Chronic Pain Therapists in Flat Rock, NC

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Photo of Madison Brightwell, Marriage & Family Therapist in Flat Rock, NC
Madison Brightwell
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
1 Endorsed
Hendersonville, NC 28739  (Online Only)
I specialize in helping people with addictions, pain, trauma and mood disorders such as anxiety, depression and anger.
I am licensed in four states and can offer Telehealth sessions to clients in CA, NC, WA and OR. Let's face it - life can be difficult. If you feel overwhelmed by anxiety or stress, or you're struggling to just to feel "normal" again, you've made the right choice by seeking therapy. I'm confident that together we can work to help equip you with the necessary tools to face and overcome life's challenges. You don't have to be alone in this journey. I have the experience to help you live a more fulfilling and meaningful life. I know no two individuals are the same, and I'll tailor our sessions to address the challenges unique to you.
I specialize in helping people with addictions, pain, trauma and mood disorders such as anxiety, depression and anger.
I am licensed in four states and can offer Telehealth sessions to clients in CA, NC, WA and OR. Let's face it - life can be difficult. If you feel overwhelmed by anxiety or stress, or you're struggling to just to feel "normal" again, you've made the right choice by seeking therapy. I'm confident that together we can work to help equip you with the necessary tools to face and overcome life's challenges. You don't have to be alone in this journey. I have the experience to help you live a more fulfilling and meaningful life. I know no two individuals are the same, and I'll tailor our sessions to address the challenges unique to you.
(828) 575-5097 View (828) 575-5097
Photo of Vanessa Guerrero, LCMHC Associate in Flat Rock, NC
Vanessa Guerrero
LCMHC Associate, MA, LCMHC-A, NCC
Verified Verified
Hendersonville, NC 28739  (Online Only)
I work primarily with female adolescents and young adults with a history of chronic illness, trauma, perfectionism, depression, anxiety, and/or mood disorders.
Currently Accepting Clients ( Telehealth Only)-My name is Vanessa Guerero and I am a clinical therapist with Winter to Spring Wellness. Prior to being in Asheville for almost a decade, I originally hail from Miami, Fl. I am a proud daughter of Cuban immigrants and a first-generation college student. As a teen I had my own battles with physical and mental wellness, difficulties with acculturation as well as struggled with cultural stigma in regard to mental health care. Through my own work, I have been able to find healing and am now honored to support others who struggle with their own mental wellness and similar issues.
I work primarily with female adolescents and young adults with a history of chronic illness, trauma, perfectionism, depression, anxiety, and/or mood disorders.
Currently Accepting Clients ( Telehealth Only)-My name is Vanessa Guerero and I am a clinical therapist with Winter to Spring Wellness. Prior to being in Asheville for almost a decade, I originally hail from Miami, Fl. I am a proud daughter of Cuban immigrants and a first-generation college student. As a teen I had my own battles with physical and mental wellness, difficulties with acculturation as well as struggled with cultural stigma in regard to mental health care. Through my own work, I have been able to find healing and am now honored to support others who struggle with their own mental wellness and similar issues.
(828) 382-8550 View (828) 382-8550
Photo of Karen Jordan, Clinical Social Work/Therapist in Flat Rock, NC
Karen Jordan
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Hendersonville, NC 28739  (Online Only)
For so many people, our childhoods were not "good enough, safe enough." Maybe our caregivers were tricky and lacked the capacity to allow us full human experiences as children, and now our bodies are holding that pain. For some of us, we bonded with what was available- substances, food, sex, pain. For all of us, our emotions and behaviors make sense within the context of who we are and what we've been through. And we have survived the worst. Some of our behaviors may not be helping the way they once did. Together, we can start fulfilling the unmet needs that are underneath those behaviors so that you can grow in meaningful ways.
For so many people, our childhoods were not "good enough, safe enough." Maybe our caregivers were tricky and lacked the capacity to allow us full human experiences as children, and now our bodies are holding that pain. For some of us, we bonded with what was available- substances, food, sex, pain. For all of us, our emotions and behaviors make sense within the context of who we are and what we've been through. And we have survived the worst. Some of our behaviors may not be helping the way they once did. Together, we can start fulfilling the unmet needs that are underneath those behaviors so that you can grow in meaningful ways.
