Therapists in Madison County, NC
Sheila Mary McKeon
Licensed Professional Counselor, MA, LPC, LCAS
Verified Verified
3 Endorsed
Mars Hill, NC 28754
I connect easily with clients to feel lighter and clearer in their minds, body, and Spirit. I work with people with stressful careers in medicine, law, finance, and small businesses. Knowing the necessity of keeping a clear head and calm body, yet have been struggling with heartbreak, anxiety, fears, loss and grief that has created overwhelming stress and expectations that limits functioning. It is a challenging balancing act with career, family, relationships, along with finding some quiet time to relax. I help you master these challenges with a very confidential, (no insurance or electronic records) safe, and caring environment.
I connect easily with clients to feel lighter and clearer in their minds, body, and Spirit. I work with people with stressful careers in medicine, law, finance, and small businesses. Knowing the necessity of keeping a clear head and calm body, yet have been struggling with heartbreak, anxiety, fears, loss and grief that has created overwhelming stress and expectations that limits functioning. It is a challenging balancing act with career, family, relationships, along with finding some quiet time to relax. I help you master these challenges with a very confidential, (no insurance or electronic records) safe, and caring environment.
Online Therapists
John Magee
Licensed Clinical Mental Health Counselor, MA, LCMHC, LCAS
Verified Verified
Asheville, NC 28801
I believe that most people have the answers within themselves to work through their own problems - my role is to guide you. I have experience helping people who are struggling with anxiety and depression, or who are numbing out through substance use. My clients are often working through life transitions and other challenging situations, such as relationship issues, grief, or chronic pain. Perhaps you have not been handling your emotions very well. You may even feel hopeless, or unsure how to articulate what you are feeling. Therapy is a collaborative journey to a more healthy state of mind.
I believe that most people have the answers within themselves to work through their own problems - my role is to guide you. I have experience helping people who are struggling with anxiety and depression, or who are numbing out through substance use. My clients are often working through life transitions and other challenging situations, such as relationship issues, grief, or chronic pain. Perhaps you have not been handling your emotions very well. You may even feel hopeless, or unsure how to articulate what you are feeling. Therapy is a collaborative journey to a more healthy state of mind.
Michelle McKinzie
Clinical Social Work/Therapist, LCSW, CIMHP
Verified Verified
1 Endorsed
Fairview, NC 28730 (Online Only)
Waitlist for new clients
I help clients with histories of trauma in the context of chronic illness.
Have you experienced a life-altering medical condition? Are you experiencing difficulties regulating your mood, including depression and anxiety? Let me help you find ways to manage your emotions and your health more effectively! I would love to help you on a journey to finding more peace and happiness.
I help clients with histories of trauma in the context of chronic illness.
Have you experienced a life-altering medical condition? Are you experiencing difficulties regulating your mood, including depression and anxiety? Let me help you find ways to manage your emotions and your health more effectively! I would love to help you on a journey to finding more peace and happiness.
Guy Morganstein
Licensed Professional Counselor, MS, LCMHC
Verified Verified
Asheville, NC 28801
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.
Kelly Stracener
Clinical Social Work/Therapist, LCSWA, SEP
Verified Verified
Asheville, NC 28801
I offer somatic therapy that helps turn down the "background noise" of anxiety, stress, pain, and other symptoms.
You might be managing but feeling unsettled inside, or you might be having a hard time keeping up with life. Lots of people struggle with anxiety or get easily overwhelmed and shut down. Sometimes stress exacerbates physical symptoms, like GI issues, autoimmunity, sensory sensitives, or pain, making everything harder. You'd like to get some support and see how things could be different.
I offer somatic therapy that helps turn down the "background noise" of anxiety, stress, pain, and other symptoms.
You might be managing but feeling unsettled inside, or you might be having a hard time keeping up with life. Lots of people struggle with anxiety or get easily overwhelmed and shut down. Sometimes stress exacerbates physical symptoms, like GI issues, autoimmunity, sensory sensitives, or pain, making everything harder. You'd like to get some support and see how things could be different.
