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

More Therapists Nearby

Photo of Sheila Mary McKeon, Licensed Professional Counselor in Marshall, 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.
(828) 536-4117 View (828) 536-4117

Online Therapists

Photo of Will Hamilton, Psychologist in Marshall, NC
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.
(828) 237-4975 View (828) 237-4975
Photo of Audrey Amir, Clinical Social Work/Therapist in Marshall, NC
Audrey Amir
Clinical Social Work/Therapist, LCSW, MA, RYT
Verified Verified
1 Endorsed
Fletcher, NC 28732
Other areas of focus include chronic illness, medical trauma, and managing grief and isolation.
Being a person can be hard. Living a life that best suits you as an individual is a work in progress. Along the way, there are undoubtedly challenges. Sometimes, our experiences leave us confused, overwhelmed, and in need of some support. As a therapist, my role is to help understand where you’ve been, where you’d like to go, and help you get there. It’s possible to move from getting by to feeling you have agency over your own life and choices. I specialize in working with challenging life events such as trauma, major life changes, relationship distress, and chronic illnesses. I also work with C-PTSD and Narcissistic Abuse recovery.
Other areas of focus include chronic illness, medical trauma, and managing grief and isolation.
Being a person can be hard. Living a life that best suits you as an individual is a work in progress. Along the way, there are undoubtedly challenges. Sometimes, our experiences leave us confused, overwhelmed, and in need of some support. As a therapist, my role is to help understand where you’ve been, where you’d like to go, and help you get there. It’s possible to move from getting by to feeling you have agency over your own life and choices. I specialize in working with challenging life events such as trauma, major life changes, relationship distress, and chronic illnesses. I also work with C-PTSD and Narcissistic Abuse recovery.
(828) 373-8290 View (828) 373-8290
Photo of Lisa Lavelle Bowen, Licensed Professional Counselor in Marshall, NC
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.
(828) 360-8820 View (828) 360-8820
Photo of Melissa Middlebrook, Clinical Social Work/Therapist in Marshall, NC
Melissa Middlebrook
Clinical Social Work/Therapist, MSW, LCSW, MPH, RYT200
Verified Verified
5 Endorsed
Asheville, NC 28806
Waitlist for new clients
None of us are immune to life's challenges and we also don't come with instructions on how to navigate these. We often carry our past experiences and stress without realizing it— to the point where we feel it not only emotionally, but also in our physical bodies. Research confirms the mind and body aren’t so separate after all, but more of an interdependent unit greatly influencing one another. Past traumas, anxiety, depression, feeling stuck, chronic illness, difficult life transition, caught in the cycles of shame + self criticism; these are all labels and struggles many of us identify with at some point, but they don't define us.
None of us are immune to life's challenges and we also don't come with instructions on how to navigate these. We often carry our past experiences and stress without realizing it— to the point where we feel it not only emotionally, but also in our physical bodies. Research confirms the mind and body aren’t so separate after all, but more of an interdependent unit greatly influencing one another. Past traumas, anxiety, depression, feeling stuck, chronic illness, difficult life transition, caught in the cycles of shame + self criticism; these are all labels and struggles many of us identify with at some point, but they don't define us.
(828) 818-9110 View (828) 818-9110
Photo of Savana Williams, Pre-Licensed Professional in Marshall, NC
Savana Williams
Pre-Licensed Professional, PsyD
Verified Verified
Candler, NC 28715  (Online Only)
I have worked with those who are struggling with anxiety, depression, relationship difficulties, life transitions, and have experience in chronic pain/health psychology.
Accepting NEW clients! I know that finding a therapist can be an overwhelming process. I honor your courage and hope that I can provide a soft place for you to land. I aim to foster a safe, empowering, and collaborative space for my clients. Sometimes we find ourselves losing focus of our life's purpose. Together, we can help identify your values and incorporate them in your life. Through mindfulness practices and acceptance-based strategies, I can help you let go of what is no longer serving you. The ultimate goal for my clients is to decrease any areas of distress while pursuing your values and finding more meaning in your life.
