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 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 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 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 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 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.
View
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 Stéphanie Gay Moss, Psychologist in San Francisco, CA
Stéphanie Gay Moss
Psychologist, PsyD
Verified Verified
San Francisco, CA 94115
Sometimes, engaging with emotional pain involves making contact with wordless places and unthought truths.
My work with you begins with the recognition that it takes courage to seek help. You may have questions about why you feel the way you feel and why you do the things you do. I believe you are not defined by your symptoms. Whether you struggle with love, work, or relationships, whether you are in crisis or you have received a mental health diagnosis, I believe that your true desires, conflicts, and needs are meaningful and worth actively getting to know. From our first session together, I meet you where you are.
Sometimes, engaging with emotional pain involves making contact with wordless places and unthought truths.
My work with you begins with the recognition that it takes courage to seek help. You may have questions about why you feel the way you feel and why you do the things you do. I believe you are not defined by your symptoms. Whether you struggle with love, work, or relationships, whether you are in crisis or you have received a mental health diagnosis, I believe that your true desires, conflicts, and needs are meaningful and worth actively getting to know. From our first session together, I meet you where you are.
(415) 527-5963 View (415) 527-5963
Photo of Christina Frenzel, Marriage & Family Therapist Associate in San Francisco, CA
Christina Frenzel
Marriage & Family Therapist Associate, MA, AMFT, APCC
Verified Verified
1 Endorsed
San Francisco, CA 94158  (Online Only)
I specialize in treating individuals, couples, and families affected by chronic illness (diabetes, autoimmune disorders, medical trauma, chronic pain), neurodivergence (ADHD, autism, anxiety, executive dysfunction, emotional dysregulation), and relationship issues (communication, codependency, social anxiety, dating, narcissistic abuse). I utilize a variety of evidence-based modalities tailored to every client’s unique and individual needs. My style is warm, nurturing, collaborative , and non-judgmental. I hope to support you in growing a deeper sense of awareness, creativity, connection, confidence, and purpose in your life.
I specialize in treating individuals, couples, and families affected by chronic illness (diabetes, autoimmune disorders, medical trauma, chronic pain), neurodivergence (ADHD, autism, anxiety, executive dysfunction, emotional dysregulation), and relationship issues (communication, codependency, social anxiety, dating, narcissistic abuse). I utilize a variety of evidence-based modalities tailored to every client’s unique and individual needs. My style is warm, nurturing, collaborative , and non-judgmental. I hope to support you in growing a deeper sense of awareness, creativity, connection, confidence, and purpose in your life.
(650) 910-5548 View (650) 910-5548
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
Photo of Ilene Rich-Holtzberg Ph.D., Psychologist in San Francisco, CA
Ilene Rich-Holtzberg Ph.D.
Psychologist, PhD
Verified Verified
San Francisco, CA 94104
My specialty areas are substance abuse, couples issues, eating disorders, life coaching, bariatric surgery issues, infertility/adoption, helping caregivers cope with dealing with a loved one's chronic illness.
My focus is to develop a relationship with the client. This is called the two person model which is different than the old fashion practice where the doctor is one up and the client is one down. Rather, the two person model attempts to understand the client through questions and mutual discussion. I am not a silent therapist. I give feedback and remain fully engaged with the patient. Together we build a rapport. I adhere to a humanistic approach.
My specialty areas are substance abuse, couples issues, eating disorders, life coaching, bariatric surgery issues, infertility/adoption, helping caregivers cope with dealing with a loved one's chronic illness.
My focus is to develop a relationship with the client. This is called the two person model which is different than the old fashion practice where the doctor is one up and the client is one down. Rather, the two person model attempts to understand the client through questions and mutual discussion. I am not a silent therapist. I give feedback and remain fully engaged with the patient. Together we build a rapport. I adhere to a humanistic approach.
(415) 366-8999 View (415) 366-8999
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 Gillian Nathan, Clinical Social Work/Therapist in San Francisco, CA
Gillian Nathan
Clinical Social Work/Therapist, LCSW, CHT
Verified Verified
San Francisco, CA 94114  (Online Only)
Are you ready to invite ease, joy and connection into your life? To let go of old pain and live more fully in the present? My office is a safe and supportive environment for self-exploration, healing, and change. Together we address challenges by identifying current strengths and resources and adding new tools and resources. By developing more balance in your emotional, physical and spiritual aspects of self, this holistic approach helps you find greater peace and fulfillment in your life and relationships.
Are you ready to invite ease, joy and connection into your life? To let go of old pain and live more fully in the present? My office is a safe and supportive environment for self-exploration, healing, and change. Together we address challenges by identifying current strengths and resources and adding new tools and resources. By developing more balance in your emotional, physical and spiritual aspects of self, this holistic approach helps you find greater peace and fulfillment in your life and relationships.
(415) 726-2811 View (415) 726-2811
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 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 Abbie Endres, Marriage & Family Therapist in San Francisco, CA
Abbie Endres
Marriage & Family Therapist, MA, LMFT, PMH-C
Verified Verified
San Francisco, CA 94131  (Online Only)
Two guiding intentions support this work: Develop tools, awareness, and self-compassion to transform pain and suffering.
You've begun a courageous search. Take heart, healing is possible. My work is rooted in the body/mind connection, nourished by the imagination, and anchored in the support of our therapy relationship. My style includes both directing and listening. I understand that your timing and willingness to explore your concerns are unique and must be navigated with respect. We work together to take stock, talk about your goals, and gather the tools needed - from your own strengths, the training I bring, and a community of resources - to help you continue your journey of wellbeing.
Two guiding intentions support this work: Develop tools, awareness, and self-compassion to transform pain and suffering.
You've begun a courageous search. Take heart, healing is possible. My work is rooted in the body/mind connection, nourished by the imagination, and anchored in the support of our therapy relationship. My style includes both directing and listening. I understand that your timing and willingness to explore your concerns are unique and must be navigated with respect. We work together to take stock, talk about your goals, and gather the tools needed - from your own strengths, the training I bring, and a community of resources - to help you continue your journey of wellbeing.
(415) 322-3318 View (415) 322-3318
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.