Rebecca Fugate
Counselor, MA, LCMHC
Verified Verified
Black Mountain, NC 28711 (Online Only)
Many people arrive in therapy in emotional pain and distress.
I provide individual therapy services to adults of all ages, and am licensed to practice in NC. I have over 20 years of experience working with clients of various backgrounds and life situations. I worked for years providing therapy in adult community mental health settings, a college counseling center, as well as experience serving as a Mental Health therapist for Native American/tribal population. I am well experienced in treatment of anxiety (including OCD, Generalized Anxiety, Phobia, Panic Disorder, etc), depression, grief/loss, codependency, life adjustment/transitions, family of origin issues, and PTSD.
Many people arrive in therapy in emotional pain and distress.
I provide individual therapy services to adults of all ages, and am licensed to practice in NC. I have over 20 years of experience working with clients of various backgrounds and life situations. I worked for years providing therapy in adult community mental health settings, a college counseling center, as well as experience serving as a Mental Health therapist for Native American/tribal population. I am well experienced in treatment of anxiety (including OCD, Generalized Anxiety, Phobia, Panic Disorder, etc), depression, grief/loss, codependency, life adjustment/transitions, family of origin issues, and PTSD.
Jennifer Livingstone
Clinical Social Work/Therapist, LCSW, LCAS, LISW-CP
Verified Verified
Arden, NC 28704 (Online Only)
Your life has not turned out how you had planned or hoped. You are struggling with depression, anxiety, trauma, anger, substance use, or loss. You find yourself trying to solve this discomfort by repeating behaviors that provide temporary relief, but ultimately lead you further away from the kind of life you want, and the kind of person you want to be. Instead of stuck, exhausted, desperate, and dissatisfied, you'd like to move through your life with confidence, compassion, clarity, trust, creativity, curiosity, and centeredness. You'd like to finally resolve the hurt or pain you have been carrying inside you.
Your life has not turned out how you had planned or hoped. You are struggling with depression, anxiety, trauma, anger, substance use, or loss. You find yourself trying to solve this discomfort by repeating behaviors that provide temporary relief, but ultimately lead you further away from the kind of life you want, and the kind of person you want to be. Instead of stuck, exhausted, desperate, and dissatisfied, you'd like to move through your life with confidence, compassion, clarity, trust, creativity, curiosity, and centeredness. You'd like to finally resolve the hurt or pain you have been carrying inside you.
Karen Jordan
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Asheville, NC 28801 (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.
Ashley Merchant
Clinical Social Work/Therapist, LCSWA, MSW
Verified Verified
1 Endorsed
Brevard, NC 28712 (Online Only)
We live in a world quickly changing with many demands and stressors. Therapy is like working out at a gym. Instead, it is building inner strength and emotional fitness. Traumas or events can happen in life leading to a dysregulated nervous system. We can experience the loss of a job, partner, or identity; the loss of a loved one or pet; disease, illness, financial instability; relationship or family issues, or housing crisis that spin our worlds upside down. Maybe it is low self-worth, stress, or feeling stuck in life. With over 10 years of experience in the mental health field, I am here to be a supportive ally for your growth.
We live in a world quickly changing with many demands and stressors. Therapy is like working out at a gym. Instead, it is building inner strength and emotional fitness. Traumas or events can happen in life leading to a dysregulated nervous system. We can experience the loss of a job, partner, or identity; the loss of a loved one or pet; disease, illness, financial instability; relationship or family issues, or housing crisis that spin our worlds upside down. Maybe it is low self-worth, stress, or feeling stuck in life. With over 10 years of experience in the mental health field, I am here to be a supportive ally for your growth.
