Photo of Julie B Robbins, Clinical Social Work/Therapist in San Francisco, CA
Julie B Robbins
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94121
I have had extensive experience in: child abuse, sexual abuse, domestic violence, trauma, divorce, adoption, fertility, chronic illness and pain, depression and anxiety, families with special needs, learning differences, school adjustments, career changes, sexual intimacy.
After over 30 years of clinical practice I realize that getting involved in therapy takes great strength, endurance, and commitment. I am always willing to offer clients a safe environment with my own strength and commitment to do the work that needs to be done. My work with children has helped me work more effectively with adults and my work with adults have helped me work more effectively with the children.Please note that during the virus crisis I am conducting sessions both in person(with some requirements) and on a Hippa approved video therapy network.
I have had extensive experience in: child abuse, sexual abuse, domestic violence, trauma, divorce, adoption, fertility, chronic illness and pain, depression and anxiety, families with special needs, learning differences, school adjustments, career changes, sexual intimacy.
After over 30 years of clinical practice I realize that getting involved in therapy takes great strength, endurance, and commitment. I am always willing to offer clients a safe environment with my own strength and commitment to do the work that needs to be done. My work with children has helped me work more effectively with adults and my work with adults have helped me work more effectively with the children.Please note that during the virus crisis I am conducting sessions both in person(with some requirements) and on a Hippa approved video therapy network.
(415) 802-0532 View (415) 802-0532
Photo of Susannah Ruth Feder, Psychologist in San Francisco, CA
Susannah Ruth Feder
Psychologist, PsyD
Verified Verified
San Francisco, CA 94115  (Online Only)
I specialize in treating clients with pain and chronic illness management issues.
I am most experienced in working with people with pain, illness, addictions, anxiety and depression. I use interpersonal and cognitive approaches to these issues, and believe that the client is best able to assist in selecting the types of approaches best suited to them.
I specialize in treating clients with pain and chronic illness management issues.
I am most experienced in working with people with pain, illness, addictions, anxiety and depression. I use interpersonal and cognitive approaches to these issues, and believe that the client is best able to assist in selecting the types of approaches best suited to them.
(925) 448-9343 View (925) 448-9343
Photo of Kimia Mansoor, Psychologist in San Francisco, CA
Kimia Mansoor
Psychologist, PsyD
Verified Verified
2 Endorsed
San Francisco, CA 94115
Are you feeling disappointed and dissatisfied with your current circumstances, relationships, work, or the world at large? I specialize in working with adults, adolescents, and couples experiencing high levels of stress, interpersonal conflict, difficult family/relationship dynamics, grief, and chronic pain or illness. I often work with people who feel "different" and who may have experienced deep feelings of otherness throughout their lives. This includes children of immigrants, neurodiverse individuals, survivors of complex trauma/abuse, and those who identify with minority status in one or more ways.
Are you feeling disappointed and dissatisfied with your current circumstances, relationships, work, or the world at large? I specialize in working with adults, adolescents, and couples experiencing high levels of stress, interpersonal conflict, difficult family/relationship dynamics, grief, and chronic pain or illness. I often work with people who feel "different" and who may have experienced deep feelings of otherness throughout their lives. This includes children of immigrants, neurodiverse individuals, survivors of complex trauma/abuse, and those who identify with minority status in one or more ways.
(415) 423-0335 View (415) 423-0335
Photo of Radhika Reddy, Psychologist in San Francisco, CA
Radhika Reddy
Psychologist, PhD
Verified Verified
San Francisco, CA 94110  (Online Only)
, ACT), Brainspotting, Pain Reprocessing Therapy, etc.
Welcome! Thank you for checking out my page, and more importantly, for taking this step to invest in yourself! You likely are struggling significantly with something and looking for guidance. You may be wondering if I could be the therapist by your side on this journey. Here's a little about me to help you make an informed decision: My style of therapy is thoughtful, warm, compassionate, non-judgmental, highly collaborative, and results-driven. You are the expert on you (your child), and are likely coming to me for expertise in specific therapies to help you get to where you are heading. As a team we can get there quicker!
, ACT), Brainspotting, Pain Reprocessing Therapy, etc.
