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 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 Judith Anna Nitchie, Marriage & Family Therapist in San Francisco, CA
Judith Anna Nitchie
Marriage & Family Therapist, MA, CMT, MFT
Verified Verified
San Francisco, CA 94122  (Online Only)
Interactive and educational workshops address stress and emotions relative to chronic illness and loss for self-help groups and professional organizations; education and training for counselors and therapists who work with clients with chronic illness.
Life with a chronic illness presents unique challenges. Not only do you have your new (and changing) physical reality, but anxiety, depression and overwhelm can show up unannounced. I've been there! The great news is that, with help, we can transform our state of mind and start loving life again. WE can get YOU back on the road to loving your life--let's get to it!
Interactive and educational workshops address stress and emotions relative to chronic illness and loss for self-help groups and professional organizations; education and training for counselors and therapists who work with clients with chronic illness.
Life with a chronic illness presents unique challenges. Not only do you have your new (and changing) physical reality, but anxiety, depression and overwhelm can show up unannounced. I've been there! The great news is that, with help, we can transform our state of mind and start loving life again. WE can get YOU back on the road to loving your life--let's get to it!
(415) 799-9266 View (415) 799-9266
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 Ali Gunsberg, Clinical Social Work/Therapist in San Francisco, CA
Ali Gunsberg
Clinical Social Work/Therapist, LCSW, MA
Verified Verified
San Francisco, CA 94114
One of the most difficult aspects of being a parent is seeing your child in pain and feeling like there is nothing that you can do to help. Whether they feel the pain of depression, anxiety, loss, trauma, divorce or social and academic pressure, my expertise is in helping children connect with their inner strength and confidence. I support families in developing the communication skills necessary to allow children to grow and move forward in healthy ways. I believe all children are unique, and my goal is to help bring out the best in your child.
One of the most difficult aspects of being a parent is seeing your child in pain and feeling like there is nothing that you can do to help. Whether they feel the pain of depression, anxiety, loss, trauma, divorce or social and academic pressure, my expertise is in helping children connect with their inner strength and confidence. I support families in developing the communication skills necessary to allow children to grow and move forward in healthy ways. I believe all children are unique, and my goal is to help bring out the best in your child.
(415) 295-4664 View (415) 295-4664
Photo of Beyond Coping, Psychologist in San Francisco, CA
Beyond Coping
Psychologist, PhD
Not Verified Not Verified
San Francisco, CA 94115
Are you living with or have you recently been diagnosed with a major medical condition? Caring for someone who is ill or dying? Are you having difficulties coping with a chronic or newly diagnosed illness? Are your children struggling with the loss of a loved one? Are you dealing with the impact of illness on body image? Are you considering end of life options or dealing with issues such as loss and grief? We help patients, their loved ones, and caregivers coping with cancer, life-altering illness, chronic pain, neurological conditions, infertility, complex pregnancy, and end of life issues.
Are you living with or have you recently been diagnosed with a major medical condition? Caring for someone who is ill or dying? Are you having difficulties coping with a chronic or newly diagnosed illness? Are your children struggling with the loss of a loved one? Are you dealing with the impact of illness on body image? Are you considering end of life options or dealing with issues such as loss and grief? We help patients, their loved ones, and caregivers coping with cancer, life-altering illness, chronic pain, neurological conditions, infertility, complex pregnancy, and end of life issues.
(844) 382-8410 x701 View (844) 382-8410 x701
Photo of Holly Gordon, Psychologist in San Francisco, CA
Holly Gordon
Psychologist, DMH
Verified Verified
1 Endorsed
San Francisco, CA 94118
Talking to someone who understands the pain you feel-depression, anxiety, or feeling stuck-can relieve inner distress and give you a new perspective on your life. I am empathic and experienced at providing a safe setting where we can explore what is causing you to feel anxious, distressed or unfulfilled. In therapy we work together to clarify those emotions that have kept you from moving forward in your life. You will find new ways to see yourself and others, which leads to more meaningful relationships and a more fulfilling life.
Talking to someone who understands the pain you feel-depression, anxiety, or feeling stuck-can relieve inner distress and give you a new perspective on your life. I am empathic and experienced at providing a safe setting where we can explore what is causing you to feel anxious, distressed or unfulfilled. In therapy we work together to clarify those emotions that have kept you from moving forward in your life. You will find new ways to see yourself and others, which leads to more meaningful relationships and a more fulfilling life.
(415) 787-3993 View (415) 787-3993
Photo of Maeve Odile Jackson-Dufault, Marriage & Family Therapist Associate in San Francisco, CA
Maeve Odile Jackson-Dufault
Marriage & Family Therapist Associate, MA
Verified Verified
San Francisco, CA 94123
My approach to therapy is integral; I work from an attachment and trauma informed lens with a deep grounding in relational psychoanalytic theory. I have experience with treating depression and anxiety, low self-esteem, questions of gender and sexuality, complex family dynamics, relationship issues, chronic pain, and grief work. My wish it to foster a therapeutic space that feels both challenging as well as safe so that we can work together to meet your treatment goals. In our work together I may bring in mindfulness techniques, parts work, attachment theory, dream work, movement, and myth.