(828) 662-8902 View (828) 662-8902
Photo of Guy Morganstein, Licensed Professional Counselor in Flat Rock, NC
Guy Morganstein
Licensed Professional Counselor, MS, LCMHC
Verified Verified
Hendersonville, NC 28791
I also enjoy working with people dealing with chronic pain and illness, and those with LGBTQ issues.
ACCEPTING NEW CLIENTS! With over 35 years of mental health and substance abuse counseling experience, I believe that anyone can make changes necessary to improve their mood, relationships, and quality of life. My focus is on helping you, your partner, and your family implement practical strategies to solve problems, reach goals, and create lasting change. Areas of focus include helping couples improve communication and avoid patterns which result in conflict, and helping people with behavior, anger, or mood issues. I work with you in a safe, compassionate, and confidential environment, and respect of your needs and desires.
I also enjoy working with people dealing with chronic pain and illness, and those with LGBTQ issues.
ACCEPTING NEW CLIENTS! With over 35 years of mental health and substance abuse counseling experience, I believe that anyone can make changes necessary to improve their mood, relationships, and quality of life. My focus is on helping you, your partner, and your family implement practical strategies to solve problems, reach goals, and create lasting change. Areas of focus include helping couples improve communication and avoid patterns which result in conflict, and helping people with behavior, anger, or mood issues. I work with you in a safe, compassionate, and confidential environment, and respect of your needs and desires.
(828) 337-7549 View (828) 337-7549
Photo of Deborah Whitley Van Wieren, Licensed Clinical Mental Health Counselor in Flat Rock, NC
Deborah Whitley Van Wieren
Licensed Clinical Mental Health Counselor, LCMHC , LCAS
Verified Verified
Hendersonville, NC 28792
Waitlist for new clients
Life can present challenges, some we live with every day, and others seem to come out of nowhere. Maybe life doesn't follow along a path we've spent years creating and working toward. The business of living can begin to feel like a grind, and simple tasks may create exhaustion, fear, and uncertainty. Unresolved and painful childhood memories seem to revisit out of nowhere, and even though you've worked and wished, or prayed about the pain, the pain lingers. We often resign ourselves to perceiving life as a chore instead of a joyful experience, which can lead to a lack of fulfillment and even chronic illness.
Life can present challenges, some we live with every day, and others seem to come out of nowhere. Maybe life doesn't follow along a path we've spent years creating and working toward. The business of living can begin to feel like a grind, and simple tasks may create exhaustion, fear, and uncertainty. Unresolved and painful childhood memories seem to revisit out of nowhere, and even though you've worked and wished, or prayed about the pain, the pain lingers. We often resign ourselves to perceiving life as a chore instead of a joyful experience, which can lead to a lack of fulfillment and even chronic illness.
(828) 373-1168 View (828) 373-1168
Photo of Dr. Andrea Dughoff, Psychologist in Flat Rock, NC
Dr. Andrea Dughoff
Psychologist, PhD
Verified Verified
Hendersonville, NC 28792
My calling and expertise is to help women better manage anxiety, worry, and stress in order to cultivate and connect with their inner peace and joy. The pace of life seems to quicken with time, along with the multiple demands to be a good mom, wife, woman, and professional. It can seem impossible to find moments of rest and happiness while balancing “all of the things”. I have found that when women try to "do it all" it can lead to burnout, resentment, depression, and chronic illness. Are your nerves shot? Are you tired but wired? Are you struggling to reign-in unhealthy habits? You've come to the right place!
My calling and expertise is to help women better manage anxiety, worry, and stress in order to cultivate and connect with their inner peace and joy. The pace of life seems to quicken with time, along with the multiple demands to be a good mom, wife, woman, and professional. It can seem impossible to find moments of rest and happiness while balancing “all of the things”. I have found that when women try to "do it all" it can lead to burnout, resentment, depression, and chronic illness. Are your nerves shot? Are you tired but wired? Are you struggling to reign-in unhealthy habits? You've come to the right place!
(828) 415-5304 View (828) 415-5304
Photo of Jeremy T. Cochran - Cochran Christian Counseling, Marriage & Family Therapist in Flat Rock, NC
Jeremy T. Cochran - Cochran Christian Counseling
Marriage & Family Therapist, MS, LMFT
Verified Verified
Hendersonville, NC 28792
Your pain is unique to you, only you can understand it.