Welcome! Thank you for checking out my page, and more importantly, for taking this step to invest in yourself! You likely are struggling significantly with something and looking for guidance. You may be wondering if I could be the therapist by your side on this journey. Here's a little about me to help you make an informed decision: My style of therapy is thoughtful, warm, compassionate, non-judgmental, highly collaborative, and results-driven. You are the expert on you (your child), and are likely coming to me for expertise in specific therapies to help you get to where you are heading. As a team we can get there quicker!
(650) 727-1805 View (650) 727-1805
Photo of Shallyn Wells, Marriage & Family Therapist Associate in San Francisco, CA
Shallyn Wells
Marriage & Family Therapist Associate, MA, JD
Verified Verified
San Francisco, CA 94114  (Online Only)
This can look like grappling with your relationship (or society’s relationship) to: trauma, queerness/gender identity, burnout, growing up, messiness, chronic pain/illness, anxiety/depression, attachment patterns, and relationship models/transitions.
Welcome! I’m Shallyn, a queer, non-binary somatic therapist. I work with adults, teens, and relationships. I believe that healing happens "at the speed of trust," in relationship, and beyond the binaries of good/bad, broken/healed. I believe that the healing container we make together will be a space where you can start where you are (as the world’s expert of your own lived and felt experience); where you can notice and honor what your body is already doing to heal and protect itself; and where you can exist beyond stifling binaries and norms in unfolding relationship to your body, yourself, your people, and your world.
This can look like grappling with your relationship (or society’s relationship) to: trauma, queerness/gender identity, burnout, growing up, messiness, chronic pain/illness, anxiety/depression, attachment patterns, and relationship models/transitions.
Welcome! I’m Shallyn, a queer, non-binary somatic therapist. I work with adults, teens, and relationships. I believe that healing happens "at the speed of trust," in relationship, and beyond the binaries of good/bad, broken/healed. I believe that the healing container we make together will be a space where you can start where you are (as the world’s expert of your own lived and felt experience); where you can notice and honor what your body is already doing to heal and protect itself; and where you can exist beyond stifling binaries and norms in unfolding relationship to your body, yourself, your people, and your world.
(415) 942-9603 View (415) 942-9603
Photo of Katy Wray, Psychotherapist & Jungian Psychoanalyst, Marriage & Family Therapist in San Francisco, CA
Katy Wray, Psychotherapist & Jungian Psychoanalyst
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94115
Sometimes there is a powerful link between pain in the body and the unconscious mind.
Psychotherapy can help when you are struggling with something specific, or when you are feeling concerned about where your life is going in general. There may be patterns that you tend to repeat and wish to change. Common concerns include relationships, work, anxiety, depression, grief, and childhood trauma. Depth therapy and Jungian psychoanalysis aim to go beyond immediate symptom relief to unblock your capacity to grow into who you are uniquely meant to be.
Sometimes there is a powerful link between pain in the body and the unconscious mind.
Psychotherapy can help when you are struggling with something specific, or when you are feeling concerned about where your life is going in general. There may be patterns that you tend to repeat and wish to change. Common concerns include relationships, work, anxiety, depression, grief, and childhood trauma. Depth therapy and Jungian psychoanalysis aim to go beyond immediate symptom relief to unblock your capacity to grow into who you are uniquely meant to be.
(415) 800-2661 View (415) 800-2661
Photo of Natasha Smolkin, Psychologist in San Francisco, CA
Natasha Smolkin
Psychologist, PsyD
Verified Verified
San Francisco, CA 94109  (Online Only)
Dr. Natasha Smolkin is a licensed clinical psychologist who specializes in working with patients who struggle with chronic pain, stress and anxiety, addiction, interpersonal challenges, depression, self-esteem issues, and many more of life’s mental wellness obstacles. She utilizes an integrative, strength-based approach, which focuses on cultivating sense-of-efficacy around changes, obstacles, and goals.
Dr. Natasha Smolkin is a licensed clinical psychologist who specializes in working with patients who struggle with chronic pain, stress and anxiety, addiction, interpersonal challenges, depression, self-esteem issues, and many more of life’s mental wellness obstacles. She utilizes an integrative, strength-based approach, which focuses on cultivating sense-of-efficacy around changes, obstacles, and goals.
(415) 480-5482 View (415) 480-5482
Photo of Pauline Wakeham, Clinical Social Work/Therapist in San Francisco, CA
Pauline Wakeham
Clinical Social Work/Therapist, LCSW, SEP
Verified Verified
1 Endorsed
San Francisco, CA 94127
I help people to heal that pain.