My approach to therapy is integral; I work from an attachment and trauma informed lens with a deep grounding in relational psychoanalytic theory. I have experience with treating depression and anxiety, low self-esteem, questions of gender and sexuality, complex family dynamics, relationship issues, chronic pain, and grief work. My wish it to foster a therapeutic space that feels both challenging as well as safe so that we can work together to meet your treatment goals. In our work together I may bring in mindfulness techniques, parts work, attachment theory, dream work, movement, and myth.
(510) 513-4604 View (510) 513-4604
Photo of Hollie Hannan, Marriage & Family Therapist in San Francisco, CA
Hollie Hannan
Marriage & Family Therapist, PhD, MFT
Verified Verified
San Francisco, CA 94118
If change were as simple as Cher telling Nicholas Cage in Moonstruck to "Snap out of it!" there would be no need for therapists. While experiencing pain is difficult, it is often a catalyst for growth. As a licensed Therapist for 18 years, I specialize in helping people heal their emotional injuries and move through the "stuck" places that prevent them from living fuller and more meaningful lives. Resilience increases by working through challenges.
If change were as simple as Cher telling Nicholas Cage in Moonstruck to "Snap out of it!" there would be no need for therapists. While experiencing pain is difficult, it is often a catalyst for growth. As a licensed Therapist for 18 years, I specialize in helping people heal their emotional injuries and move through the "stuck" places that prevent them from living fuller and more meaningful lives. Resilience increases by working through challenges.
(415) 800-4665 View (415) 800-4665
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 Lisa A Murphy, Clinical Social Work/Therapist in San Francisco, CA
Lisa A Murphy
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94115  (Online Only)
Are you are you struggling with anxiety, stress, weight control/obesity, emotional eating, unhealthy/excessive behaviors or a chronic illness/family member's chronic illness? You may have tried to change many times in the past without the results you want. If you are ready to break the cycle, therapy can help you make changes...for life. My approach is to welcome your whole self in therapy, including your mind, body and spirit. We'll develop specific strategies to help you get better faster
Are you are you struggling with anxiety, stress, weight control/obesity, emotional eating, unhealthy/excessive behaviors or a chronic illness/family member's chronic illness? You may have tried to change many times in the past without the results you want. If you are ready to break the cycle, therapy can help you make changes...for life. My approach is to welcome your whole self in therapy, including your mind, body and spirit. We'll develop specific strategies to help you get better faster
(415) 763-6231 View (415) 763-6231
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 Bryan Newman, Marriage & Family Therapist in San Francisco, CA
Bryan Newman
Marriage & Family Therapist, MA, MFT
Verified Verified
8 Endorsed
San Francisco, CA 94110
Waitlist for new clients
As our work together brings light to those places of pain and confusion, new ways of approaching old problems will become apparent, and presenting symptoms --such as depressive thinking, anxiety or rage-- can subside as emotional and psychological wounds that you may have felt unbearable begin to heal.
My work with you begins from my deep respect for the self-awareness and courage it takes to seek support. From our first session together, I aim to create an optimally safe and trusting relationship, a safe harbor in what may be tumultuous life seas. Gently but actively, I will help guide you through the places inside where you feel stuck, afraid, or are simply in too much pain to examine. In our sessions, I won't just sit back silently; my approach to therapy is warm, interactive, experiential and engaged.
As our work together brings light to those places of pain and confusion, new ways of approaching old problems will become apparent, and presenting symptoms --such as depressive thinking, anxiety or rage-- can subside as emotional and psychological wounds that you may have felt unbearable begin to heal.
My work with you begins from my deep respect for the self-awareness and courage it takes to seek support. From our first session together, I aim to create an optimally safe and trusting relationship, a safe harbor in what may be tumultuous life seas. Gently but actively, I will help guide you through the places inside where you feel stuck, afraid, or are simply in too much pain to examine. In our sessions, I won't just sit back silently; my approach to therapy is warm, interactive, experiential and engaged.
(415) 494-8415 View (415) 494-8415
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 Allycia Souza, Marriage & Family Therapist in San Francisco, CA
Allycia Souza
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94101
My counseling style is compassionate, reflective, and rooted in radical self acceptance. My focus is on helping you accept the parts of yourself that are hard to tolerate and be at peace with. I have been a psychotherapist for 13 years and I am licensed in the state of California. I have worked with people from various backgrounds that grapple with differing issues, such as, depression, anxiety, PTSD, chronic pain/illness, childhood abuse and trauma, relationship issues, parenting problems, grief, domestic violence and life transitions.
