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Photo of Amanda Chils, Licensed Professional Counselor in Franklinville, NC
Amanda Chils
Licensed Professional Counselor, LCMHC, MS
Verified Verified
Asheboro, NC 27205
You can grow and heal, despite what you've been through (think flowers blooming through concrete). You're going to feel so much better once you start digging the rot out and healing. I'm an expert at clearing trauma and anxiety, by rewiring your mind and regulating your nervous system. Not only does trauma get healed and processed, but when hard things come up you they feel easy to navigate and you do so with confidence + ease. I don't believe healing has to be hard or take forever, in fact I believe it can be light + fun. With me, you're gonna work but you're also going to laugh and learn to savor this one wild and precious life.
You can grow and heal, despite what you've been through (think flowers blooming through concrete). You're going to feel so much better once you start digging the rot out and healing. I'm an expert at clearing trauma and anxiety, by rewiring your mind and regulating your nervous system. Not only does trauma get healed and processed, but when hard things come up you they feel easy to navigate and you do so with confidence + ease. I don't believe healing has to be hard or take forever, in fact I believe it can be light + fun. With me, you're gonna work but you're also going to laugh and learn to savor this one wild and precious life.
(336) 777-7286 View (336) 777-7286

Online Therapists

Photo of Kathy Murray, Clinical Social Work/Therapist in Franklinville, NC
Kathy Murray
Clinical Social Work/Therapist, LCSW, SEP, Somatic
Verified Verified
1 Endorsed
Durham, NC 27707  (Online Only)
As a Somatic Therapist, I believe that everyone has within them an inner wisdom and inner healing power that is their natural birthright. My role is to help create the environment for that inner genius to arise and find itself. When this is done, new meaning, purpose and life narratives can be discovered and lived out. I have wide experience assisting individuals in managing a variety of behavioral and emotional concerns including trauma, chronic pain and health issues, difficult life transitions, weight management, anxiety, depression, and stress management.
As a Somatic Therapist, I believe that everyone has within them an inner wisdom and inner healing power that is their natural birthright. My role is to help create the environment for that inner genius to arise and find itself. When this is done, new meaning, purpose and life narratives can be discovered and lived out. I have wide experience assisting individuals in managing a variety of behavioral and emotional concerns including trauma, chronic pain and health issues, difficult life transitions, weight management, anxiety, depression, and stress management.
(919) 276-8754 View (919) 276-8754
Photo of Shelly Luttman Phelps, Clinical Social Work/Therapist in Franklinville, NC
Shelly Luttman Phelps
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Charlotte, NC 28204
Have you faced struggles with depression and anxiety possibly due to illness, family conflict, loss, work or relationship issues? Has it been difficult for you to cope with and overcome these emotions on your own? If so, you’re not alone. We all need support from time to time, yet many of us may not feel comfortable asking for help or sharing intimate details with friends or family. Within my practice, you will find a safe & nonjudgmental environment where we can explore these obstacles together, help you heal from your pain, and move forward to where you want to be in life.
Have you faced struggles with depression and anxiety possibly due to illness, family conflict, loss, work or relationship issues? Has it been difficult for you to cope with and overcome these emotions on your own? If so, you’re not alone. We all need support from time to time, yet many of us may not feel comfortable asking for help or sharing intimate details with friends or family. Within my practice, you will find a safe & nonjudgmental environment where we can explore these obstacles together, help you heal from your pain, and move forward to where you want to be in life.
(704) 912-0444 View (704) 912-0444
Photo of Kathy Elias, MA, Licensed Clinical Mental Health Counselor in Franklinville, NC
Kathy Elias, MA
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, NCC
Verified Verified
Garner, NC 27529
Do you struggle with negative thoughts, sadness, grief or loss, fear, shame or guilt? Do you feel withdrawn or go against your own values to please others, or even lash out sometimes because you don’t know what to do with how you feel? Holding feelings inside can lead to many problems including depression, anxiety, physical illness or ailments, and disconnection from friends and family. Are you your own worst critic and condemn yourself? Do you feel stuck, or lost in life and sometimes wonder who you are? You want to feel better but don't know how to get there.