Are you having trouble getting over a past shock or trauma? Are you frequently in overwhelm/collapse? Are you constantly bracing against danger, ready to fight or run away? If you answered yes to any of these questions, I can help. I specialize in working with people who have experienced being overwhelmed by events and experiences that have shaken their very foundations. I take time to assess your personal stress/trauma history and provide guidance and support to assist you in your recovery. I also help couples create sustained improvement in their relationship, creating more effective communication and fulfilling relationships.
I help people to heal that pain.
Are you having trouble getting over a past shock or trauma? Are you frequently in overwhelm/collapse? Are you constantly bracing against danger, ready to fight or run away? If you answered yes to any of these questions, I can help. I specialize in working with people who have experienced being overwhelmed by events and experiences that have shaken their very foundations. I take time to assess your personal stress/trauma history and provide guidance and support to assist you in your recovery. I also help couples create sustained improvement in their relationship, creating more effective communication and fulfilling relationships.
(510) 377-1082 View (510) 377-1082
Photo of Nina Eisenberg @ The Connective, Psychologist in San Francisco, CA
Nina Eisenberg @ The Connective
Psychologist, PhD
Verified Verified
San Francisco, CA 94102
I work with adolescents and adults who have identified something in their lives that is causing distress or interfering with their goals. These may be uncomfortable thoughts or feelings, or stressful life circumstances both past or present. Or, they may have a more general discomfort, a sense that something just isn’t “right” and feeling “stuck.” Major life transitions, relationship changes, and illness may be catalysts for psychological distress. Regardless, there is usually a desire to understand themselves better, make meaning of their experiences, and to change grow.
I work with adolescents and adults who have identified something in their lives that is causing distress or interfering with their goals. These may be uncomfortable thoughts or feelings, or stressful life circumstances both past or present. Or, they may have a more general discomfort, a sense that something just isn’t “right” and feeling “stuck.” Major life transitions, relationship changes, and illness may be catalysts for psychological distress. Regardless, there is usually a desire to understand themselves better, make meaning of their experiences, and to change grow.
(628) 200-4029 View (628) 200-4029
Photo of Michael Mayer, Psychologist in San Francisco, CA
Michael Mayer
Psychologist, PhD
Verified Verified
1 Endorsed
San Francisco, CA 94123
Real transformation is possible when you have the right tools to mine your inner gems. With my 40 years experience, I give you leading-edge methods to help you deal with various psychological issues. Self-healing tools from Eastern and Western traditions can reduce or eliminate medications and empowers your inner healer to deal with your anxiety, depression, chronic pain, insomnia, trauma,hypertension, etc. Transform your inner critic into a helpful coach :-)
Real transformation is possible when you have the right tools to mine your inner gems. With my 40 years experience, I give you leading-edge methods to help you deal with various psychological issues. Self-healing tools from Eastern and Western traditions can reduce or eliminate medications and empowers your inner healer to deal with your anxiety, depression, chronic pain, insomnia, trauma,hypertension, etc. Transform your inner critic into a helpful coach :-)
(415) 931-4888 View (415) 931-4888
Photo of Molly Garber Therapy, Clinical Social Work/Therapist in San Francisco, CA
Molly Garber Therapy
Clinical Social Work/Therapist, MSW
Verified Verified
San Francisco, CA 94131
I combine Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), motivational interviewing, EMDR (Eye Movement Desensitization Reprocessing), and Solution-Focused Therapy to target feelings of dread, abandonment, isolation, anxiety, chronic pain, and the many other symptoms that may come up for you on a daily basis.
“Regardless of how long ago something happened, and regardless of how long symptoms have been there, it doesn’t need to be permanent.” - Getting Past Your Past (Shapiro, 2012) Whether you are experiencing anxiety, depression, interpersonal issues or other daily symptoms that leave you feeling discontent, there is a solution. By utilizing a client-centered approach, I meet you where you are from session-to-session in order to provide an environment focused on comfort, trust, and understanding. I see healing as a sine wave, with ups-and-downs but always on an upward trajectory. Together we will walk through your healing.
I combine Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), motivational interviewing, EMDR (Eye Movement Desensitization Reprocessing), and Solution-Focused Therapy to target feelings of dread, abandonment, isolation, anxiety, chronic pain, and the many other symptoms that may come up for you on a daily basis.
