Photo of Pearl B Werfel, Psychologist in San Francisco, CA
Pearl B Werfel
Psychologist, PhD
Verified Verified
San Francisco, CA 94104
I offer a safe and comforting place for you to more deeply connect with yourself, learn tools to mitigate stress and physical and emotional pain and allow yourself to heal.
Even the most capable and intelligent person will sometimes need help. My clients include professionals, supervisors, executives, and healthcare providers who seek to better manage the stressors of their professional and personal lives. I create a safe and comfortable environment where you can learn how to decrease stress and anxiety, sleep better, reduce or eliminate pain, live well with chronic illness, resolve past trauma and stop self-limiting behaviors. My over 25 years of experience and training enables me to tailor therapeutic interventions to your needs.
I offer a safe and comforting place for you to more deeply connect with yourself, learn tools to mitigate stress and physical and emotional pain and allow yourself to heal.
Even the most capable and intelligent person will sometimes need help. My clients include professionals, supervisors, executives, and healthcare providers who seek to better manage the stressors of their professional and personal lives. I create a safe and comfortable environment where you can learn how to decrease stress and anxiety, sleep better, reduce or eliminate pain, live well with chronic illness, resolve past trauma and stop self-limiting behaviors. My over 25 years of experience and training enables me to tailor therapeutic interventions to your needs.
(510) 665-5802 View (510) 665-5802
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 Susannah Ruth Feder, Psychologist in San Francisco, CA
Susannah Ruth Feder
Psychologist, PsyD
Verified Verified
San Francisco, CA 94115  (Online Only)
I specialize in treating clients with pain and chronic illness management issues.
I am most experienced in working with people with pain, illness, addictions, anxiety and depression. I use interpersonal and cognitive approaches to these issues, and believe that the client is best able to assist in selecting the types of approaches best suited to them.
I specialize in treating clients with pain and chronic illness management issues.
I am most experienced in working with people with pain, illness, addictions, anxiety and depression. I use interpersonal and cognitive approaches to these issues, and believe that the client is best able to assist in selecting the types of approaches best suited to them.
(925) 448-9343 View (925) 448-9343
Photo of Kimia Mansoor, Psychologist in San Francisco, CA
Kimia Mansoor
Psychologist, PsyD
Verified Verified
2 Endorsed
San Francisco, CA 94115
Are you feeling disappointed and dissatisfied with your current circumstances, relationships, work, or the world at large? I specialize in working with adults, adolescents, and couples experiencing high levels of stress, interpersonal conflict, difficult family/relationship dynamics, grief, and chronic pain or illness. I often work with people who feel "different" and who may have experienced deep feelings of otherness throughout their lives. This includes children of immigrants, neurodiverse individuals, survivors of complex trauma/abuse, and those who identify with minority status in one or more ways.
Are you feeling disappointed and dissatisfied with your current circumstances, relationships, work, or the world at large? I specialize in working with adults, adolescents, and couples experiencing high levels of stress, interpersonal conflict, difficult family/relationship dynamics, grief, and chronic pain or illness. I often work with people who feel "different" and who may have experienced deep feelings of otherness throughout their lives. This includes children of immigrants, neurodiverse individuals, survivors of complex trauma/abuse, and those who identify with minority status in one or more ways.
(415) 423-0335 View (415) 423-0335
Photo of Dr. Stephanie Randazzo, Psychologist in San Francisco, CA
Dr. Stephanie Randazzo
Psychologist, PsyD
Verified Verified
2 Endorsed
San Francisco, CA 94115  (Online Only)
I have a strong passion for working with individuals who experience anxiety, panic attacks, and persistent fear due to their chronic illness.
I am a clinical psychologist and specialize in treating adults who experience life challenges as a result of stress, anxiety, and chronic medical conditions. Common conditions treated are panic attacks, phobias, chronic pain, IBS, and insomnia. Clients often reach out when they are looking for support in changing their actions to move towards their values in life. In therapy, we will work together to identify your strengths, values, and actions to move towards positive change.
I have a strong passion for working with individuals who experience anxiety, panic attacks, and persistent fear due to their chronic illness.
I am a clinical psychologist and specialize in treating adults who experience life challenges as a result of stress, anxiety, and chronic medical conditions. Common conditions treated are panic attacks, phobias, chronic pain, IBS, and insomnia. Clients often reach out when they are looking for support in changing their actions to move towards their values in life. In therapy, we will work together to identify your strengths, values, and actions to move towards positive change.
(628) 313-5767 View (628) 313-5767
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 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 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 Elaine Skoulas, Marriage & Family Therapist in San Francisco, CA
Elaine Skoulas
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
San Francisco, CA 94104
You've made it this far, but something is holding you back from the life you want to be living. You have learned a lot about yourself and relationships, yet you keep ending up stuck in the same patterns. Past trauma doesn’t have to continue to hurt your present life anymore. You might be someone who always puts others first, and now it's finally time to have a space just for you. You might be navigating a life with chronic pain, anxiety, or depression and need the support to get unstuck. Reaching out is a powerful first step to take care of yourself. I am committed to supporting you with warmth and kindness every step along the way.
