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Check out therapists located nearby or offering teletherapy in North Carolina below.

Online Therapists

Photo of Lucyna Sonek, Licensed Professional Counselor in Lexington, NC
Lucyna Sonek
Licensed Professional Counselor, MPsych, MA, LPC, LCAS
Verified Verified
1 Endorsed
Boone, NC 28607  (Online Only)
I specialize in treating emotional dysfunctions, addictions, ADHD, relational problems, gender issues as well as the challenges related to chronic illness/pain including depression, bipolar, anxiety, social phobia, OCD, behavioral compulsions, self-harming, low self esteem, anger, domestic violence, parenting, sexual issues, low motivation, online addiction, gambling, substance abuse, smoking.
I strive to assist distressed individuals in regulating emotions, improving mood, cultivating positive thinking, changing unproductive behaviors, and in creating wellness, life satisfaction, and self-acceptance. By exploring and identifying unique, personal thinking patterns, challenges, needs, and strengths we work in therapy to promote the meaning in life, responsibility, and the pursuit of genuineness and the best in self, life and relationships. My approach is compassionate, backed by extensive training and I have over 30 years of experience in education, community service, and psychotherapy with children, students, adults, couples, families, and groups.
I specialize in treating emotional dysfunctions, addictions, ADHD, relational problems, gender issues as well as the challenges related to chronic illness/pain including depression, bipolar, anxiety, social phobia, OCD, behavioral compulsions, self-harming, low self esteem, anger, domestic violence, parenting, sexual issues, low motivation, online addiction, gambling, substance abuse, smoking.
I strive to assist distressed individuals in regulating emotions, improving mood, cultivating positive thinking, changing unproductive behaviors, and in creating wellness, life satisfaction, and self-acceptance. By exploring and identifying unique, personal thinking patterns, challenges, needs, and strengths we work in therapy to promote the meaning in life, responsibility, and the pursuit of genuineness and the best in self, life and relationships. My approach is compassionate, backed by extensive training and I have over 30 years of experience in education, community service, and psychotherapy with children, students, adults, couples, families, and groups.
(828) 527-0143 View (828) 527-0143
Photo of Forsyth Family Counseling, Licensed Professional Counselor in Lexington, NC
Forsyth Family Counseling
Licensed Professional Counselor
Verified Verified
2 Endorsed
Winston Salem, NC 27101
Our licensed therapists have extensive training and experience in issues affecting adults, couples, children, adolescents and their families. We specialize in treating a range of conditions including depression, anxiety, relationship issues, attachment, addiction, grief, women/men's issues, ADHD, oppositional/defiance, trauma, post traumatic stress disorder, OCD, and much more. We also offer extensive effective parenting training if your child is oppositional, defiant, and sometimes even aggressive.
Our licensed therapists have extensive training and experience in issues affecting adults, couples, children, adolescents and their families. We specialize in treating a range of conditions including depression, anxiety, relationship issues, attachment, addiction, grief, women/men's issues, ADHD, oppositional/defiance, trauma, post traumatic stress disorder, OCD, and much more. We also offer extensive effective parenting training if your child is oppositional, defiant, and sometimes even aggressive.
(336) 750-6021 View (336) 750-6021
Photo of Greenway Counseling & Wellness, Licensed Professional Counselor in Lexington, NC
Greenway Counseling & Wellness
Licensed Professional Counselor, LCMHCS, LCMHC, LCMHCA, LCASA, LCSW
Verified Verified
8 Endorsed
High Point, NC 27265
[Good news! Day, evening & Saturday openings are now available] As a group practice, we have a particular interest in helping our adult clients address traumas that may have occurred across their lifespan. Trauma can come in all shapes & sizes - we believe that trauma can be at the center of many concerns like anxiety, depression, relationship struggles, performance issues, & addiction, to name a few. We also love working with little ones, teens, and their families! Fears & worries, behavior problems, family & life changes, school & relationship struggles - these are just a few reasons why we see younger people & families.