I have worked with those who are struggling with anxiety, depression, relationship difficulties, life transitions, and have experience in chronic pain/health psychology.
Accepting NEW clients! I know that finding a therapist can be an overwhelming process. I honor your courage and hope that I can provide a soft place for you to land. I aim to foster a safe, empowering, and collaborative space for my clients. Sometimes we find ourselves losing focus of our life's purpose. Together, we can help identify your values and incorporate them in your life. Through mindfulness practices and acceptance-based strategies, I can help you let go of what is no longer serving you. The ultimate goal for my clients is to decrease any areas of distress while pursuing your values and finding more meaning in your life.
(828) 539-4408 View (828) 539-4408
Photo of Jennifer Beeghly, Psychologist in Marshall, NC
Jennifer Beeghly
Psychologist, PsyD
Verified Verified
Asheville, NC 28801
I have specialized expertise in providing evidenced-based therapy to treat PTSD, adjustment from military service, relationship dissatisfaction, couple therapy, insomnia, pain, anxiety, somatic concerns, suicidality, and depression.
I am a licensed doctoral level clinical psychologist who provides individual and couple therapy. My approach is individualized based on the specific needs and goals of each client or couple and involves providing warmth and genuineness. My role is to assist you in gaining insight and perspective into the obstacles that are limiting you from living the life that you desire using a supportive and non-judgmental style that will facilitate personal exploration.
I have specialized expertise in providing evidenced-based therapy to treat PTSD, adjustment from military service, relationship dissatisfaction, couple therapy, insomnia, pain, anxiety, somatic concerns, suicidality, and depression.
I am a licensed doctoral level clinical psychologist who provides individual and couple therapy. My approach is individualized based on the specific needs and goals of each client or couple and involves providing warmth and genuineness. My role is to assist you in gaining insight and perspective into the obstacles that are limiting you from living the life that you desire using a supportive and non-judgmental style that will facilitate personal exploration.
(828) 528-3413 View (828) 528-3413
Photo of Kristin Mignogna, Counselor in Marshall, NC
Kristin Mignogna
Counselor, LCMHC-A
Verified Verified
Asheville, NC 28801
I help clients work through problems related to relational issues, life transitions, chronic pain, PTSD/trauma, depression, anxiety, bipolar disorder, ADHD, autism, and borderline traits.
I am a Licensed Clinical Mental Health Counseling Associate who strives to create a space of trust and safety in which clients can heal, progress, and develop self-compassion. I have experience helping clients with a broad range of presenting concerns, with an educational focus on trauma. I cater my therapeutic techniques to each individual client's needs, drawing most heavily from Person-Centered (approaching clients as equal collaborators, with empathy and non-judgement), Cognitive-Behavioral Therapy (focusing on thought patterns), and Gestalt Therapy (focusing on emotional and somatic experiences).
I help clients work through problems related to relational issues, life transitions, chronic pain, PTSD/trauma, depression, anxiety, bipolar disorder, ADHD, autism, and borderline traits.
I am a Licensed Clinical Mental Health Counseling Associate who strives to create a space of trust and safety in which clients can heal, progress, and develop self-compassion. I have experience helping clients with a broad range of presenting concerns, with an educational focus on trauma. I cater my therapeutic techniques to each individual client's needs, drawing most heavily from Person-Centered (approaching clients as equal collaborators, with empathy and non-judgement), Cognitive-Behavioral Therapy (focusing on thought patterns), and Gestalt Therapy (focusing on emotional and somatic experiences).
(828) 457-7143 View (828) 457-7143
Photo of Shannon South, Licensed Professional Counselor in Marshall, NC
Shannon South
Licensed Professional Counselor, LCMHC, ThD
Verified Verified
Asheville, NC 28801
These heal depression and anxiety, pain and grief, increase immunity, empower you and build confidence, increase a feeling of wholeness and connection to others and set you free from the past.