Will Hamilton
Psychologist, PhD
Verified Verified
Asheville, NC 28801
I’m very comfortable helping patients with long-term meditation practices, those who might be struggling with shame, chronic illnesses or pain, difficult experiences from the past, or want to be more loving.
Offering Teletherapy in Most States: I primarily use IFS and behavioral treatments (ACT, DBT, CFT, RODBT) to emphasize acceptance of one's current experience, the development of skills (mindfulness, play, perspective, assertiveness, inquiry, and values), and use courage and experimentation to help promote change. I also help facilitate ketamine-assisted psychotherapy, and I am strong advocate of developing the skill of compassion for oneself and others. Many of us struggle with finding a sense of being home with reality as it is, although that home is always available and may be easier to return to than assumed.
I’m very comfortable helping patients with long-term meditation practices, those who might be struggling with shame, chronic illnesses or pain, difficult experiences from the past, or want to be more loving.
Offering Teletherapy in Most States: I primarily use IFS and behavioral treatments (ACT, DBT, CFT, RODBT) to emphasize acceptance of one's current experience, the development of skills (mindfulness, play, perspective, assertiveness, inquiry, and values), and use courage and experimentation to help promote change. I also help facilitate ketamine-assisted psychotherapy, and I am strong advocate of developing the skill of compassion for oneself and others. Many of us struggle with finding a sense of being home with reality as it is, although that home is always available and may be easier to return to than assumed.
Corey Costanzo
Drug & Alcohol Counselor, MA, LCAS, LMBT, SEP
Verified Verified
Asheville, NC 28801
Lets explore your life experience in a new and exciting way. I see suffering as an opportunity to break free from old patterns, habits, and ways of thinking that are not working for you anymore. It's a call from deep inside saying, "something needs to shift". This shift can come from exploring a relationship to a substance that you are using, and the pain, anxiety, depression, or a general sense of not loving your life that may come with it. Your unique journey is here right now, and experiencing it from a nonjudgmental perspective can be a vital ingredient to moving past whatever is holding you back from living your best life.
Lets explore your life experience in a new and exciting way. I see suffering as an opportunity to break free from old patterns, habits, and ways of thinking that are not working for you anymore. It's a call from deep inside saying, "something needs to shift". This shift can come from exploring a relationship to a substance that you are using, and the pain, anxiety, depression, or a general sense of not loving your life that may come with it. Your unique journey is here right now, and experiencing it from a nonjudgmental perspective can be a vital ingredient to moving past whatever is holding you back from living your best life.
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.
Lisa Lavelle Bowen
Licensed Professional Counselor, MA, LPC
Verified Verified
Asheville, NC 28803 (Online Only)
My specialties: anxiety, stress, trauma, depression, illness, grief, relationship or family conflicts, parenting skills, anger management, work conflicts, ADHD or other problematic issues, bipolar disorder or other personality disorders.
My specialties are trauma, anxiety, depression. 21 yrs experience counseling adolescents, adults, couples and families. I do supportive listening, accepting, understanding and compassionate counseling to help problem solve together and cope to focus on healing. Kinds of therapy I do: CBT, DBT, REBT, Art therapy, Play therapy and Christian counseling. Experience: worked with World Trade Center 9/11 survivors, survivors of torture, in a psychiatric hospital, an outpatient clinic, as a clinical supervisor, as a school based therapist, counseled military, their spouses & children at bases in USA, Europe and Japan and private practice.
My specialties: anxiety, stress, trauma, depression, illness, grief, relationship or family conflicts, parenting skills, anger management, work conflicts, ADHD or other problematic issues, bipolar disorder or other personality disorders.
My specialties are trauma, anxiety, depression. 21 yrs experience counseling adolescents, adults, couples and families. I do supportive listening, accepting, understanding and compassionate counseling to help problem solve together and cope to focus on healing. Kinds of therapy I do: CBT, DBT, REBT, Art therapy, Play therapy and Christian counseling. Experience: worked with World Trade Center 9/11 survivors, survivors of torture, in a psychiatric hospital, an outpatient clinic, as a clinical supervisor, as a school based therapist, counseled military, their spouses & children at bases in USA, Europe and Japan and private practice.
