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Online Therapists

Photo of Alysann Whitley Price, Clinical Social Work/Therapist in Maiden, NC
Alysann Whitley Price
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlotte, NC 28205
Hi, my name is Alysann and I'm a Licensed Clinical Social Worker with over 6 years of clinical experience. My therapeutic approach is strengths-based, which means I will empower you by building on your strengths. I specialize in OCD, Anxiety, Depression, Alcohol Addiction, Eating Disorders, Sleep/Insomnia, Stress, Self-esteem, Coping Skills, and Chronic Pain. I am trained in many different modalities such as, ERP, DBT, Mindfulness, Motivational Interviewing, CBT, and ACT, but I will tailor my therapy modality to the individual and find which approach will aid you the most to help accomplish any goals you might have.
Hi, my name is Alysann and I'm a Licensed Clinical Social Worker with over 6 years of clinical experience. My therapeutic approach is strengths-based, which means I will empower you by building on your strengths. I specialize in OCD, Anxiety, Depression, Alcohol Addiction, Eating Disorders, Sleep/Insomnia, Stress, Self-esteem, Coping Skills, and Chronic Pain. I am trained in many different modalities such as, ERP, DBT, Mindfulness, Motivational Interviewing, CBT, and ACT, but I will tailor my therapy modality to the individual and find which approach will aid you the most to help accomplish any goals you might have.
(919) 925-4566 View (919) 925-4566
Photo of Tim Bandell, Clinical Social Work/Therapist in Maiden, NC
Tim Bandell
Clinical Social Work/Therapist, LCSW, CTTS, CCTP
Verified Verified
Asheville, NC 28801  (Online Only)
Are you struggling with hopelessness, ongoing despair, lack of motivation, worrying, panic? Can't relax? Is your past wreaking havoc on your present? Chronic pain consuming your life? Does it feel like life is just too much? Is your baggage damaging your relationship? In a safe space, I provide therapy to individuals struggling with depression, anxiety, relationship stress, trauma, chronic pain or life transitions.
Are you struggling with hopelessness, ongoing despair, lack of motivation, worrying, panic? Can't relax? Is your past wreaking havoc on your present? Chronic pain consuming your life? Does it feel like life is just too much? Is your baggage damaging your relationship? In a safe space, I provide therapy to individuals struggling with depression, anxiety, relationship stress, trauma, chronic pain or life transitions.
(828) 383-8385 View (828) 383-8385
Photo of The International Center for Wellness PLLC, Clinical Social Work/Therapist in Maiden, NC
The International Center for Wellness PLLC
Clinical Social Work/Therapist, LCSW, LISW-CP, LCAS-A
Verified Verified
1 Endorsed
Concord, NC 28025  (Online Only)
Getting to the root cause of mental illness is ideal for successful long term recovery.
The Center for Wellness PLLC is a small group practice dedicated in providing high quality care tailored to meet your individual needs. Our goal is to provide an intimate environment that is safe, supportive and confidential. We offer a wide variety of experience working with many different life challenges. We will walk with you through your journey and work with you to restore health, hope and healing holistically. Lekeshia Lynch, founder and clinical director of the Center for Wellness is a graduate of the University of South Carolina-Columbia. She has over 25 years experience in the field of health/mental health and addiction.
Getting to the root cause of mental illness is ideal for successful long term recovery.
The Center for Wellness PLLC is a small group practice dedicated in providing high quality care tailored to meet your individual needs. Our goal is to provide an intimate environment that is safe, supportive and confidential. We offer a wide variety of experience working with many different life challenges. We will walk with you through your journey and work with you to restore health, hope and healing holistically. Lekeshia Lynch, founder and clinical director of the Center for Wellness is a graduate of the University of South Carolina-Columbia. She has over 25 years experience in the field of health/mental health and addiction.
(704) 327-5647 x101 View (704) 327-5647 x101
Photo of Sister WELLS Counseling, Coaching & Consulting, Licensed Clinical Mental Health Counselor in Maiden, NC
Sister WELLS Counseling, Coaching & Consulting
Licensed Clinical Mental Health Counselor, PhD, LCMHC-S, LCAS, CRC, CCS
Verified Verified
4 Endorsed
Charlotte, NC 28262  (Online Only)
We've worked with patients living with chronic pain, chronic diseases (Diabetes, Hypertension, HIV/AIDS, Lupus, Sickle Cell), perinatal mental health concerns, anxiety, depression and those needing career/vocational coaching.