You've made it this far, but something is holding you back from the life you want to be living. You have learned a lot about yourself and relationships, yet you keep ending up stuck in the same patterns. Past trauma doesn’t have to continue to hurt your present life anymore. You might be someone who always puts others first, and now it's finally time to have a space just for you. You might be navigating a life with chronic pain, anxiety, or depression and need the support to get unstuck. Reaching out is a powerful first step to take care of yourself. I am committed to supporting you with warmth and kindness every step along the way.
(818) 350-5204 View (818) 350-5204
Photo of Bayla Travis, Psy.D. - Pain Management Specialist, Psychologist in San Francisco, CA
Bayla Travis, Psy.D. - Pain Management Specialist
Psychologist, PsyD
Verified Verified
San Francisco, CA 94110  (Online Only)
Using interventions like mindfulness, relaxation, behavior modification, thought substitution and education about the science of pain, I can help you decrease your symptoms and better care for yourself when symptoms do arise.
I work with individuals who have achieved success in many areas of their lives, yet struggle with chronic health issues that cause great levels of stress. For over a decade, I have helped people who have health challenges like headaches, back and neck pain, irritable bowel syndrome (IBS), ulcerative colitis and Crohn’s Disease. Often, these uncomfortable physical sensations lead to anxiety. And then the anxiety leads to an increase in physical symptoms. Which then leads to even greater levels of anxiety. I can help you interrupt this cycle, leading to you enjoying increased quality of life both personally and professionally.
Using interventions like mindfulness, relaxation, behavior modification, thought substitution and education about the science of pain, I can help you decrease your symptoms and better care for yourself when symptoms do arise.
I work with individuals who have achieved success in many areas of their lives, yet struggle with chronic health issues that cause great levels of stress. For over a decade, I have helped people who have health challenges like headaches, back and neck pain, irritable bowel syndrome (IBS), ulcerative colitis and Crohn’s Disease. Often, these uncomfortable physical sensations lead to anxiety. And then the anxiety leads to an increase in physical symptoms. Which then leads to even greater levels of anxiety. I can help you interrupt this cycle, leading to you enjoying increased quality of life both personally and professionally.
(510) 681-0018 View (510) 681-0018
Photo of Sarah Hammill, Clinical Social Work/Therapist in San Francisco, CA
Sarah Hammill
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Francisco, CA 94123
I have extensive experience treating individuals with chronic and terminal illness, chronic pain, Borderline Personality Disorder, and addiction.
Have you survived a trauma but can't shake the effects of it? Do you want help reclaiming your thoughts, feelings and relationships? I specialize in treating people who have experienced traumatic events such as sexual assault, sudden loss, childhood abuse or divorce. I work with my clients to treat common trauma symptoms such as depression, anxiety, issues with sexuality, and chronic pain. Because trauma affects the body, I combine traditional psychotherapy with a somatic focus to bring relief to the whole self. Ultimately, we work together to alleviate distress and create a life you love.
I have extensive experience treating individuals with chronic and terminal illness, chronic pain, Borderline Personality Disorder, and addiction.
Have you survived a trauma but can't shake the effects of it? Do you want help reclaiming your thoughts, feelings and relationships? I specialize in treating people who have experienced traumatic events such as sexual assault, sudden loss, childhood abuse or divorce. I work with my clients to treat common trauma symptoms such as depression, anxiety, issues with sexuality, and chronic pain. Because trauma affects the body, I combine traditional psychotherapy with a somatic focus to bring relief to the whole self. Ultimately, we work together to alleviate distress and create a life you love.
(510) 454-8430 View (510) 454-8430
Photo of 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 Christine Archer | Pain Reprocessing Therapy, Marriage & Family Therapist in San Francisco, CA
Christine Archer | Pain Reprocessing Therapy
Marriage & Family Therapist, LPCC, LMFT
Verified Verified
San Francisco, CA 94118  (Online Only)
I help high-achieving, do-it-all women overcome chronic pain, anxiety and burnout to live a more joyful and restful life. Often, our bodies give us cues that it’s time to slow down while our minds push us to keep going. We have learned that expectations, responsibilities and productivity take priority over our own care and needs. Maybe you have tried to power through your body’s cues over and over again only to feel stuck, exhausted, and unsure of how to find relief. Our work together will empower you to come back to yourself, to tend to your body and nervous system and to feel more present, connected and at ease.
I help high-achieving, do-it-all women overcome chronic pain, anxiety and burnout to live a more joyful and restful life. Often, our bodies give us cues that it’s time to slow down while our minds push us to keep going. We have learned that expectations, responsibilities and productivity take priority over our own care and needs. Maybe you have tried to power through your body’s cues over and over again only to feel stuck, exhausted, and unsure of how to find relief. Our work together will empower you to come back to yourself, to tend to your body and nervous system and to feel more present, connected and at ease.
(530) 454-8523 View (530) 454-8523
Photo of Envision Wellness Counseling, Marriage & Family Therapist in San Francisco, CA
Envision Wellness Counseling
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94101  (Online Only)
We are passionate about helping women who are faced with various challenges related to infertility, postpartum, women's health, and chronic illness. Our team of therapists uses their specialized training and lived experience to customize ways to best support you during this time.
We are passionate about helping women who are faced with various challenges related to infertility, postpartum, women's health, and chronic illness. Our team of therapists uses their specialized training and lived experience to customize ways to best support you during this time.
(805) 800-8278 View (805) 800-8278
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 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 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

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.