For any relationship to work you must be able to communicate. Marriage can be tough. I help people communicate and manage their conflict. I am a Licensed Marriage and Family Therapist, serving North Carolina since 2003. I provide marriage, premarital, individual counseling for adults. I see people with a variety of therapeutic concerns including, but not limited to, trauma, depression, anxiety, & non-supportive spouse.
Your pain is unique to you, only you can understand it.
For any relationship to work you must be able to communicate. Marriage can be tough. I help people communicate and manage their conflict. I am a Licensed Marriage and Family Therapist, serving North Carolina since 2003. I provide marriage, premarital, individual counseling for adults. I see people with a variety of therapeutic concerns including, but not limited to, trauma, depression, anxiety, & non-supportive spouse.
(828) 479-0284 View (828) 479-0284
Photo of Sara Cull, Psychologist in Flat Rock, NC
Sara Cull
Psychologist, PsyD
Verified Verified
1 Endorsed
Hendersonville, NC 28791
Having worked with individuals with a wide range of health concerns including serious illness, I have understanding and compassion for the ensuing life concerns such issues bring.
**Not accepting new clients as of 7/8/21**Whatever may be impacting you right now, a supportive ear, a caring witness can help you understand and sort out what is going on and explore ways to alleviate distress and improve your quality of life. I have experience and interest in working with individuals struggling with anxiety and mood disorders, relationship issues, chronic health problems, women's health (fertility issues, pregnancy, postpartum issues and adjustment), life transitions, work stress, parenting and a wide range of mental health concerns. I will work with you to shape the therapeutic experience for growth and change.
Having worked with individuals with a wide range of health concerns including serious illness, I have understanding and compassion for the ensuing life concerns such issues bring.
**Not accepting new clients as of 7/8/21**Whatever may be impacting you right now, a supportive ear, a caring witness can help you understand and sort out what is going on and explore ways to alleviate distress and improve your quality of life. I have experience and interest in working with individuals struggling with anxiety and mood disorders, relationship issues, chronic health problems, women's health (fertility issues, pregnancy, postpartum issues and adjustment), life transitions, work stress, parenting and a wide range of mental health concerns. I will work with you to shape the therapeutic experience for growth and change.
(773) 231-5122 View (773) 231-5122
Photo of Online Teletherapy For Asheville North Carolina Martha Watson in Flat Rock, NC
Online Teletherapy For Asheville North Carolina Martha Watson
PhD, CAMS-II
Verified Verified
Hendersonville, NC 28739
Navigate life challenges, battling stress, cancer, grief or loss, chronic conditions (migraines, pain), illness, healing anxiety, trauma, IBS or childs anger/stress.
Feeling overwhelmed by trauma, IBS/anxiety, or your child's anger? The COVID-19 pandemic has undeniably increased stress and anxiety, impacting both adults and children's mental and physical well-being. A holistic approach that combines CBT, mindfulness, and mind-body medicine offers evidence-based methods for lasting results. This comprehensive approach addresses a wide range of stress challenges, helping you cope, restore your health & handle life transitions. It tackles stress triggers like fear, negative emotions & feeling overwhelmed. Book your complimentary online consultation today for a drug free positive coping strategy.
Navigate life challenges, battling stress, cancer, grief or loss, chronic conditions (migraines, pain), illness, healing anxiety, trauma, IBS or childs anger/stress.
Feeling overwhelmed by trauma, IBS/anxiety, or your child's anger? The COVID-19 pandemic has undeniably increased stress and anxiety, impacting both adults and children's mental and physical well-being. A holistic approach that combines CBT, mindfulness, and mind-body medicine offers evidence-based methods for lasting results. This comprehensive approach addresses a wide range of stress challenges, helping you cope, restore your health & handle life transitions. It tackles stress triggers like fear, negative emotions & feeling overwhelmed. Book your complimentary online consultation today for a drug free positive coping strategy.