Do you struggle with negative thoughts, sadness, grief or loss, fear, shame or guilt? Do you feel withdrawn or go against your own values to please others, or even lash out sometimes because you don’t know what to do with how you feel? Holding feelings inside can lead to many problems including depression, anxiety, physical illness or ailments, and disconnection from friends and family. Are you your own worst critic and condemn yourself? Do you feel stuck, or lost in life and sometimes wonder who you are? You want to feel better but don't know how to get there.
(919) 443-5817 View (919) 443-5817
Photo of Sean Dawson, Psychological Associate in Franklinville, NC
Sean Dawson
Psychological Associate, LPA, LCAS
Verified Verified
Charlotte, NC 28209
Sean Dawson, LPA, LCAS is a Licensed Psychological Associate and Licensed Clinical Addiction Specialist now serving patients at Avance Care SouthPark in Charlotte, NC. He obtained a Master of Arts degree in Psychology with a concentration in Substance Abuse Treatment Psychology from the University of North Carolina Wilmington. He has experience working with a wide range of mental health needs in both individual and group settings including depression, anxiety, trauma, and substance use. He specializes in working with individuals experiencing chronic pain and chronic conditions.
Sean Dawson, LPA, LCAS is a Licensed Psychological Associate and Licensed Clinical Addiction Specialist now serving patients at Avance Care SouthPark in Charlotte, NC. He obtained a Master of Arts degree in Psychology with a concentration in Substance Abuse Treatment Psychology from the University of North Carolina Wilmington. He has experience working with a wide range of mental health needs in both individual and group settings including depression, anxiety, trauma, and substance use. He specializes in working with individuals experiencing chronic pain and chronic conditions.
(980) 372-8998 x4 View (980) 372-8998 x4
Photo of Bonita Hutchinson and Associates, PLLC, Licensed Clinical Mental Health Counselor in Franklinville, NC
Bonita Hutchinson and Associates, PLLC
Licensed Clinical Mental Health Counselor, MEd, LPC, LCMHC-S, LCAS, SAP
Verified Verified
2 Endorsed
Charlotte, NC 28210  (Online Only)
We understand physical and emotional pain and the sense of hopelessness associated with depression, anxiety, chronic illness and trauma.
Experiencing family, work or relationship issues that are overwhelming, you’re not alone. Counseling can support you in Managing Stress & Anxiety. All services are online Due to the PANDEMIC... connect thru telehealth on your Electronic Device to our secure platform for A Safe Place to share, Learn and for support of your mental and emotional health. We are Open Mornings, Evenings and Saturdays - Serving NC and NJ.
We understand physical and emotional pain and the sense of hopelessness associated with depression, anxiety, chronic illness and trauma.
Experiencing family, work or relationship issues that are overwhelming, you’re not alone. Counseling can support you in Managing Stress & Anxiety. All services are online Due to the PANDEMIC... connect thru telehealth on your Electronic Device to our secure platform for A Safe Place to share, Learn and for support of your mental and emotional health. We are Open Mornings, Evenings and Saturdays - Serving NC and NJ.
(980) 338-4035 View (980) 338-4035
Photo of Mark Livak, Counselor in Franklinville, NC
Mark Livak
Counselor, MA, LCMHCA, NCC
Verified Verified
2 Endorsed
Charlotte, NC 28277
I admire anyone who is willing to heal their from their emotional pain and improve their troubled relationships.
Hello, I am Mark, thank you for reviewing my listing. I seek to create a safe place, where my clients can experience the necessary support to heal from the relational and emotional wounds that make them feel hurt, stuck, and confused. I collaborate with my clients to restore hope and renew relational fulfillment. I believe that everyone is unique and infinitely valuable; my clients deserve unconditional respect and should receive personalized care. I help my clients gain insight into their hurt feelings and resulting actions. During therapy, my goals are that my clients feel seen, experience emotional safety, and become reassured.
I admire anyone who is willing to heal their from their emotional pain and improve their troubled relationships.
Hello, I am Mark, thank you for reviewing my listing. I seek to create a safe place, where my clients can experience the necessary support to heal from the relational and emotional wounds that make them feel hurt, stuck, and confused. I collaborate with my clients to restore hope and renew relational fulfillment. I believe that everyone is unique and infinitely valuable; my clients deserve unconditional respect and should receive personalized care. I help my clients gain insight into their hurt feelings and resulting actions. During therapy, my goals are that my clients feel seen, experience emotional safety, and become reassured.