[Good news! Day, evening & Saturday openings are now available] As a group practice, we have a particular interest in helping our adult clients address traumas that may have occurred across their lifespan. Trauma can come in all shapes & sizes - we believe that trauma can be at the center of many concerns like anxiety, depression, relationship struggles, performance issues, & addiction, to name a few. We also love working with little ones, teens, and their families! Fears & worries, behavior problems, family & life changes, school & relationship struggles - these are just a few reasons why we see younger people & families.
(336) 496-2361 View (336) 496-2361
Photo of Kelli Underwood, Clinical Social Work/Therapist in Lexington, NC
Kelli Underwood
Clinical Social Work/Therapist, LCSW
Verified Verified
Durham, NC 27713
I have been successfully treating children, teenagers, adults, couples and families since 1996. I offer a diverse menu of treatment options, from concrete skills to deep healing techniques to attain sustainable change. Viewing you holistically in all the contexts of your life, by recognizing your vulnerabilities while building on your strengths, is essential. I create a validating environment and an authentic, collaborative relationship. I am honest, empathic and an effective teacher. I will support you and challenge you to grow in the direction you desire.
I have been successfully treating children, teenagers, adults, couples and families since 1996. I offer a diverse menu of treatment options, from concrete skills to deep healing techniques to attain sustainable change. Viewing you holistically in all the contexts of your life, by recognizing your vulnerabilities while building on your strengths, is essential. I create a validating environment and an authentic, collaborative relationship. I am honest, empathic and an effective teacher. I will support you and challenge you to grow in the direction you desire.
(919) 582-7461 View (919) 582-7461
Photo of Alex Rezcallah, Counselor in Lexington, NC
Alex Rezcallah
Counselor, MEd, LCMHC, TSAC-F
Verified Verified
Elon, NC 27244
NOW OFFERING E-THERAPY! My services take place in the client's natural environment (their home, local gym, or in the surrounding community). Services include individual counseling, therapy, personal training for adults, adolescents, couples, & families. I also offer ADHD coaching, personal coaching, career counseling, and consultation. I'm experienced in treating Mood Disorders such as Depression & Bipolar Disorders, Anger Management, ADHD in adolescents & adults, Anxiety Disorders, Career Counseling, Life Skills Building, Men's Issues, Identity Development, Nutrition & Exercise Planning, Meditation Training.
NOW OFFERING E-THERAPY! My services take place in the client's natural environment (their home, local gym, or in the surrounding community). Services include individual counseling, therapy, personal training for adults, adolescents, couples, & families. I also offer ADHD coaching, personal coaching, career counseling, and consultation. I'm experienced in treating Mood Disorders such as Depression & Bipolar Disorders, Anger Management, ADHD in adolescents & adults, Anxiety Disorders, Career Counseling, Life Skills Building, Men's Issues, Identity Development, Nutrition & Exercise Planning, Meditation Training.
(919) 586-8551 View (919) 586-8551
Photo of Haymount Institute for Psychological Services, Psychologist in Lexington, NC
Haymount Institute for Psychological Services
Psychologist, PsyD
Verified Verified
Fayetteville, NC 28305
The power to make positive changes is within us all. The goal of holistic wellness is to "change the lens" and give a healthier perspective for a peaceful and more content life. Our intention is to provide a confidential, professional and supportive environment in which individuals and families can identify problem areas, explore what prevents the problem from being solved, and help you develop and learn skills that can enhance your quality of life.
The power to make positive changes is within us all. The goal of holistic wellness is to "change the lens" and give a healthier perspective for a peaceful and more content life. Our intention is to provide a confidential, professional and supportive environment in which individuals and families can identify problem areas, explore what prevents the problem from being solved, and help you develop and learn skills that can enhance your quality of life.