“Regardless of how long ago something happened, and regardless of how long symptoms have been there, it doesn’t need to be permanent.” - Getting Past Your Past (Shapiro, 2012) Whether you are experiencing anxiety, depression, interpersonal issues or other daily symptoms that leave you feeling discontent, there is a solution. By utilizing a client-centered approach, I meet you where you are from session-to-session in order to provide an environment focused on comfort, trust, and understanding. I see healing as a sine wave, with ups-and-downs but always on an upward trajectory. Together we will walk through your healing.
View
Photo of Shannon Hagan, Psychologist in San Francisco, CA
Shannon Hagan
Psychologist, PsyD
Verified Verified
San Francisco, CA 94115
I have worked extensively with couples and individuals, helping improve relationships, enhance spiritual practice, find greater joy and success, and improve pain management.
While life does have it's challenges, I am here to remind you that there is a path to a gentler, brighter, more playful future, both with our own selves and with our partners and loved one. Therapy can be a wonderful way to rediscover joy, aliveness and connectedness.
I have worked extensively with couples and individuals, helping improve relationships, enhance spiritual practice, find greater joy and success, and improve pain management.
While life does have it's challenges, I am here to remind you that there is a path to a gentler, brighter, more playful future, both with our own selves and with our partners and loved one. Therapy can be a wonderful way to rediscover joy, aliveness and connectedness.
(510) 949-5236 View (510) 949-5236
Photo of Kathy Jarosz, Clinical Social Work/Therapist in San Francisco, CA
Kathy Jarosz
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94104
A passion is the work that I do with chronic pain (TMS) which can help even longtime sufferers reduce/eliminate pain.
Are you and your partner wanting help communicating? Feeling emotionally distant? Are you frustrated by the problems with your relationship? Has there been an affair or addiction? I am a Gottman Level 3 trained couples therapist and I can help! I can offer you some leading-edge tools and resources to kick-start change. If you both want the marriage to be saved, that's exactly what we will work toward. But, if one of you is uncertain if you want to save the marriage we can discuss "Discernment Counseling". You learn what it would take to turn it around before you decide to start couples therapy. Don't postpone getting help!
A passion is the work that I do with chronic pain (TMS) which can help even longtime sufferers reduce/eliminate pain.
Are you and your partner wanting help communicating? Feeling emotionally distant? Are you frustrated by the problems with your relationship? Has there been an affair or addiction? I am a Gottman Level 3 trained couples therapist and I can help! I can offer you some leading-edge tools and resources to kick-start change. If you both want the marriage to be saved, that's exactly what we will work toward. But, if one of you is uncertain if you want to save the marriage we can discuss "Discernment Counseling". You learn what it would take to turn it around before you decide to start couples therapy. Don't postpone getting help!
(650) 741-4387 View (650) 741-4387
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 Sarah Hammill, Clinical Social Work/Therapist in San Francisco, CA
Sarah Hammill
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Francisco, CA 94123
I have extensive experience treating individuals with chronic and terminal illness, chronic pain, Borderline Personality Disorder, and addiction.
Have you survived a trauma but can't shake the effects of it? Do you want help reclaiming your thoughts, feelings and relationships? I specialize in treating people who have experienced traumatic events such as sexual assault, sudden loss, childhood abuse or divorce. I work with my clients to treat common trauma symptoms such as depression, anxiety, issues with sexuality, and chronic pain. Because trauma affects the body, I combine traditional psychotherapy with a somatic focus to bring relief to the whole self. Ultimately, we work together to alleviate distress and create a life you love.
I have extensive experience treating individuals with chronic and terminal illness, chronic pain, Borderline Personality Disorder, and addiction.
Have you survived a trauma but can't shake the effects of it? Do you want help reclaiming your thoughts, feelings and relationships? I specialize in treating people who have experienced traumatic events such as sexual assault, sudden loss, childhood abuse or divorce. I work with my clients to treat common trauma symptoms such as depression, anxiety, issues with sexuality, and chronic pain. Because trauma affects the body, I combine traditional psychotherapy with a somatic focus to bring relief to the whole self. Ultimately, we work together to alleviate distress and create a life you love.
(510) 454-8430 View (510) 454-8430
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.