(704) 268-9898 View (704) 268-9898
Photo of Sarah Harrocks, Clinical Social Work/Therapist in Franklinville, NC
Sarah Harrocks
Clinical Social Work/Therapist, MSW, LCSW, LMBT
Verified Verified
Durham, NC 27707
We are all journeying through life. At times the path you are traveling becomes unclear and may require action to move the debris blocking your way. Debris may show up as depression, anxiety, self-doubt, or even fear. There may also have been something along your journey which caused you great pain that could be hindering your ability to move forward in life. Counseling can support you with clearing the way so that you may see yourself and your path more clearly, allowing you to live the life you most desire.
We are all journeying through life. At times the path you are traveling becomes unclear and may require action to move the debris blocking your way. Debris may show up as depression, anxiety, self-doubt, or even fear. There may also have been something along your journey which caused you great pain that could be hindering your ability to move forward in life. Counseling can support you with clearing the way so that you may see yourself and your path more clearly, allowing you to live the life you most desire.
(919) 858-6073 View (919) 858-6073
Photo of Eastern Trauma & Recovery, Drug & Alcohol Counselor in Franklinville, NC
Eastern Trauma & Recovery
Drug & Alcohol Counselor, LCAS-A, Trauma, CCTS-S, CFTP, Crisis
Verified Verified
Spring Hope, NC 27882
Needed: 1099 counselor. Contact if interested. Please leave me a message so that I can return your call ASAP. Thank you. No one as a child stated, "I want to abuse drugs" or "I want to experience trauma" (ie car wreck, rape). Life happens and sometimes it becomes out of control. Understanding trauma and/or addiction, or even them together, can help an individual to feel as though they are being heard. It is my honor to help you walk through your pain and begin to live life once more without the heaviness of the past.
Needed: 1099 counselor. Contact if interested. Please leave me a message so that I can return your call ASAP. Thank you. No one as a child stated, "I want to abuse drugs" or "I want to experience trauma" (ie car wreck, rape). Life happens and sometimes it becomes out of control. Understanding trauma and/or addiction, or even them together, can help an individual to feel as though they are being heard. It is my honor to help you walk through your pain and begin to live life once more without the heaviness of the past.
(252) 477-7662 View (252) 477-7662
Photo of Kate Murphy, Clinical Social Work/Therapist in Franklinville, NC
Kate Murphy
Clinical Social Work/Therapist, LCSWA, MSW, RYT
Verified Verified
1 Endorsed
Chapel Hill, NC 27514
I’m passionate about working with adults of all ages who are chronically ill, and adults in their 20s & 30s having difficulty navigating the many challenges of adulthood. People of all ages with chronic illness find themselves desperately searching for a way to be comfortable in their bodies & minds–to live a life they actually want, despite all they're coping with. And many adults in their 20s & 30s reach a point where they ask themselves, "Is adulthood (or relationships, or work) this hard for everyone, or is something wrong with me?" They thought they'd have it all figured out by now, but just aren't happy with where they're at.
I’m passionate about working with adults of all ages who are chronically ill, and adults in their 20s & 30s having difficulty navigating the many challenges of adulthood. People of all ages with chronic illness find themselves desperately searching for a way to be comfortable in their bodies & minds–to live a life they actually want, despite all they're coping with. And many adults in their 20s & 30s reach a point where they ask themselves, "Is adulthood (or relationships, or work) this hard for everyone, or is something wrong with me?" They thought they'd have it all figured out by now, but just aren't happy with where they're at.
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Photo of Heather Ingram, Counselor in Franklinville, NC
Heather Ingram
Counselor, MS, LCMHC, CRC
Verified Verified
Cary, NC 27513
Waitlist for new clients
Growing up with family members living with mental illness gave me a deeply personal perspective on how important compassionate high quality mental health care is for clients and families. I am passionate about helping adolescents, adults, and families with managing life transitions and coping with change, anxiety and depression, parenting, career issues, burnout, adjustment to disability and chronic illness, substance abuse, stress management, and lasting lifestyle behavioral change. I truly believe you can't heal what you don't feel, and I strive to provide a safe place for processing feelings and emotions.