(828) 888-0944 View (828) 888-0944
Photo of Starr Renee Roberts, Licensed Professional Counselor in Flat Rock, NC
Starr Renee Roberts
Licensed Professional Counselor, M ED, LCMHC
Verified Verified
Hendersonville, NC 28792
Do you need someone to bear witness to your daily struggles, and pain? Do you need someone to listen to your story about the difficulties you are having in life that leave you feeling stuck and unable to move forward? Do you feel shut down, worried, anxious, tired, sad, or angry? Are you struggling with school, work, or financial issues? Are you struggling to make it through the day because you are having problems adjusting to changes in your life? Do you feel unappreciated or misunderstood by friends, family or your partner? Are you feeling unsteady or afraid because you've been abused.
Do you need someone to bear witness to your daily struggles, and pain? Do you need someone to listen to your story about the difficulties you are having in life that leave you feeling stuck and unable to move forward? Do you feel shut down, worried, anxious, tired, sad, or angry? Are you struggling with school, work, or financial issues? Are you struggling to make it through the day because you are having problems adjusting to changes in your life? Do you feel unappreciated or misunderstood by friends, family or your partner? Are you feeling unsteady or afraid because you've been abused.
(828) 458-7371 View (828) 458-7371
Photo of Lawrence Cull, Psychologist in Flat Rock, NC
Lawrence Cull
Psychologist, PsyD
Verified Verified
2 Endorsed
Hendersonville, NC 28739
I have been practicing clinical psychology for nearly 20 years as a licensed psychologist. In that time, I have had the pleasure of working with many people who have struggled with a wide range of challenges including relationship and couple's difficulties, addiction, anxiety, depression, serious health concerns, loss, and trauma. I utilize a number of different perspectives including cognitive-behavioral, emotion focused individual and couples, and dynamic therapies. I am also trained in EMDR, mindfulness, relaxation, stress, and pain management.
I have been practicing clinical psychology for nearly 20 years as a licensed psychologist. In that time, I have had the pleasure of working with many people who have struggled with a wide range of challenges including relationship and couple's difficulties, addiction, anxiety, depression, serious health concerns, loss, and trauma. I utilize a number of different perspectives including cognitive-behavioral, emotion focused individual and couples, and dynamic therapies. I am also trained in EMDR, mindfulness, relaxation, stress, and pain management.
(872) 814-7294 View (872) 814-7294
Photo of Jeff Lockhart, Psychologist in Flat Rock, NC
Jeff Lockhart
Psychologist, PhD
Verified Verified
Hendersonville, NC 28792  (Online Only)
I work with adult individuals. Every individual is unique, and every couple reflects the uniqueness of the individuals - I tailor my therapeutic approach to the issues that the individual presents, and, if he or she is in a significant relationship, how those issues may be reflected and resolved in the relationship with another. I draw on the person's strengths for solutions not only for their own issues but within the context of relating to others. Psychotherapy is a partnership between the patient and the therapist that fosters problem-solving and growth as an individual and within a relationship.
I work with adult individuals. Every individual is unique, and every couple reflects the uniqueness of the individuals - I tailor my therapeutic approach to the issues that the individual presents, and, if he or she is in a significant relationship, how those issues may be reflected and resolved in the relationship with another. I draw on the person's strengths for solutions not only for their own issues but within the context of relating to others. Psychotherapy is a partnership between the patient and the therapist that fosters problem-solving and growth as an individual and within a relationship.
(781) 990-6398 View (781) 990-6398
Photo of Brian Dugdale, Licensed Clinical Mental Health Counselor in Flat Rock, NC
Brian Dugdale
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Hendersonville, NC 28739
I provide relational and person-centered therapy to individuals, couples, and families. For the last 14 years I have served a diverse population in treating mental health needs including, anxiety, addiction, relationship/marital trouble, and negative behavior/thinking patterns. People often come wanting a solution to these and many other problems. In my practice, I have found success in helping people look deeper than the surface or for an easy solution. I wish I could promise an easy road ahead. What I can promise is compassion, empathy, support, and guided help on this road to healing.
I provide relational and person-centered therapy to individuals, couples, and families. For the last 14 years I have served a diverse population in treating mental health needs including, anxiety, addiction, relationship/marital trouble, and negative behavior/thinking patterns. People often come wanting a solution to these and many other problems. In my practice, I have found success in helping people look deeper than the surface or for an easy solution. I wish I could promise an easy road ahead. What I can promise is compassion, empathy, support, and guided help on this road to healing.