We give so much of ourselves to our jobs, families, friends and more that we often lose ourselves and focus on the daily struggle of just surviving. Becoming overwhelmed or feeling anxious, depressed, scared or even angry, may stop you from reaching your full potential. We believe that the value of your health goes beyond just your physical health. We have a passion for helping others to find their voice, passion, and to create a healthier reality than their present state. We provide Teletherapy & Coaching services. Therapy services are provided by a Four Therapists & Coaching services by Drs. Watkins, Elbert & Blumell.
We've worked with patients living with chronic pain, chronic diseases (Diabetes, Hypertension, HIV/AIDS, Lupus, Sickle Cell), perinatal mental health concerns, anxiety, depression and those needing career/vocational coaching.
We give so much of ourselves to our jobs, families, friends and more that we often lose ourselves and focus on the daily struggle of just surviving. Becoming overwhelmed or feeling anxious, depressed, scared or even angry, may stop you from reaching your full potential. We believe that the value of your health goes beyond just your physical health. We have a passion for helping others to find their voice, passion, and to create a healthier reality than their present state. We provide Teletherapy & Coaching services. Therapy services are provided by a Four Therapists & Coaching services by Drs. Watkins, Elbert & Blumell.
(704) 512-0618 View (704) 512-0618
Photo of Kristin Bure, Clinical Social Work/Therapist in Maiden, NC
Kristin Bure
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
Asheville, NC 28801
For all of us, there are times when we seek a new direction, a way forward, a fresh possibility for living. Are you feeling stuck or wanting to improve some aspect of your life or yourself? Are you using substances to cope with mental health issues such mood disorders, anxiety, trauma, or chronic pain, stress and life transitions? If you’re here, you know things aren’t okay and life feels unmanageable. Substance use and/or mental health disorders can hijack your life. I can help you get back into the driver’s seat. I can help you feel more empowered to access your innate inner strengths, and reach your fullest recovery potential.
For all of us, there are times when we seek a new direction, a way forward, a fresh possibility for living. Are you feeling stuck or wanting to improve some aspect of your life or yourself? Are you using substances to cope with mental health issues such mood disorders, anxiety, trauma, or chronic pain, stress and life transitions? If you’re here, you know things aren’t okay and life feels unmanageable. Substance use and/or mental health disorders can hijack your life. I can help you get back into the driver’s seat. I can help you feel more empowered to access your innate inner strengths, and reach your fullest recovery potential.
(828) 575-5984 View (828) 575-5984
Photo of SHINE Counseling, PLLC, Clinical Social Work/Therapist in Maiden, 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 Shelly Luttman Phelps, Clinical Social Work/Therapist in Maiden, 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 David Kaufmann, Licensed Clinical Mental Health Counselor in Maiden, NC
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.
(828) 332-5594 View (828) 332-5594
Photo of Bonita Hutchinson and Associates, PLLC, Licensed Clinical Mental Health Counselor in Maiden, 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 Jared Hinton, Counselor in Maiden, NC
Jared Hinton
Counselor, MAT, MA, LCMHC, LCAS-A
Verified Verified
1 Endorsed
Asheville, NC 28801
I specialize in helping people recover from relational trauma and experience issues related to co-dependency, grief, adverse childhood experiences and growing up around alcoholism, addiction or mental illness.
I am a Licensed Professional Counselor in private practice in Asheville, North Carolina. A history teacher turned therapist, my theoretical influences stem from Contemplative and Buddhist Psychology, a deep interest and regard for Native American and indigenous cultures, village-mindedness, Gestalt Therapy, as well as my roles as a husband, father, and friend.
I specialize in helping people recover from relational trauma and experience issues related to co-dependency, grief, adverse childhood experiences and growing up around alcoholism, addiction or mental illness.
I am a Licensed Professional Counselor in private practice in Asheville, North Carolina. A history teacher turned therapist, my theoretical influences stem from Contemplative and Buddhist Psychology, a deep interest and regard for Native American and indigenous cultures, village-mindedness, Gestalt Therapy, as well as my roles as a husband, father, and friend.