Growing up with family members living with mental illness gave me a deeply personal perspective on how important compassionate high quality mental health care is for clients and families. I am passionate about helping adolescents, adults, and families with managing life transitions and coping with change, anxiety and depression, parenting, career issues, burnout, adjustment to disability and chronic illness, substance abuse, stress management, and lasting lifestyle behavioral change. I truly believe you can't heal what you don't feel, and I strive to provide a safe place for processing feelings and emotions.
(919) 343-5649 View (919) 343-5649
Photo of The Healing Collective, Clinical Social Work/Therapist in Franklinville, NC
The Healing Collective
Clinical Social Work/Therapist, LCSW, LCMHC, LCAS
Verified Verified
Charlotte, NC 28226
Pain is motivating, and we offer customized treatment to meet your needs.
Our definition of recovery is working towards our truest and highest self, not just working towards abstinence. We are trauma specialists in active recovery and focus on healing trauma while reinstating a sense of self. We believe that if you do the hard work, and you keep coming back, you will get better. Our therapists are relationship experts in developing the roadmap to other relationships through self.
Pain is motivating, and we offer customized treatment to meet your needs.
Our definition of recovery is working towards our truest and highest self, not just working towards abstinence. We are trauma specialists in active recovery and focus on healing trauma while reinstating a sense of self. We believe that if you do the hard work, and you keep coming back, you will get better. Our therapists are relationship experts in developing the roadmap to other relationships through self.
(704) 275-0441 View (704) 275-0441
Photo of Marty Weems, Clinical Social Work/Therapist in Franklinville, NC
Marty Weems
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Hillsborough, NC 27278
Sometimes we struggle and need help finding our way back to the life we want to live. We may experience feelings of anxiety, depression, hopelessness, and guilt. As a therapist, I aim to create a safe space for my clients to explore their feelings and experiences, and ultimately move towards the things they value. My practice is rooted in compassion, acceptance, and non-judgement. As a LGBTQI affirming therapist, I also recognize the role that oppression plays in creating and maintaining psychological pain. As such, the queer community is a priority in my work.
Sometimes we struggle and need help finding our way back to the life we want to live. We may experience feelings of anxiety, depression, hopelessness, and guilt. As a therapist, I aim to create a safe space for my clients to explore their feelings and experiences, and ultimately move towards the things they value. My practice is rooted in compassion, acceptance, and non-judgement. As a LGBTQI affirming therapist, I also recognize the role that oppression plays in creating and maintaining psychological pain. As such, the queer community is a priority in my work.
(919) 629-0043 View (919) 629-0043
Photo of SHINE Counseling, PLLC, Clinical Social Work/Therapist in Franklinville, NC
SHINE Counseling, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
Charlotte, NC 28262
We want to help you grow from your struggles, heal from your pain, and move forward to living your best life as you want it to be.
Asking for help is an act of strength, courage, and resilience. If you or a loved one suffers from trauma, anxiety, and depression, contact us. For a faster response, please email. Negative thoughts, feelings, and self-defeating behaviors get in the way of us realizing our full potential. We facilitate the healing process needed to recover. We know that with adequate support, compassion, and insight, one can have a new lease on life. We believe in the power we have to transform and overcome minor mistakes to the most significant obstacles to live the life that we want to live, enabling peace to surface and calmness to be present.
We want to help you grow from your struggles, heal from your pain, and move forward to living your best life as you want it to be.
Asking for help is an act of strength, courage, and resilience. If you or a loved one suffers from trauma, anxiety, and depression, contact us. For a faster response, please email. Negative thoughts, feelings, and self-defeating behaviors get in the way of us realizing our full potential. We facilitate the healing process needed to recover. We know that with adequate support, compassion, and insight, one can have a new lease on life. We believe in the power we have to transform and overcome minor mistakes to the most significant obstacles to live the life that we want to live, enabling peace to surface and calmness to be present.
