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 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 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 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 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 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 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 Jordan Long, Marriage & Family Therapist in San Francisco, CA
Jordan Long
Marriage & Family Therapist, LMFT, MA
Verified Verified
1 Endorsed
San Francisco, CA 94119
Individuals affected by cancer or other physical illnesses often do not realize the influence that the illness has on their mental health until the emotions are all consuming. This is where I step in: to help you deal with life-altering, overwhelming changes that come with the diagnosis, treatment, recovery, and grief of physical illness. I have a wealth of experience working with individuals, couples, and families impacted by physical illness, and believe that physical illness affects the entire family system in a multitude of ways. Whether you are a survivor, caregiver, are grieving, or in the midst of illness, you are not alone.
Individuals affected by cancer or other physical illnesses often do not realize the influence that the illness has on their mental health until the emotions are all consuming. This is where I step in: to help you deal with life-altering, overwhelming changes that come with the diagnosis, treatment, recovery, and grief of physical illness. I have a wealth of experience working with individuals, couples, and families impacted by physical illness, and believe that physical illness affects the entire family system in a multitude of ways. Whether you are a survivor, caregiver, are grieving, or in the midst of illness, you are not alone.
(323) 693-7814 View (323) 693-7814
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 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 Dietmar Brinkmann, Marriage & Family Therapist in San Francisco, CA
Dietmar Brinkmann
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
San Francisco, CA 94114
Are you overwhelmed by emotional turmoil? Is a relationship causing you pain? Do you feel stuck in anxiety or depression? As an expert in emotional resilience and relational wellbeing, I help you get in touch with what you deeply want and uncover internal resources that have been buried. I assist you in developing communication skills to navigate the complexities of friendship, family and work. From this place of strength, we create together a safe space in therapy to experience and express the full range of human emotions so that even the most difficult experiences and traumatic events can be processed.
Are you overwhelmed by emotional turmoil? Is a relationship causing you pain? Do you feel stuck in anxiety or depression? As an expert in emotional resilience and relational wellbeing, I help you get in touch with what you deeply want and uncover internal resources that have been buried. I assist you in developing communication skills to navigate the complexities of friendship, family and work. From this place of strength, we create together a safe space in therapy to experience and express the full range of human emotions so that even the most difficult experiences and traumatic events can be processed.
(415) 639-9029 View (415) 639-9029
Photo of Crystal Jimenez, Psychologist in San Francisco, CA
Crystal Jimenez
Psychologist, PhD
Verified Verified
San Francisco, CA 94104  (Online Only)
Dr. Crystal Jimenez is a licensed clinical psychologist with expertise in chronic pain management, behavioral medicine, adjustment to chronic health conditions and related life stressors. She has experience working with a wide range of mental health concerns, including generalized anxiety, depression, stress reduction, life transitions. Dr. Jimenez’s approach is culturally sensitive, evidence-based, and strengths-based, integrating CBT, mindfulness, and values-based interventions to help patients learn effective skills to increase connection, change, and empowerment in their lives.
Dr. Crystal Jimenez is a licensed clinical psychologist with expertise in chronic pain management, behavioral medicine, adjustment to chronic health conditions and related life stressors. She has experience working with a wide range of mental health concerns, including generalized anxiety, depression, stress reduction, life transitions. Dr. Jimenez’s approach is culturally sensitive, evidence-based, and strengths-based, integrating CBT, mindfulness, and values-based interventions to help patients learn effective skills to increase connection, change, and empowerment in their lives.
(415) 799-5800 View (415) 799-5800
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
Photo of Laura Cayan, Psychologist in San Francisco, CA
Laura Cayan
Psychologist, MA, PsyD
Verified Verified
San Francisco, CA 94123
Common treatment issues may include but are not limited to behavioral problems at school and at home, coping with medical illness, and parenting challenges.
At San Francisco Family Practice, I specialize in psychotherapy with children, adolescents and their families, as well as with adults. I use evidence-based treatments including Cognitive Behavioral Therapy (CBT) to work with you and your family, and believe in a treatment-team approach, wherein families are highly encouraged to be a part of the therapy process. In order to best create your treatment plan, I tailor my approach to your unique concerns and goals.
Common treatment issues may include but are not limited to behavioral problems at school and at home, coping with medical illness, and parenting challenges.
At San Francisco Family Practice, I specialize in psychotherapy with children, adolescents and their families, as well as with adults. I use evidence-based treatments including Cognitive Behavioral Therapy (CBT) to work with you and your family, and believe in a treatment-team approach, wherein families are highly encouraged to be a part of the therapy process. In order to best create your treatment plan, I tailor my approach to your unique concerns and goals.
(415) 798-2074 x3 View (415) 798-2074 x3
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 Jonathan Moss, Marriage & Family Therapist in San Francisco, CA
Jonathan Moss
Marriage & Family Therapist, MFT
Verified Verified
5 Endorsed
San Francisco, CA 94123
It's hard to be a person. Nobody goes through life without pain and struggle. We carry our experiences, whether difficult or traumatic, in ways that shape how we relate to ourselves, to our thoughts and feelings, our hopes and fears, and to the other people in our lives. We are often unaware of how these internal structures shape our lives in the present moment. Psychotherapy offers an environment, a method, and a therapeutic relationship with which to understand and transform how we experience ourselves and the world around us.
It's hard to be a person. Nobody goes through life without pain and struggle. We carry our experiences, whether difficult or traumatic, in ways that shape how we relate to ourselves, to our thoughts and feelings, our hopes and fears, and to the other people in our lives. We are often unaware of how these internal structures shape our lives in the present moment. Psychotherapy offers an environment, a method, and a therapeutic relationship with which to understand and transform how we experience ourselves and the world around us.
(415) 799-4539 View (415) 799-4539
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

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.