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 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 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 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 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.
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Photo of Danielle R Miyasato (Aka Casden), Psychologist in San Francisco, CA
Danielle R Miyasato (Aka Casden)
Psychologist, PhD
Verified Verified
San Francisco, CA 94123
Are you or a loved one having difficulty coping with chronic illness (cancer, HIV, heart disease, diabetes, COPD, pain or other illness) or managing stress in your life? Health issues can affect every aspect of your life, including relationships, work, finances, mood, and sense of self. I have over a decade of experience helping individuals, couples and families improve the quality of life and reduce suffering. As a Clinical Health Psychologist, I take an integrative approach to psychotherapy and will work with you to create a treatment plan that is tailored to your unique needs and goals.
Are you or a loved one having difficulty coping with chronic illness (cancer, HIV, heart disease, diabetes, COPD, pain or other illness) or managing stress in your life? Health issues can affect every aspect of your life, including relationships, work, finances, mood, and sense of self. I have over a decade of experience helping individuals, couples and families improve the quality of life and reduce suffering. As a Clinical Health Psychologist, I take an integrative approach to psychotherapy and will work with you to create a treatment plan that is tailored to your unique needs and goals.
(415) 413-0915 View (415) 413-0915
Photo of Lucia C Cargill in San Francisco, CA
Lucia C Cargill
PhD, MSN, MA, PHN, FNP-C
Verified Verified
San Francisco, CA 94110
l am a cross-cultural specialist with a PhD in Medical Anthropology & a Family Nurse Practitioner with 15 years in psychiatric, pain & primary care practice.
Greetings! Welcome to our multidisciplinary, holistic, integrative mental health coaching practice. We are open to new ideas from Integrative/Functional Medicine, supportive care for your psychiatric needs, drug free care, and nutritional support. We believe whole body health is the best way to good brain health. Good brain health impacts mental health. We invite you to a different approach to brain health and mental health through coaching and support for referrals to the best functional medicine providers sourcing balance, resolution of inflammation & for all your whole body-mind-spirit healing. We invite you to join us for care.
l am a cross-cultural specialist with a PhD in Medical Anthropology & a Family Nurse Practitioner with 15 years in psychiatric, pain & primary care practice.
Greetings! Welcome to our multidisciplinary, holistic, integrative mental health coaching practice. We are open to new ideas from Integrative/Functional Medicine, supportive care for your psychiatric needs, drug free care, and nutritional support. We believe whole body health is the best way to good brain health. Good brain health impacts mental health. We invite you to a different approach to brain health and mental health through coaching and support for referrals to the best functional medicine providers sourcing balance, resolution of inflammation & for all your whole body-mind-spirit healing. We invite you to join us for care.
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Photo of 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 Kaitlin Doran, Psychologist in San Francisco, CA
Kaitlin Doran
Psychologist, PsyD
Verified Verified
San Francisco, CA 94109  (Online Only)
Dr. Kaitlin Doran is a licensed clinical psychologist with expertise in chronic pain management, depression and anxiety, LGBTQIA issues, women’s health issues, and life transitions. Her approach is warm and collaborative, informed by interpersonal and emotion-focused theories. She fosters a safe and nurturing environment from which to gain greater insight and confidence through genuineness, interest, and humor.
Dr. Kaitlin Doran is a licensed clinical psychologist with expertise in chronic pain management, depression and anxiety, LGBTQIA issues, women’s health issues, and life transitions. Her approach is warm and collaborative, informed by interpersonal and emotion-focused theories. She fosters a safe and nurturing environment from which to gain greater insight and confidence through genuineness, interest, and humor.
(628) 200-3679 View (628) 200-3679
Photo of Roger J. Kuhn, Marriage & Family Therapist in San Francisco, CA
Roger J. Kuhn
Marriage & Family Therapist, PhD
Verified Verified
San Francisco, CA 94114  (Online Only)
I focus on issues such as out of control sexual behavior, sexual dysfunctions such as erectile issues, premature and delayed ejaculation, pelvic pain, intimacy with partner issues, and sexuality exploration including behavior and gender.
I am a certified sex therapist and work with clients experiencing issues related to sexuality including performance anxiety, sexual dysfunction, or problematic sexual behavior. We will examine the triggers in your life and find resources to help you manage your challenges when they arise. My work is informed from a social and sexual justice perspective. In addition to my work as a sex therapist, I also work with anxiety, depression, and grief. I am currently seeing clients online via video conference.
I focus on issues such as out of control sexual behavior, sexual dysfunctions such as erectile issues, premature and delayed ejaculation, pelvic pain, intimacy with partner issues, and sexuality exploration including behavior and gender.
I am a certified sex therapist and work with clients experiencing issues related to sexuality including performance anxiety, sexual dysfunction, or problematic sexual behavior. We will examine the triggers in your life and find resources to help you manage your challenges when they arise. My work is informed from a social and sexual justice perspective. In addition to my work as a sex therapist, I also work with anxiety, depression, and grief. I am currently seeing clients online via video conference.