(828) 575-3066 View (828) 575-3066
Photo of Chronic Health Counseling, Clinical Social Work/Therapist in Maiden, NC
Chronic Health Counseling
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Concord, NC 28025
Living with a chronic medical condition such as diabetes, chronic pain, cancer, or neurological disorders can take a toll on our emotional well-being making it even more difficult to live with the illness. Whether you or a loved one has recently been diagnosed with a chronic medical condition, or have been living with a chronic illness for many years emotions such as sadness, hopelessness, fear, anxiety, and even anger can emerge making life difficult to face. I am here to help you find ways to express such emotions and work toward finding a sense of peace and joy.
Living with a chronic medical condition such as diabetes, chronic pain, cancer, or neurological disorders can take a toll on our emotional well-being making it even more difficult to live with the illness. Whether you or a loved one has recently been diagnosed with a chronic medical condition, or have been living with a chronic illness for many years emotions such as sadness, hopelessness, fear, anxiety, and even anger can emerge making life difficult to face. I am here to help you find ways to express such emotions and work toward finding a sense of peace and joy.
(704) 842-9915 View (704) 842-9915
Photo of Karen Maynard, Clinical Social Work/Therapist in Maiden, NC
Karen Maynard
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
Clemmons, NC 27012
Stress and emotional pain certainly impact employment/school performance, interpersonal relationships, and physical health. Chronic stress/emotional pain can lead to symptoms of depression, anxiety, and misguided coping through substances. It changes your perception; contributes to conflict with family/friends and situations previously managed become overwhelming. If this sounds familiar, Health Matters can help.
Stress and emotional pain certainly impact employment/school performance, interpersonal relationships, and physical health. Chronic stress/emotional pain can lead to symptoms of depression, anxiety, and misguided coping through substances. It changes your perception; contributes to conflict with family/friends and situations previously managed become overwhelming. If this sounds familiar, Health Matters can help.
(336) 515-0738 View (336) 515-0738
Photo of The Healing Collective, Clinical Social Work/Therapist in Maiden, 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 Jennifer Livingstone, Clinical Social Work/Therapist in Maiden, NC
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.
View
Photo of Myriam Rabaste, Licensed Professional Counselor in Maiden, NC
Myriam Rabaste
Licensed Professional Counselor, LCMHC, EMDR, II
Verified Verified
Mint Hill, NC 28227
Every life trauma and struggle can be transformed into strength and beauty. My passion is to work alongside those who are determined to face their pain, fears, and limitations and discover their purpose in life. I specialize in the treatment of trauma, grief, adjustment issues, anxiety, and BPD. Every week, we have a DBT group meeting online. Additionally, I also work with people (artists, and athletes) who wish to develop their performance and creativity.
Every life trauma and struggle can be transformed into strength and beauty. My passion is to work alongside those who are determined to face their pain, fears, and limitations and discover their purpose in life. I specialize in the treatment of trauma, grief, adjustment issues, anxiety, and BPD. Every week, we have a DBT group meeting online. Additionally, I also work with people (artists, and athletes) who wish to develop their performance and creativity.
(704) 870-2290 View (704) 870-2290
Photo of Leigh Zick Dongre, Licensed Clinical Mental Health Counselor Supervisor in Maiden, NC
Leigh Zick Dongre
Licensed Clinical Mental Health Counselor Supervisor, PhD, LCMHC-S, LCAS
Verified Verified
Winston Salem, NC 27104
I counsel all people, but I specialize in depression, anxiety, obsessive compulsive disorders, chronic pain, depression disorders, substance use and recovery, life transitions (i.
The path to living more fully is an adventure, one I believe has transformed my own life. Each day I am honored to join people along a path of recovery, self-exploration, and healing. I have helped people break through the obstacles that seem to be holding them back in life. My role as your counselor is to be a knowledgeable, genuine, and empathetic guide along this journey and provide a safe and supportive environment to do so. I help people live their best lives, by reaching more authenticity, self-awareness, and making behavioral changes. I primarily offer telemental health counseling with options for counseling in Winston-Salem.