(704) 327-0132 View (704) 327-0132
Photo of Jennifer McLucas, Clinical Social Work/Therapist in Franklinville, NC
Jennifer McLucas
Clinical Social Work/Therapist, MHA, MSW, LCSW, LCAS
Verified Verified
1 Endorsed
Fuquay Varina, NC 27526
I am prepared to work with individuals that struggle with mood disorders, anxiety disorders, psychotic disorders, personality disorders, addictions, chronic illness and life transition issues.
We all face times in our lives when the challenges we face may generate a sense of being overwhelmed and feeling uncertain. Such feelings can often be our signal to seek change. Therapy can be a powerful tool in obtaining healthy change, growth and empowerment during the challenging times in our lives. Working cooperatively with a trained therapist often provides individuals the time and space needed to examine these challenges and address how thoughts, feelings and behavior influence the ability to live intentionally.
I am prepared to work with individuals that struggle with mood disorders, anxiety disorders, psychotic disorders, personality disorders, addictions, chronic illness and life transition issues.
We all face times in our lives when the challenges we face may generate a sense of being overwhelmed and feeling uncertain. Such feelings can often be our signal to seek change. Therapy can be a powerful tool in obtaining healthy change, growth and empowerment during the challenging times in our lives. Working cooperatively with a trained therapist often provides individuals the time and space needed to examine these challenges and address how thoughts, feelings and behavior influence the ability to live intentionally.
(919) 330-0179 View (919) 330-0179
Photo of Michael Gisser, Marriage & Family Therapist in Franklinville, NC
Michael Gisser
Marriage & Family Therapist, PhD, LMFT-S
Verified Verified
3 Endorsed
Pittsboro, NC 27312
I feel that my experience allows me to connect and empathize with individuals and couples who might be dealing with the stress of marriage, military life and chronic illness, including depression and anxiety.
I am a former US Army chaplain and ordained rabbi trained in Marriage and Family Therapy with additional training in trauma recovery, and post-traumatic stress disorder symptoms (PTSD). My experience embodies an experiential integrative approach and I can individualize therapy to meet client goals. I work with individuals, couples, military personnel, veterans, and their families, and the LGBTQIA community. I am knowledgeable of world religions and diverse cultural backgrounds. I am currently accepting new clients in Pittsboro. To schedule an appointment vist our website - migcounseling.com
I feel that my experience allows me to connect and empathize with individuals and couples who might be dealing with the stress of marriage, military life and chronic illness, including depression and anxiety.
I am a former US Army chaplain and ordained rabbi trained in Marriage and Family Therapy with additional training in trauma recovery, and post-traumatic stress disorder symptoms (PTSD). My experience embodies an experiential integrative approach and I can individualize therapy to meet client goals. I work with individuals, couples, military personnel, veterans, and their families, and the LGBTQIA community. I am knowledgeable of world religions and diverse cultural backgrounds. I am currently accepting new clients in Pittsboro. To schedule an appointment vist our website - migcounseling.com
(984) 237-3579 View (984) 237-3579
Photo of Madalina Ochenatu, Counselor in Franklinville, NC
Madalina Ochenatu
Counselor, MS, CRC, LCMHCA
Verified Verified
1 Endorsed
Greensboro, NC 27410
It is frustrating to have tried everything, yet continue to feel in pain, sad, hopeless, stuck in the past, and worrying about the future, yourself, and your relationships. Stress, past trauma, chronic physical & mental illness can make you feel that way, affecting your quality of life (QOL). Imagine though a life where you get a boost of energy and motivation, quiet negative self-talk, cope better with stress, manage physical and emotional pain, build confidence, feel less worried, self-conscious and withdrawn, regain hope and pleasure in things you used to enjoy, live a healthier life style, and accomplish meaningful life goals.
It is frustrating to have tried everything, yet continue to feel in pain, sad, hopeless, stuck in the past, and worrying about the future, yourself, and your relationships. Stress, past trauma, chronic physical & mental illness can make you feel that way, affecting your quality of life (QOL). Imagine though a life where you get a boost of energy and motivation, quiet negative self-talk, cope better with stress, manage physical and emotional pain, build confidence, feel less worried, self-conscious and withdrawn, regain hope and pleasure in things you used to enjoy, live a healthier life style, and accomplish meaningful life goals.