(910) 719-3087 View (910) 719-3087
Photo of Dr. Sarah Stuchell, Marriage & Family Therapist in Lexington, NC
Dr. Sarah Stuchell
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Cornelius, NC 28031
Although you may feel alone in your problem, I guarantee that you are not, and will help you develop individual and relationship skills to overcome your problem(s). I am an avid proponent of examining the systemic nature of problems, which includes taking inventory of the mental, physical, spiritual, societal, and relational aspects that may be effecting you. I will help you deconstruct your life and experiences, and help you reconstruct a healthy psychological paradigm that heals you and brings meaning and purpose to your life. You will ultimately feel more alive, genuine, and hopeful about yourself and your future.
Although you may feel alone in your problem, I guarantee that you are not, and will help you develop individual and relationship skills to overcome your problem(s). I am an avid proponent of examining the systemic nature of problems, which includes taking inventory of the mental, physical, spiritual, societal, and relational aspects that may be effecting you. I will help you deconstruct your life and experiences, and help you reconstruct a healthy psychological paradigm that heals you and brings meaning and purpose to your life. You will ultimately feel more alive, genuine, and hopeful about yourself and your future.
(949) 337-1360 View (949) 337-1360
Photo of Advene Health Group, Clinical Social Work/Therapist in Lexington, NC
Advene Health Group
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Charlotte, NC 28270
My idea as a psychotherapist is to provide safe, comfortable & judgment-free environment for clients to work through issues. My role as a psychotherapist is to respect the goals that my clients come in with, and support the process of working toward these goals. I believe Psychotherapy can enhance one's self-awareness and the ability to recognize in one's own self-defeating and self-sabotaging patterns, and to change these patterns.
My idea as a psychotherapist is to provide safe, comfortable & judgment-free environment for clients to work through issues. My role as a psychotherapist is to respect the goals that my clients come in with, and support the process of working toward these goals. I believe Psychotherapy can enhance one's self-awareness and the ability to recognize in one's own self-defeating and self-sabotaging patterns, and to change these patterns.
(980) 247-4144 View (980) 247-4144
Photo of Alli Becker, Licensed Clinical Mental Health Counselor in Lexington, NC
Alli Becker
Licensed Clinical Mental Health Counselor, MEd, LCMHC
Verified Verified
Charlotte, NC 28277
Have you ever wondered what it would be like if you could wake up every morning feeling happy, fulfilled, and free of any consuming negative thoughts? If your answer is yes, you are in the right place. Whether you are struggling personally or in your relationships (of any sort: romantic, parent/child, etc.) we can help you. With over 15 years of experience with children, adolescents, adults, families, and couples, we are able to provide world class treatment for a variety of mental health concerns. Take the step to end your suffering today. It is time for you to learn how to live the life you deserve.
Have you ever wondered what it would be like if you could wake up every morning feeling happy, fulfilled, and free of any consuming negative thoughts? If your answer is yes, you are in the right place. Whether you are struggling personally or in your relationships (of any sort: romantic, parent/child, etc.) we can help you. With over 15 years of experience with children, adolescents, adults, families, and couples, we are able to provide world class treatment for a variety of mental health concerns. Take the step to end your suffering today. It is time for you to learn how to live the life you deserve.
(704) 869-2937 View (704) 869-2937
Photo of The Pleasants Group , Clinical Social Work/Therapist in Lexington, NC
The Pleasants Group
Clinical Social Work/Therapist, MSW, LCSW, CTP, CDBT, CCS
Verified Verified
Greensboro, NC 27404  (Online Only)
Pro LGBTQQIAP/ BLM/ sex/ body positive/ally. I specialize in healing from healing the neurological response to trauma. My training, both academic and visceral experiences, have all contributed in creating an eclectic therapeutic approach that values empowerment, self-direction, confidentiality, a non-judgmental atmosphere, emotional safety, validation, dignity, and respect above as else. These components are necessary to create an environment conducive for healing. When both the client and the therapist are willing to work in collaboration towards achieving their therapeutic goals, great strides can be made in the healing process.
Pro LGBTQQIAP/ BLM/ sex/ body positive/ally. I specialize in healing from healing the neurological response to trauma. My training, both academic and visceral experiences, have all contributed in creating an eclectic therapeutic approach that values empowerment, self-direction, confidentiality, a non-judgmental atmosphere, emotional safety, validation, dignity, and respect above as else. These components are necessary to create an environment conducive for healing. When both the client and the therapist are willing to work in collaboration towards achieving their therapeutic goals, great strides can be made in the healing process.