My counseling style is compassionate, reflective, and rooted in radical self acceptance. My focus is on helping you accept the parts of yourself that are hard to tolerate and be at peace with. I have been a psychotherapist for 13 years and I am licensed in the state of California. I have worked with people from various backgrounds that grapple with differing issues, such as, depression, anxiety, PTSD, chronic pain/illness, childhood abuse and trauma, relationship issues, parenting problems, grief, domestic violence and life transitions.
(510) 674-1117 View (510) 674-1117
Photo of Phuong Le, Marriage & Family Therapist in San Francisco, CA
Phuong Le
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94114  (Online Only)
I use humor and compassion to provide some reprieve from personal pain and offer honesty to dispel personal inaccurate myths.
Hello, My name is Phuong Le. I am a Vietnamese bilingual psychotherapist who would like to bring therapy to people who feel therapy is only accessible to just the few. I am particularly passionate about offering services to people experiencing marginalization. I have been trained in psychodynamic approaches, objects-relations theory, cognitive behavioral therapy approaches and use mindfulness as an integral part of of work with clients. I have worked as a direct service clinician, manager, Clinical Supervisor, and overseeing contracts for mental health provider agencies. I have dedicatedly career to empower and enhance the voice
I use humor and compassion to provide some reprieve from personal pain and offer honesty to dispel personal inaccurate myths.
Hello, My name is Phuong Le. I am a Vietnamese bilingual psychotherapist who would like to bring therapy to people who feel therapy is only accessible to just the few. I am particularly passionate about offering services to people experiencing marginalization. I have been trained in psychodynamic approaches, objects-relations theory, cognitive behavioral therapy approaches and use mindfulness as an integral part of of work with clients. I have worked as a direct service clinician, manager, Clinical Supervisor, and overseeing contracts for mental health provider agencies. I have dedicatedly career to empower and enhance the voice
(341) 766-0650 View (341) 766-0650
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 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 Sarah Dihmes, Psychologist in San Francisco, CA
Sarah Dihmes
Psychologist, PhD, BCB
Verified Verified
San Francisco, CA 94103
Dr. Dihmes is a licensed clinical psychologist one of the few board certified biofeedback psychologists in Northern California. With specialties in life stressors, executive coaching, psychophysiology, and teens, she has expertise in working with various psychological concerns including depression, anxiety, life transitions and chronic illness. Dr. Dihmes' integrates evidence-based treatments such as CBT and mindfulness-based interventions, with consideration for each patient’s unique cultural, biological, and psychological background. Dr. Dihmes is now accepting new clients in California and New York!
Dr. Dihmes is a licensed clinical psychologist one of the few board certified biofeedback psychologists in Northern California. With specialties in life stressors, executive coaching, psychophysiology, and teens, she has expertise in working with various psychological concerns including depression, anxiety, life transitions and chronic illness. Dr. Dihmes' integrates evidence-based treatments such as CBT and mindfulness-based interventions, with consideration for each patient’s unique cultural, biological, and psychological background. Dr. Dihmes is now accepting new clients in California and New York!
(415) 799-5164 View (415) 799-5164
Photo of Michelle Susan Webber, Clinical Social Work/Therapist in San Francisco, CA
Michelle Susan Webber
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94102  (Online Only)
I have worked with couples, individuals, and families, adolescents in crisis, the LGBTQ+ community, women in treatment, addicts/recovering addicts, HIV and AIDS, sufferers of chronic pain, people dealing with grief and loss, and those interested in pursuing mindfulness.
Licensed in both California and Connecticut - Psychotherapist, Addiction Specialist and Life Coach. Living life to the fullest is an adventure. It takes courage to go forward, to harness the power within. This is where Psychotherapy and Life Coaching meet. This is an opportunity to help you make smart choices and assist you in finding a sense of peace and acceptance while you move forward in your life. I am available to help you reach your personal and professional goals. I have studied mindfulness and work with clients who want to know more about it and embrace it. I look forward to hearing from you.
I have worked with couples, individuals, and families, adolescents in crisis, the LGBTQ+ community, women in treatment, addicts/recovering addicts, HIV and AIDS, sufferers of chronic pain, people dealing with grief and loss, and those interested in pursuing mindfulness.
Licensed in both California and Connecticut - Psychotherapist, Addiction Specialist and Life Coach. Living life to the fullest is an adventure. It takes courage to go forward, to harness the power within. This is where Psychotherapy and Life Coaching meet. This is an opportunity to help you make smart choices and assist you in finding a sense of peace and acceptance while you move forward in your life. I am available to help you reach your personal and professional goals. I have studied mindfulness and work with clients who want to know more about it and embrace it. I look forward to hearing from you.
(323) 523-5957 View (323) 523-5957

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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.