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Photo of Nicki Koethner, Marriage & Family Therapist in San Francisco, CA
Nicki Koethner
Marriage & Family Therapist, MA, MFT
Verified Verified
6 Endorsed
Emeryville, CA 94608
Are you anxious, depressed and tired? Are you feeling emotional for no reason? Feeling disoriented and lonely? Questioning everything in your life? I help people to deeply listen inside and let their choices be based on what is true for them. While pain and emotions are part of being human, suffering can be minimized by allowing what is inside of us to be expressed and find acceptance in our experiences. I support you to move through trauma, anxiety, anger and depression to empowerment. Stress-management is part of the work and looking at communication with ourselves and others to have fulfilling relationships.
Are you anxious, depressed and tired? Are you feeling emotional for no reason? Feeling disoriented and lonely? Questioning everything in your life? I help people to deeply listen inside and let their choices be based on what is true for them. While pain and emotions are part of being human, suffering can be minimized by allowing what is inside of us to be expressed and find acceptance in our experiences. I support you to move through trauma, anxiety, anger and depression to empowerment. Stress-management is part of the work and looking at communication with ourselves and others to have fulfilling relationships.
(510) 606-9884 View (510) 606-9884

Online Therapists

Photo of Meika Hamisch, Marriage & Family Therapist in San Francisco, CA
Meika Hamisch
Marriage & Family Therapist, LMFT
Verified Verified
Pacific Grove, CA 93950
Do you want to have greater awareness, clarity, and authenticity? Do you desire positive changes in your life that fit with your deepest values and joy? I offer integrated approaches that help align the body, emotions, mind, and soul. Rather than pathologizing your symptoms, you have the potential to understand and presence what your suffering is needing by insight, mindfulness skills, and self-compassion. You can have a more profound acceptance of what is and be more of your authentic self.
Do you want to have greater awareness, clarity, and authenticity? Do you desire positive changes in your life that fit with your deepest values and joy? I offer integrated approaches that help align the body, emotions, mind, and soul. Rather than pathologizing your symptoms, you have the potential to understand and presence what your suffering is needing by insight, mindfulness skills, and self-compassion. You can have a more profound acceptance of what is and be more of your authentic self.
(831) 221-1351 View (831) 221-1351

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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.