Online Teletherapy For Asheville North Carolina Martha Watson
PhD, CAMS-II
Verified Verified
Asheville, NC 28801
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.
Christen Mullane
Psychologist, PhD
Verified Verified
8 Endorsed
Asheville, NC 28805 (Online Only)
It may feel as though you are your illness, right now - as though your medical diagnosis is what defines you.
There are good days, bad days, and days that are completely overwhelming. You have never thought so much about your body in your life, and now you struggle with it every day. You remember when you trusted your body. There were times when you felt ill, but you recovered before. Now, your medical team is telling you that there is no going back to how things used to be. You are angry, you are frightened, you are hurting, and your loved ones are, too. Nobody seems to know exactly what to say, or what you need. It feels like a bomb has gone off in your life, and you are sifting through the rubble.
It may feel as though you are your illness, right now - as though your medical diagnosis is what defines you.
There are good days, bad days, and days that are completely overwhelming. You have never thought so much about your body in your life, and now you struggle with it every day. You remember when you trusted your body. There were times when you felt ill, but you recovered before. Now, your medical team is telling you that there is no going back to how things used to be. You are angry, you are frightened, you are hurting, and your loved ones are, too. Nobody seems to know exactly what to say, or what you need. It feels like a bomb has gone off in your life, and you are sifting through the rubble.
Madison Brightwell
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
1 Endorsed
Asheville, NC 28801 (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.
David Kaufmann
Licensed Clinical Mental Health Counselor, MA, LCMHC, LCAS
Verified Verified
Asheville, NC 28801
Waitlist for new clients
Life is challenging, sometimes it can feel like we aren’t made for the pace that is asked of us in today’s world. The result can feel like disconnect, overwhelm, or even depression and anxiety. Therapy can help. It is clear to me in my work, and in my own life, that once we start paying attention to our pain, we can do something about it. Having a guide in that process can make it simpler and more effective. Everyone is unique and as individuals what we need can take time to uncover and incorporate into our daily lives.
Life is challenging, sometimes it can feel like we aren’t made for the pace that is asked of us in today’s world. The result can feel like disconnect, overwhelm, or even depression and anxiety. Therapy can help. It is clear to me in my work, and in my own life, that once we start paying attention to our pain, we can do something about it. Having a guide in that process can make it simpler and more effective. Everyone is unique and as individuals what we need can take time to uncover and incorporate into our daily lives.
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.
Katie Fitzpatrick Camenzind
Psychologist, PhD
Verified Verified
Mills River, NC 28759
Waitlist for new clients
In times like these it can feel like you’re losing a lot: losing hope, losing sleep, losing control. But pain can be productive. Struggles can be opportunities to see what we're made of. They can also be the impetus to make changes we've been putting off, maybe out of fear that they would upset the balance we work so hard to maintain. Right now during this pandemic, it's hard to find one thing in our lives that hasn't changed and there are so many unknowns. It can be very difficult to persevere when you can't see the light at the end of the tunnel and when your usual outlets for support and coping are now limited.
In times like these it can feel like you’re losing a lot: losing hope, losing sleep, losing control. But pain can be productive. Struggles can be opportunities to see what we're made of. They can also be the impetus to make changes we've been putting off, maybe out of fear that they would upset the balance we work so hard to maintain. Right now during this pandemic, it's hard to find one thing in our lives that hasn't changed and there are so many unknowns. It can be very difficult to persevere when you can't see the light at the end of the tunnel and when your usual outlets for support and coping are now limited.
Vanessa Guerrero
LCMHC Associate, MA, LCMHC-A, NCC
Verified Verified
Asheville, NC 28803 (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.
See more therapy options for Madison County
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.