through relational humanistic psychodynamics. I hope that we build a foundational relationship that is based on trust and acceptance. I will walk with you through your journey of healing and self-discovery. I utilize my self-reflective journey through humanistic transpersonal psychodynamics, meeting you where you are in the here and now, offering acceptance and understanding.
(415) 993-5146 View (415) 993-5146
Photo of Brooke Ferragamo, Psychologist in San Francisco, CA
Brooke Ferragamo
Psychologist, PhD
Verified Verified
1 Endorsed
San Francisco, CA 94118
In our work together, we can explore deeper unconscious patterns that are causing you unnecessary pain.
I offer a grounded, warm, and personalized approach to help adolescents and adults cope with life transitions, chronic distress, trauma, and other mental health challenges such as depression and anxiety. I am passionate about serving adolescents who are struggling to find their place in our rapidly changing world, members of the LGBTQ+ community, and any folks who feel as though they have difficulty fitting into society's prescribed norms. Some folks reach out with a specific goal in mind, while just as many enter therapy with more of a feeling that something is not quite right. In either case, you are welcome here.
In our work together, we can explore deeper unconscious patterns that are causing you unnecessary pain.
I offer a grounded, warm, and personalized approach to help adolescents and adults cope with life transitions, chronic distress, trauma, and other mental health challenges such as depression and anxiety. I am passionate about serving adolescents who are struggling to find their place in our rapidly changing world, members of the LGBTQ+ community, and any folks who feel as though they have difficulty fitting into society's prescribed norms. Some folks reach out with a specific goal in mind, while just as many enter therapy with more of a feeling that something is not quite right. In either case, you are welcome here.
(415) 639-4075 View (415) 639-4075
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 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 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 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 Brian King, Psychologist in San Francisco, CA
Brian King
Psychologist, PsyD, QME
Verified Verified
1 Endorsed
San Francisco, CA 94118  (Online Only)
Waitlist for new clients
, depression, anxiety, pain, self-destructive behaviors, substance use).
I seek to provide a thoughtful and reflective setting where clients develop greater understanding of their problems and limitations through honest exploration of themselves, and to bolster strengths/foster growth. I provide a friendly and open atmosphere to invite sharing of whatever thought or feeling that comes up so that they can be explored, analyzed and ultimately changed if you want. I work in a collaborative way and do not necessarily see my role as an advice giver, but as a thoughtful companion in helping you find your own solutions and understanding. I use a flexible blend of clinical techniques and theories.
, depression, anxiety, pain, self-destructive behaviors, substance use).
I seek to provide a thoughtful and reflective setting where clients develop greater understanding of their problems and limitations through honest exploration of themselves, and to bolster strengths/foster growth. I provide a friendly and open atmosphere to invite sharing of whatever thought or feeling that comes up so that they can be explored, analyzed and ultimately changed if you want. I work in a collaborative way and do not necessarily see my role as an advice giver, but as a thoughtful companion in helping you find your own solutions and understanding. I use a flexible blend of clinical techniques and theories.
(415) 991-3069 View (415) 991-3069
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 Krista Gallagher, Marriage & Family Therapist Associate in San Francisco, CA
Krista Gallagher
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
San Francisco, CA 94101  (Online Only)
I help couples create more loving, connected, and healthy relationships, recognizing that intimate relationships often expose our deepest wounds as well as our greatest chance for growth and healing. I specialize in supporting couples in exploring communication challenges, intimacy issues, emotional distance, and the impact that significant life events (pregnancy, post-partum, parenting, grief, chronic illness, financial stressors) can have on a relationship.
I help couples create more loving, connected, and healthy relationships, recognizing that intimate relationships often expose our deepest wounds as well as our greatest chance for growth and healing. I specialize in supporting couples in exploring communication challenges, intimacy issues, emotional distance, and the impact that significant life events (pregnancy, post-partum, parenting, grief, chronic illness, financial stressors) can have on a relationship.
(831) 263-4575 View (831) 263-4575
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 Kiran Haynes, Marriage & Family Therapist in San Francisco, CA
Kiran Haynes
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94114
I am particularly qualified in helping those with grief and loss, chronic illness, reproductive issues, questions of gender and sexuality, military personnel and their families, systemic trauma, attachment trauma, and non-traditional families (e.
Hello! My name is Kiran Haynes, and I am a licensed marriage and family therapist in California. By nurturing wholeness, a deep personal understanding, and empowerment, therapy can help foster lasting and positive change. I believe that collaboration in the therapeutic process is key as you are the expert in your own life. I take a compassionate approach while engaging and empowering you towards processing, exploring, and developing a deeper understanding and healthier relationship with yourself.
I am particularly qualified in helping those with grief and loss, chronic illness, reproductive issues, questions of gender and sexuality, military personnel and their families, systemic trauma, attachment trauma, and non-traditional families (e.
Hello! My name is Kiran Haynes, and I am a licensed marriage and family therapist in California. By nurturing wholeness, a deep personal understanding, and empowerment, therapy can help foster lasting and positive change. I believe that collaboration in the therapeutic process is key as you are the expert in your own life. I take a compassionate approach while engaging and empowering you towards processing, exploring, and developing a deeper understanding and healthier relationship with yourself.
(951) 944-1928 View (951) 944-1928
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 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 Aliah Kristin Mestrovich Seay, Marriage & Family Therapist in San Francisco, CA
Aliah Kristin Mestrovich Seay
Marriage & Family Therapist, LCMFT, MA, PhD
Verified Verified
1 Endorsed
San Francisco, CA 94104
I work with clients with a wide range of concerns and identities including but not limited to: depression, anxiety, relationship issues, neurodiversity (ADHD and Autism), and other developmental disabilities, vocational stress, chronic illness, women’s issues, infertility and disability-related work and school-place barriers. I have experience working with individuals from historically underrepresented underserved communities, international clients, interracial couples and families, women, immigrants/refugees as well as the LGBTQIA+ community.
I work with clients with a wide range of concerns and identities including but not limited to: depression, anxiety, relationship issues, neurodiversity (ADHD and Autism), and other developmental disabilities, vocational stress, chronic illness, women’s issues, infertility and disability-related work and school-place barriers. I have experience working with individuals from historically underrepresented underserved communities, international clients, interracial couples and families, women, immigrants/refugees as well as the LGBTQIA+ community.
(785) 465-2487 View (785) 465-2487

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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.