(336) 814-8807 View (336) 814-8807
Photo of Eric James Kelly, Clinical Social Work/Therapist in Lexington, NC
Eric James Kelly
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Fuquay Varina, NC 27526
Eric Kelly is a Licensed Clinical Social Worker. Eric attended Hunter College, which is part of the City University Colleges of New York (CUNY), where he earned his Bachelor of Arts degree in psychology. Eric then earned his Master of Social Work degree from the University of North Carolina at Chapel Hill. He has a diverse clinical background, having provided outpatient therapy, intensive in-home, and multisystemic therapy (MST) for adults, adolescents, and families with a wide range of mental health diagnoses. He has also provided mental health services to adults and children with traumatic brain injuries and cognitive challenges.
Eric Kelly is a Licensed Clinical Social Worker. Eric attended Hunter College, which is part of the City University Colleges of New York (CUNY), where he earned his Bachelor of Arts degree in psychology. Eric then earned his Master of Social Work degree from the University of North Carolina at Chapel Hill. He has a diverse clinical background, having provided outpatient therapy, intensive in-home, and multisystemic therapy (MST) for adults, adolescents, and families with a wide range of mental health diagnoses. He has also provided mental health services to adults and children with traumatic brain injuries and cognitive challenges.
(919) 586-8621 x4 View (919) 586-8621 x4
Photo of Marie Leskauskas, Counselor in Lexington, NC
Marie Leskauskas
Counselor, LCMHC, MA
Verified Verified
Huntersville, NC 28078
Each person is a unique individual whose life and experience is different from anyone else, and deserves to be addressed with unconditional positive regard for themselves and their circumstances. This is why I place an emphasis on authenticity and the importance of understanding each person as a whole, focusing on healing through the integration of mental, physical, and spiritual health. As a therapist, I will involve strategies and techniques including CBT, sandtray and sandplay, motivational interviewing, addressing the mind and body connection, and the incorporation of ongoing psychoeducation.
Each person is a unique individual whose life and experience is different from anyone else, and deserves to be addressed with unconditional positive regard for themselves and their circumstances. This is why I place an emphasis on authenticity and the importance of understanding each person as a whole, focusing on healing through the integration of mental, physical, and spiritual health. As a therapist, I will involve strategies and techniques including CBT, sandtray and sandplay, motivational interviewing, addressing the mind and body connection, and the incorporation of ongoing psychoeducation.
(980) 575-5082 View (980) 575-5082
Photo of Kirsten Newell-Marino, Lic Clinical Mental Health Counselor Associate in Lexington, NC
Kirsten Newell-Marino
Lic Clinical Mental Health Counselor Associate, MEd, LCMHC-A, NCC, AAT-I
Verified Verified
16 Endorsed
Raleigh, NC 27615  (Online Only)
I have always had an interest in not only how our minds, bodies, and spirits are connected, but also what takes place when an imbalance exists and then how to implore healing. I look at an individual through a holistic lens, and use this approach, when appropriate. A part of this holistic approach, I have the belief that as a part of the world and universe in which we live, that we are all, interconnected and operate as a part of a dynamic system. I am especially interested in how mindfulness practices, yoga, animals, and nature, might influence the ideas of acceptance and non-judgment, and overall, positively affect an individual.
I have always had an interest in not only how our minds, bodies, and spirits are connected, but also what takes place when an imbalance exists and then how to implore healing. I look at an individual through a holistic lens, and use this approach, when appropriate. A part of this holistic approach, I have the belief that as a part of the world and universe in which we live, that we are all, interconnected and operate as a part of a dynamic system. I am especially interested in how mindfulness practices, yoga, animals, and nature, might influence the ideas of acceptance and non-judgment, and overall, positively affect an individual.