I counsel all people, but I specialize in depression, anxiety, obsessive compulsive disorders, chronic pain, depression disorders, substance use and recovery, life transitions (i.
The path to living more fully is an adventure, one I believe has transformed my own life. Each day I am honored to join people along a path of recovery, self-exploration, and healing. I have helped people break through the obstacles that seem to be holding them back in life. My role as your counselor is to be a knowledgeable, genuine, and empathetic guide along this journey and provide a safe and supportive environment to do so. I help people live their best lives, by reaching more authenticity, self-awareness, and making behavioral changes. I primarily offer telemental health counseling with options for counseling in Winston-Salem.
(336) 791-0314 View (336) 791-0314
Photo of Madalina Ochenatu, Counselor in Maiden, 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 Kathryn Grimsley, Clinical Social Work/Therapist in Maiden, NC
Kathryn Grimsley
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Concord, NC 28025
Hello, I'm Kathryn and I’m so glad you are here! I'm a Licensed Clinical Social Worker with 12+ years experience serving individuals, families, groups, couples (aged 4+). My ideal clients are those who realize their capability for change and who are willing to do the work required to live a more whole-hearted life. I ask also for willingness and honesty - therapy does not work without these things. I want to develop a partnership with you, one based on boundaries and validation. Please be encouraged that you don't have to "do life" alone. It's time to choose thriving over surviving!
Hello, I'm Kathryn and I’m so glad you are here! I'm a Licensed Clinical Social Worker with 12+ years experience serving individuals, families, groups, couples (aged 4+). My ideal clients are those who realize their capability for change and who are willing to do the work required to live a more whole-hearted life. I ask also for willingness and honesty - therapy does not work without these things. I want to develop a partnership with you, one based on boundaries and validation. Please be encouraged that you don't have to "do life" alone. It's time to choose thriving over surviving!
(704) 703-2640 View (704) 703-2640
Photo of Lauren Britton Counseling, Counselor in Maiden, NC
Lauren Britton Counseling
Counselor, MA, LCMHC, LMHC
Verified Verified
3 Endorsed
Asheville, NC 28805
Waitlist for new clients
The decision to attend counseling can be a difficult step, and finding the right therapist can feel daunting! I hope the information here will answer some of your questions. My goal as your therapist will be to walk next to you as you identify and move closer to your personal goals. I am passionate about empowering individuals with the skills to manage challenges and move towards an enhanced sense of fulfillment in life. I approach therapy from the belief that you are the ONLY expert on yourself. Together we can help you tap into and trust your internal wisdom.
The decision to attend counseling can be a difficult step, and finding the right therapist can feel daunting! I hope the information here will answer some of your questions. My goal as your therapist will be to walk next to you as you identify and move closer to your personal goals. I am passionate about empowering individuals with the skills to manage challenges and move towards an enhanced sense of fulfillment in life. I approach therapy from the belief that you are the ONLY expert on yourself. Together we can help you tap into and trust your internal wisdom.
(828) 293-4302 View (828) 293-4302
Photo of White Eagle Vision , Clinical Social Work/Therapist in Maiden, NC
White Eagle Vision
Clinical Social Work/Therapist, LCSW, LCAS, MAC
Verified Verified
1 Endorsed
Asheville, NC 28806  (Online Only)
Are you struggling with women's issues, trauma, relationships, grief, anxiety, or major life changes? There comes a time when we need some help from a licensed professional to cope with many of life’s challenges, and I’d love to help you on your journey toward healing and self-discovery. My approach is to help you delve deeper into understanding some of the cyclical patterns created and to liberate yourself to optimum health mind, body, and spirit so that you can thrive instead of just survive. I honor the opportunity to explore with an individual their underlining traumas of lacking a spiritual connection to everything around us.
Are you struggling with women's issues, trauma, relationships, grief, anxiety, or major life changes? There comes a time when we need some help from a licensed professional to cope with many of life’s challenges, and I’d love to help you on your journey toward healing and self-discovery. My approach is to help you delve deeper into understanding some of the cyclical patterns created and to liberate yourself to optimum health mind, body, and spirit so that you can thrive instead of just survive. I honor the opportunity to explore with an individual their underlining traumas of lacking a spiritual connection to everything around us.
(828) 518-1134 View (828) 518-1134
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.