(984) 205-4877 View (984) 205-4877
Photo of Michelle McDevitt-Askew, Marriage & Family Therapist in Franklinville, NC
Michelle McDevitt-Askew
Marriage & Family Therapist, MA, LMFT, LPC
Verified Verified
1 Endorsed
Charlotte, NC 28277
There are seasons in life when the opportunity to grow can come from both joyful and challenging circumstances or complicated issues and relationships. It is my hope that in the safe,non-judgmental space of therapy we can begin to discover your core resiliency, strengths and create awareness for integrating healthy coping and communication skills for healing. I enjoy helping couples discover relational dynamics and patterns that keep them from enjoying a safe, close and vibrant relationship. I am well suited to work with families and individuals who are struggling with anxiety, depression, chronic illness, grief and life stage transitioning.
There are seasons in life when the opportunity to grow can come from both joyful and challenging circumstances or complicated issues and relationships. It is my hope that in the safe,non-judgmental space of therapy we can begin to discover your core resiliency, strengths and create awareness for integrating healthy coping and communication skills for healing. I enjoy helping couples discover relational dynamics and patterns that keep them from enjoying a safe, close and vibrant relationship. I am well suited to work with families and individuals who are struggling with anxiety, depression, chronic illness, grief and life stage transitioning.
(980) 263-9313 View (980) 263-9313
Photo of The Cognitive Behavioral Therapy Center of Charlot, Drug & Alcohol Counselor in Franklinville, NC
The Cognitive Behavioral Therapy Center of Charlot
Drug & Alcohol Counselor, MS, LCMHC, LCAS
Verified Verified
3 Endorsed
Matthews, NC 28105
Particular areas of focus include anxiety, depression, addictions, and chronic pain.
You have a right to a better life, to live with less distress; to have a life with possibility, potential, and vitality. I have worked with people like you who have found that within the warm, accepting, nonjudgmental, and supportive environment of our therapeutic relationship that change becomes possible. I invite you to be courageous and to reach beyond your fears to claim the life that you want. Utilizing established, researched, and respected therapies, I treat many emotional and behavioral disorders by helping clients face their struggles and move towards a valued life.
Particular areas of focus include anxiety, depression, addictions, and chronic pain.
You have a right to a better life, to live with less distress; to have a life with possibility, potential, and vitality. I have worked with people like you who have found that within the warm, accepting, nonjudgmental, and supportive environment of our therapeutic relationship that change becomes possible. I invite you to be courageous and to reach beyond your fears to claim the life that you want. Utilizing established, researched, and respected therapies, I treat many emotional and behavioral disorders by helping clients face their struggles and move towards a valued life.
(980) 399-5470 View (980) 399-5470
Photo of Grace Selvaggi, Pre-Licensed Professional in Franklinville, NC
Grace Selvaggi
Pre-Licensed Professional, LCSWA
Verified Verified
Mooresville, NC 28117
Grace has experience with victims of domestic violence, mental illness, homelessness, and substance abuse.
Grace Selvaggi is a Licensed Clinical Mental Health Therapist who has been practicing since 2020 in North Carolina. Grace is a Certified Master Social Worker (CMSW) and Licensed Clinical Social Worker Associate (LCSWA) in North Carolina with more than five years of experience specializing in depression, anxiety, trauma, grief, and childhood/adolescent behavioral issues. She graduated with a Master in Clinical Social Work (MSW) degree, an Integrated Behavioral Health (IBH) specialization, Bachelor of Arts in Social Work (BSW) degree, and a psychology minor from the University of Kentucky.
Grace has experience with victims of domestic violence, mental illness, homelessness, and substance abuse.
Grace Selvaggi is a Licensed Clinical Mental Health Therapist who has been practicing since 2020 in North Carolina. Grace is a Certified Master Social Worker (CMSW) and Licensed Clinical Social Worker Associate (LCSWA) in North Carolina with more than five years of experience specializing in depression, anxiety, trauma, grief, and childhood/adolescent behavioral issues. She graduated with a Master in Clinical Social Work (MSW) degree, an Integrated Behavioral Health (IBH) specialization, Bachelor of Arts in Social Work (BSW) degree, and a psychology minor from the University of Kentucky.
(980) 372-4605 View (980) 372-4605
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.