(857) 816-7070 View (857) 816-7070
Photo of Jessica Jeremiah, Clinical Social Work/Therapist in Lexington, NC
Jessica Jeremiah
Clinical Social Work/Therapist, LCSW, LCAS, CCS
Verified Verified
Mebane, NC 27302
Every person I serve has a unique story. While some clients experience challenges in just one area, most experience difficulty multiple areas (mental health, trauma, loss, addiction), creating a complex, vicious cycle if not all parts are addressed. The circumstances that bring someone to therapy do not come in 'neat little packages.' I enjoy sorting out the pieces with each client, getting to the root of the issue, and offering a combination of evidence-based therapeutic interventions that help clients finally begin to experience relief, and start living a happier, more fulfilled life.
Every person I serve has a unique story. While some clients experience challenges in just one area, most experience difficulty multiple areas (mental health, trauma, loss, addiction), creating a complex, vicious cycle if not all parts are addressed. The circumstances that bring someone to therapy do not come in 'neat little packages.' I enjoy sorting out the pieces with each client, getting to the root of the issue, and offering a combination of evidence-based therapeutic interventions that help clients finally begin to experience relief, and start living a happier, more fulfilled life.
(919) 585-5163 View (919) 585-5163
Photo of Travis M Bradey, Licensed Professional Counselor in Lexington, NC
Travis M Bradey
Licensed Professional Counselor, MA, NCC, LCMHC
Verified Verified
2 Endorsed
Davidson, NC 28035
NEW location and more in person availability! Since 2012, my passion has been therapy/counseling, second only to being a father to my amazing daughter. I have amassed extensive experiences and training along that way. As a result, I can match each client with tools and philosophy that get them closer to where they are trying to go. My approach to all things centers on finding solutions in life, and my sessions are no different. From day one, I seek solutions while being present with those who allow me to be a part of their journey.
NEW location and more in person availability! Since 2012, my passion has been therapy/counseling, second only to being a father to my amazing daughter. I have amassed extensive experiences and training along that way. As a result, I can match each client with tools and philosophy that get them closer to where they are trying to go. My approach to all things centers on finding solutions in life, and my sessions are no different. From day one, I seek solutions while being present with those who allow me to be a part of their journey.
(980) 319-1603 View (980) 319-1603
Photo of Nicole Anzalone, Counselor in Lexington, NC
Nicole Anzalone
Counselor, MS, NCC, LMHC, LPC, LCMHC
Verified Verified
Charlotte, NC 28273  (Online Only)
Welcome! I am licensed in both NY, NC, and SC w/ 12 yrs of professional work experience. I have worked in a variety of settings such as school settings, substance abuse facilities, outpatient facilities, inpatient/hospital behavioral health units, crisis call centers, & private practice settings. I have experience in helping clients with depression, stress and anxiety, coping with addictions, trauma and abuse, motivation, self esteem, as well as a variety of other life stressors. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear or judgement.
Welcome! I am licensed in both NY, NC, and SC w/ 12 yrs of professional work experience. I have worked in a variety of settings such as school settings, substance abuse facilities, outpatient facilities, inpatient/hospital behavioral health units, crisis call centers, & private practice settings. I have experience in helping clients with depression, stress and anxiety, coping with addictions, trauma and abuse, motivation, self esteem, as well as a variety of other life stressors. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear or judgement.
(845) 583-0674 View (845) 583-0674
Photo of CrossBeam Centers, Licensed Clinical Mental Health Counselor in Lexington, NC
CrossBeam Centers
Licensed Clinical Mental Health Counselor, LCMHC-S, LCSW, LCAS, FNP
Verified Verified
3 Endorsed
Fayetteville, NC 28303
By definition a crossbeam is a "beam that spans from one support to another". At CrossBeam Centers, we are a client focused multi-specialty team providing comprehensive Counseling Psychopharmacology and Psychotherapy services that will give you the beam needed to support you through the nuances of life. Our dedicated team of Coaches, Counselors, Nurse Practitioners, Social Workers and Therapists are passionate about providing compassionate care that address the client's whole life...mind, body, spirit and relationship.