(828) 348-6572 View (828) 348-6572
Photo of Celeste McKeever, Counselor in Flat Rock, NC
Celeste McKeever
Counselor, LCMHC, LMHC, RRT
Verified Verified
2 Endorsed
Hendersonville, NC 28792  (Online Only)
Licensed in FL and NC. Do you want to feel more connected? In therapy we’ll get to the root of what holds you back, heal, and integrate new ways of being. I specialize in deepening relationships, healing attachment wounds, attachment styles, LGBTQIA+, and conscious living. This work is very personal to me. That’s why I’ve dedicated my life to healing generational trauma, and supporting others on their journey. Deep understanding is the most powerful healer. If you want to embrace all of your emotions and all parts of yourself and others; call me. I’d love to hear from you!
Licensed in FL and NC. Do you want to feel more connected? In therapy we’ll get to the root of what holds you back, heal, and integrate new ways of being. I specialize in deepening relationships, healing attachment wounds, attachment styles, LGBTQIA+, and conscious living. This work is very personal to me. That’s why I’ve dedicated my life to healing generational trauma, and supporting others on their journey. Deep understanding is the most powerful healer. If you want to embrace all of your emotions and all parts of yourself and others; call me. I’d love to hear from you!
(828) 360-8517 View (828) 360-8517
Photo of Laura S. Rand Therapy, Licensed Professional Counselor in Flat Rock, NC
Laura S. Rand Therapy
Licensed Professional Counselor, MS, LPC, MEd
Verified Verified
Hendersonville, NC 28791
All of us have been wounded by life in different ways, personally and in and through our relationships. We need healing and find it painful to examine our wounds. The poet, Rumi, wrote: "Don't turn away. Keep your gaze on the bandaged place. That's where the light enters you." I went back to graduate school so that I could sit with others willing to do this courageous work. Maybe you are ready for such a journey. I work primarily with adults, but I have worked with children for over 30 years as well.
All of us have been wounded by life in different ways, personally and in and through our relationships. We need healing and find it painful to examine our wounds. The poet, Rumi, wrote: "Don't turn away. Keep your gaze on the bandaged place. That's where the light enters you." I went back to graduate school so that I could sit with others willing to do this courageous work. Maybe you are ready for such a journey. I work primarily with adults, but I have worked with children for over 30 years as well.
(828) 528-4158 View (828) 528-4158
Photo of Karen S. Cottingham, Clinical Social Work/Therapist in Flat Rock, NC
Karen S. Cottingham
Clinical Social Work/Therapist, MSW, ACSW, LCSW
Verified Verified
Hendersonville, NC 28791  (Online Only)
Sometimes it's hard to relax when you feel tired, stuck and overwhelmed. It's your turn to feel better. I can help you learn the tools to manage anxiety so you can relax, feel less stress and increase your energy. Give yourself the opportunity to discover new ways to overcome the difficult challenges. I look forward to hearing from you.
Sometimes it's hard to relax when you feel tired, stuck and overwhelmed. It's your turn to feel better. I can help you learn the tools to manage anxiety so you can relax, feel less stress and increase your energy. Give yourself the opportunity to discover new ways to overcome the difficult challenges. I look forward to hearing from you.
(828) 826-1546 View (828) 826-1546
Photo of Mary Monaghan, Clinical Social Work/Therapist in Flat Rock, NC
Mary Monaghan
Clinical Social Work/Therapist, LCSW, LCAS, CCS
Verified Verified
2 Endorsed
Hendersonville, NC 28739
Stress, anxiety, uncertainty, and fear can feel overwhelming. You may find yourself turning to drugs or alcohol, harmful eating patterns, self-harm, or fall back on other old habits to cope with your emotions. You may be struggling with anxiety, stress, depression, or fear. Maybe you are in recovery from addiction or an eating disorder, and are having trouble maintaining your progress. You may be navigating your gender and sexual identify. Or perhaps you are concerned that your teenager is dealing with some of these issues. Whatever you are facing, you are not alone! I am here to provide support, guidance, and encouragement.