(415) 630-5758 View (415) 630-5758
Photo of Cecilie Herring, Marriage & Family Therapist in San Francisco, CA
Cecilie Herring
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94118
I specialize in working with pre and postnatal moms, supporting parents as they navigate and adjust to parenthood, strengthening the parent-child connection, grief surrounding the loss of a loved one, coping with a chronic illness and/or pain, and working with the challenges of anxiety and depression.
I am a Licensed Marriage Family Therapist offering psychotherapy to adults, adolescents, and children. My training focuses on helping my clients improve their relationships with themselves and others, navigate life transitions, and heal from traumatic experiences. My overall approach seeks to provide a warm, trusting, nonjudgemental relationship in which you are deeply listened to and can safely and freely discuss your challenges, concerns, and vulnerabilities.
I specialize in working with pre and postnatal moms, supporting parents as they navigate and adjust to parenthood, strengthening the parent-child connection, grief surrounding the loss of a loved one, coping with a chronic illness and/or pain, and working with the challenges of anxiety and depression.
I am a Licensed Marriage Family Therapist offering psychotherapy to adults, adolescents, and children. My training focuses on helping my clients improve their relationships with themselves and others, navigate life transitions, and heal from traumatic experiences. My overall approach seeks to provide a warm, trusting, nonjudgemental relationship in which you are deeply listened to and can safely and freely discuss your challenges, concerns, and vulnerabilities.
(415) 517-9319 View (415) 517-9319
Photo of Leslie R Davis, Clinical Social Work/Therapist in San Francisco, CA
Leslie R Davis
Clinical Social Work/Therapist, JD, MSW, LCSW
Verified Verified
San Francisco, CA 94115  (Online Only)
Perhaps you are seeking a path of self-exploration or struggling with anxiety, depression or low self-esteem. You may need some additional time to talk and make some sense out the barriers to your personal goals. Or you may desire to learn practical skills to cope with your pain. Every person is unique, which means that our time together would be tailored to your particular needs based on cultural background, family dynamics and personal values. Either way, I will be present with you and assist you as you journey toward a meaningful life.
Perhaps you are seeking a path of self-exploration or struggling with anxiety, depression or low self-esteem. You may need some additional time to talk and make some sense out the barriers to your personal goals. Or you may desire to learn practical skills to cope with your pain. Every person is unique, which means that our time together would be tailored to your particular needs based on cultural background, family dynamics and personal values. Either way, I will be present with you and assist you as you journey toward a meaningful life.
(415) 366-0587 View (415) 366-0587
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 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 Jo Sopko, Marriage & Family Therapist in San Francisco, CA
Jo Sopko
Marriage & Family Therapist, MFT, RDT
Verified Verified
3 Endorsed
San Francisco, CA 94110
* ADULTS: I work with issues of loss, stress, anxiety, depression, abuse, sex addiction, spiritual guidance, and developmental life changes.* CHILDREN: I invite their stories that may be troubled due to emotional and academic issues. Through play, art and sand tray, I address issues of divorce, traumatic losses, abuse, adoption, bullying and low self esteem that may be affecting your children. * COUPLES: My passion is to help the couple find a yet unknown way to a compassionate, loving, open communicative relationship; to become vulnerable to the pain and wounds of each other's soul.
* ADULTS: I work with issues of loss, stress, anxiety, depression, abuse, sex addiction, spiritual guidance, and developmental life changes.* CHILDREN: I invite their stories that may be troubled due to emotional and academic issues. Through play, art and sand tray, I address issues of divorce, traumatic losses, abuse, adoption, bullying and low self esteem that may be affecting your children. * COUPLES: My passion is to help the couple find a yet unknown way to a compassionate, loving, open communicative relationship; to become vulnerable to the pain and wounds of each other's soul.
(415) 799-4143 View (415) 799-4143
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 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 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 Shira Appell, Marriage & Family Therapist in San Francisco, CA
Shira Appell
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
San Francisco, CA 94123
So much of our pain occurs in relationship to others, and I believe it can be helpful to find healing in relationship as well.
Do you feel like you aren't good enough? Do you struggle with issues of self esteem or self worth? Do you want to explore mind-body connection & the way stress or emotional pain lives in our bodies? If these are themes for you or in your relationships, then perhaps we might work well together. I center my work around self compassion. Only from a place of self kindness can we feel grounded within ourselves to develop a compassionate relationship with others around us. I use mindfulness and somatic body oriented work in order to help us connect deeper with our self, our inner knowing and to be able to cultivate trust with ourselves.
So much of our pain occurs in relationship to others, and I believe it can be helpful to find healing in relationship as well.
Do you feel like you aren't good enough? Do you struggle with issues of self esteem or self worth? Do you want to explore mind-body connection & the way stress or emotional pain lives in our bodies? If these are themes for you or in your relationships, then perhaps we might work well together. I center my work around self compassion. Only from a place of self kindness can we feel grounded within ourselves to develop a compassionate relationship with others around us. I use mindfulness and somatic body oriented work in order to help us connect deeper with our self, our inner knowing and to be able to cultivate trust with ourselves.
(628) 229-2098 View (628) 229-2098

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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.