View
Photo of Andrew Damian, Psychologist in San Francisco, CA
Andrew Damian
Psychologist, PsyD, BCN
Verified Verified
San Francisco, CA 94105
I am a licensed psychologist with expertise in neurofeedback, neuropsychology, chronic pain treatment, individual psychotherapy, meditation, and qEEG brain mapping. I am board certified in neurofeedback and I use cutting-edge techniques to determine the best treatment and to improve outcomes.
I am a licensed psychologist with expertise in neurofeedback, neuropsychology, chronic pain treatment, individual psychotherapy, meditation, and qEEG brain mapping. I am board certified in neurofeedback and I use cutting-edge techniques to determine the best treatment and to improve outcomes.
(628) 265-6274 View (628) 265-6274
Photo of Erin Liana Johnson, Counselor in San Francisco, CA
Erin Liana Johnson
Counselor, MA, LPCC
Verified Verified
2 Endorsed
San Francisco, CA 94124
If you have been living with chronic pain or illness your relationship to your physicality may currently feel jarred, broken, or thrown off course. You may be grieving the life you thought you would have, or feeling weighed down by addressing day to day challenges. If you are seeking to repair your relationship between yourself and your body, gain new coping skills, and challenge current paradigms, I would be a great fit for you!
If you have been living with chronic pain or illness your relationship to your physicality may currently feel jarred, broken, or thrown off course. You may be grieving the life you thought you would have, or feeling weighed down by addressing day to day challenges. If you are seeking to repair your relationship between yourself and your body, gain new coping skills, and challenge current paradigms, I would be a great fit for you!
(831) 215-4138 View (831) 215-4138
Photo of Rebecca Stein Mind Body Therapy, Clinical Social Work/Therapist in San Francisco, CA
Rebecca Stein Mind Body Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94109
Do you consistently experience BURNOUT and/or chronic PAIN? Do you feel like there is a constant pressure to do things and “do them right?” Do you struggle to FOCUS and wonder if you have ADHD? I provide thorough diagnostic evaluations, executive function coaching, and customized individual and COUPLES therapy. You will learn coping strategies, reconnect in AWE with yourself, your relationships, and life. I have had the privilege of helping clients at UCLA Medicine, The Pain Psychology Center, and Edward Hallowell ADHD Center. Certified ADHD Clinical Services Provider (ADHD-CCSP), IFS, ISTDP, CBT, DBT
Do you consistently experience BURNOUT and/or chronic PAIN? Do you feel like there is a constant pressure to do things and “do them right?” Do you struggle to FOCUS and wonder if you have ADHD? I provide thorough diagnostic evaluations, executive function coaching, and customized individual and COUPLES therapy. You will learn coping strategies, reconnect in AWE with yourself, your relationships, and life. I have had the privilege of helping clients at UCLA Medicine, The Pain Psychology Center, and Edward Hallowell ADHD Center. Certified ADHD Clinical Services Provider (ADHD-CCSP), IFS, ISTDP, CBT, DBT
(470) 450-3277 View (470) 450-3277
Photo of Bahar Yaghoubian, Clinical Social Work/Therapist in San Francisco, CA
Bahar Yaghoubian
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
San Francisco, CA 94115  (Online Only)
My name is Bahar, and I provide counseling for Anxiety, Trauma, and Pain virtually to anyone living in San Francisco, Bay Area, & Los Angeles, CA.
Before your day starts, your heart and mind are already racing, your back and neck feel tense, and your stomach feels queasy. You have this feeling that you are stuck and not sure how to get out of this situation. You think to yourself, “What is happening to my life? Why do I feel this way?” Worry, fear, avoidance, racing heart and negative thoughts. In other words, Anxiety!!! It’s taking up all your energy and controlling your thoughts, emotions, and body. It feels like the anxiety is running your life.
My name is Bahar, and I provide counseling for Anxiety, Trauma, and Pain virtually to anyone living in San Francisco, Bay Area, & Los Angeles, CA.
Before your day starts, your heart and mind are already racing, your back and neck feel tense, and your stomach feels queasy. You have this feeling that you are stuck and not sure how to get out of this situation. You think to yourself, “What is happening to my life? Why do I feel this way?” Worry, fear, avoidance, racing heart and negative thoughts. In other words, Anxiety!!! It’s taking up all your energy and controlling your thoughts, emotions, and body. It feels like the anxiety is running your life.
(818) 616-8916 View (818) 616-8916

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.