Stress, anxiety, uncertainty, and fear can feel overwhelming. You may find yourself turning to drugs or alcohol, harmful eating patterns, self-harm, or fall back on other old habits to cope with your emotions. You may be struggling with anxiety, stress, depression, or fear. Maybe you are in recovery from addiction or an eating disorder, and are having trouble maintaining your progress. You may be navigating your gender and sexual identify. Or perhaps you are concerned that your teenager is dealing with some of these issues. Whatever you are facing, you are not alone! I am here to provide support, guidance, and encouragement.
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Photo of Denise V Weegar, Psychological Associate in Flat Rock, NC
Denise V Weegar
Psychological Associate, MA, LCAS
Verified Verified
Hendersonville, NC 28739
Waitlist for new clients
There are times in life when things can feel incredibly hard. Lingering sadness and anxiety can threaten to overwhelm us. Maybe it has been a long time since you remember feeling happy. Trauma and early adversity can take root in our bodies and impact every area of our life. We may also be relying on unhealthy behaviors to cope with our deep unease. If you find yourself feeling stuck in old patterns and are wanting to reclaim more happiness in your life, then therapy can help you find the change you are seeking. My intention is to create a safe, compassionate space to support your journey toward living your best life.
There are times in life when things can feel incredibly hard. Lingering sadness and anxiety can threaten to overwhelm us. Maybe it has been a long time since you remember feeling happy. Trauma and early adversity can take root in our bodies and impact every area of our life. We may also be relying on unhealthy behaviors to cope with our deep unease. If you find yourself feeling stuck in old patterns and are wanting to reclaim more happiness in your life, then therapy can help you find the change you are seeking. My intention is to create a safe, compassionate space to support your journey toward living your best life.
(828) 585-6780 View (828) 585-6780
Photo of Healing Solutions Counseling at JFS, Counselor in Flat Rock, NC
Healing Solutions Counseling at JFS
Counselor, LCSW, LCMHC, PhD
Verified Verified
Hendersonville, NC 28792
Healing Solutions Counseling at JFS provides unique and coordinated services that will engage you in identifying your needs, strengths, and goals. Regardless of your situation, we will help empower you to attain a better quality of life. We specialize in treating depression, anxiety, parenting challenges, grief, trauma, adjustment disorders, relationship problems, stress management, healthy aging, and LGBT support. Our approach is strengths-based and tailored to each unique individual we serve. Our therapy sessions are safe, private, and confidential. We will always meet you where you are.
Healing Solutions Counseling at JFS provides unique and coordinated services that will engage you in identifying your needs, strengths, and goals. Regardless of your situation, we will help empower you to attain a better quality of life. We specialize in treating depression, anxiety, parenting challenges, grief, trauma, adjustment disorders, relationship problems, stress management, healthy aging, and LGBT support. Our approach is strengths-based and tailored to each unique individual we serve. Our therapy sessions are safe, private, and confidential. We will always meet you where you are.
(828) 253-2900 View (828) 253-2900
Photo of Kara Catrelle, Clinical Social Work/Therapist in Flat Rock, NC
Kara Catrelle
Clinical Social Work/Therapist, MSW, LCSW, CVA, CAP
Verified Verified
Hendersonville, NC 28791  (Online Only)
With over 25 years in the mental health field and 13 years in private practice, I offer a multitude of personal and professional experience. Much of our suffering is due to dissatisfaction in relationships. Sadly, many relationships end prematurely when we are most hurt and emotionally vulnerable. However, this is the time when the very intimacy we were lacking prior has the potential to finally break through. I give you tools and insight to heal old wounds that are holding you back from experiencing the love you seek within yourself and others. Together we address the intrapsychic conflicts and longings of the soul.
With over 25 years in the mental health field and 13 years in private practice, I offer a multitude of personal and professional experience. Much of our suffering is due to dissatisfaction in relationships. Sadly, many relationships end prematurely when we are most hurt and emotionally vulnerable. However, this is the time when the very intimacy we were lacking prior has the potential to finally break through. I give you tools and insight to heal old wounds that are holding you back from experiencing the love you seek within yourself and others. Together we address the intrapsychic conflicts and longings of the soul.
(828) 782-3435 View (828) 782-3435

See more therapy options for Flat Rock

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.