By definition a crossbeam is a "beam that spans from one support to another". At CrossBeam Centers, we are a client focused multi-specialty team providing comprehensive Counseling Psychopharmacology and Psychotherapy services that will give you the beam needed to support you through the nuances of life. Our dedicated team of Coaches, Counselors, Nurse Practitioners, Social Workers and Therapists are passionate about providing compassionate care that address the client's whole life...mind, body, spirit and relationship.
(910) 387-1432 View (910) 387-1432
Photo of Thrive Counseling & Consulting PLLC, Marriage & Family Therapist in Lexington, NC
Thrive Counseling & Consulting PLLC
Marriage & Family Therapist, LCMHC, LMFT, MSW, LCAS, RPT
Verified Verified
4 Endorsed
Fayetteville, NC 28304
Our goal is to help you uncover your true potential and lead a life that is worth celebrating. We all experience moments that leave us feeling hopeless, sad, frustrated, angry, or frightened. However, life is not meant to be lived in that place of darkness. While we can't change the past, we can work together to better understand and resolve challenges in your life. Using complementary therapy approaches and techniques, we will help unearth old behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life. If you're ready to take steps forward, we are ready to help.
Our goal is to help you uncover your true potential and lead a life that is worth celebrating. We all experience moments that leave us feeling hopeless, sad, frustrated, angry, or frightened. However, life is not meant to be lived in that place of darkness. While we can't change the past, we can work together to better understand and resolve challenges in your life. Using complementary therapy approaches and techniques, we will help unearth old behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life. If you're ready to take steps forward, we are ready to help.
(910) 483-5884 View (910) 483-5884
Photo of P & G Clinical Services, Licensed Professional Counselor in Lexington, NC
P & G Clinical Services
Licensed Professional Counselor, PhD, LCMHCS
Verified Verified
5 Endorsed
Charlotte, NC 28226  (Online Only)
We are accepting new patients! Hablamos y ofrecemos servicios en Español. Estamos aceptando nuevos pacientes. I am a bilingual (English and Spanish) and bicultural professional who has worked with abused children, adolescents, adults and their families who have experienced trauma. I have also worked with individuals with other mental health disorders (e.g., anxiety disorders, mood disorders, psychotic disorders, eating disorders, impulse control, addiction disorders, personality disorders, obsessive-compulsive disorder, etc.).
We are accepting new patients! Hablamos y ofrecemos servicios en Español. Estamos aceptando nuevos pacientes. I am a bilingual (English and Spanish) and bicultural professional who has worked with abused children, adolescents, adults and their families who have experienced trauma. I have also worked with individuals with other mental health disorders (e.g., anxiety disorders, mood disorders, psychotic disorders, eating disorders, impulse control, addiction disorders, personality disorders, obsessive-compulsive disorder, etc.).
(704) 207-0995 View (704) 207-0995
Photo of Melissa Aguilar, Marriage & Family Therapist in Lexington, NC
Melissa Aguilar
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Apex, NC 27502  (Online Only)
Are you feeling overwhelmed in how to manage your emotions or perhaps you are feeling overwhelmed in your relationships (marital, parent-child, parent-teenager, family, or friends)? Do you find yourself becoming irritable at small things or simply being someone you do not want to be anymore? If the answer is yes to any of those questions, I am glad you have found my page. We all have difficult times throughout our life and it is okay to need and ask for help. Difficult times or difficult symptoms vary from person to person. I am here to help guide you and find ways to alleviate your concerns.
Are you feeling overwhelmed in how to manage your emotions or perhaps you are feeling overwhelmed in your relationships (marital, parent-child, parent-teenager, family, or friends)? Do you find yourself becoming irritable at small things or simply being someone you do not want to be anymore? If the answer is yes to any of those questions, I am glad you have found my page. We all have difficult times throughout our life and it is okay to need and ask for help. Difficult times or difficult symptoms vary from person to person. I am here to help guide you and find ways to alleviate your concerns.
(919) 351-6417 View (919) 351-6417

See more therapy options for Lexington

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.