I am an integrative therapist focused on healing the split associated with trauma. Trauma can disconnect you from your authenticity and power, creating a misalignment in your mind-body and spirit. Eye Movement Desensitization and Reprocessing (EMDR) and the Inner Counselor are two highly effective approaches used for healing. I see clients with panic disorder and depression, sexual abuse, abusive relationships, codependency and self-esteem issues and more. Bringing health and balance back around areas that have become compulsions (eating, sex, alcohol, relationships, etc.) is another important part of this personal healing journey.
These heal depression and anxiety, pain and grief, increase immunity, empower you and build confidence, increase a feeling of wholeness and connection to others and set you free from the past.
I am an integrative therapist focused on healing the split associated with trauma. Trauma can disconnect you from your authenticity and power, creating a misalignment in your mind-body and spirit. Eye Movement Desensitization and Reprocessing (EMDR) and the Inner Counselor are two highly effective approaches used for healing. I see clients with panic disorder and depression, sexual abuse, abusive relationships, codependency and self-esteem issues and more. Bringing health and balance back around areas that have become compulsions (eating, sex, alcohol, relationships, etc.) is another important part of this personal healing journey.
(828) 351-9963 View (828) 351-9963
Photo of Katherine Therrell, Licensed Professional Counselor in Marshall, NC
Katherine Therrell
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
3 Endorsed
Arden, NC 28704
My clients are adults, adolescents, and children who need help coping with anxiety, depression, anger, trauma, abuse, educational/employment situations, family dynamics, or other problems impacting their mental health. Though I practice Cognative Behavioral Therapy, I employ a variety of methods including "talk therapy", EMDR, sand therapy, and play therapy, depending upon individual need. I strive to provide unconditional acceptance and support to my clients as they work to achieve their counseling goals. I accept Medicaid and most private insurance.
My clients are adults, adolescents, and children who need help coping with anxiety, depression, anger, trauma, abuse, educational/employment situations, family dynamics, or other problems impacting their mental health. Though I practice Cognative Behavioral Therapy, I employ a variety of methods including "talk therapy", EMDR, sand therapy, and play therapy, depending upon individual need. I strive to provide unconditional acceptance and support to my clients as they work to achieve their counseling goals. I accept Medicaid and most private insurance.
(828) 565-1925 View (828) 565-1925
Photo of Justina Prenatt, Counselor in Marshall, NC
Justina Prenatt
Counselor, MS, LCMHC
Verified Verified
Asheville, NC 28801
I believe that we live in challenging times. Many people find it difficult to feel confident and self assured, have peaceful, fulfilling relationships, navigate the demands of finances, family, work and home, and also focus on nourishing self care. These challenges are interconnected. They are related to how we have developed our sense of self in the context of family expectations and experiences, societal demands, cultural assumptions, and media influence. It is necessary for all of us to learn how to live our best lives in these particular circumstances. You are not alone.
I believe that we live in challenging times. Many people find it difficult to feel confident and self assured, have peaceful, fulfilling relationships, navigate the demands of finances, family, work and home, and also focus on nourishing self care. These challenges are interconnected. They are related to how we have developed our sense of self in the context of family expectations and experiences, societal demands, cultural assumptions, and media influence. It is necessary for all of us to learn how to live our best lives in these particular circumstances. You are not alone.
(828) 970-8533 View (828) 970-8533
Photo of Beth Miller, Clinical Social Work/Therapist in Marshall, NC
Beth Miller
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28805
Way to go about taking the first step to start therapy! Life is crazy right now. It's tough to feel any balance. Stressors weigh on you and may even add to your anxiety and depression symptoms. Perhaps you or your child may be struggling and at a loss for what to do. I can support you to find the best strategies to tackle these stressors and get back to balance despite the things we can't change in the world now. I've spent many years working with individuals to navigate their symptoms to work together to make daily life feel back in balance. I have extensive training and experience to treat the whole person with a mindful approach.
Way to go about taking the first step to start therapy! Life is crazy right now. It's tough to feel any balance. Stressors weigh on you and may even add to your anxiety and depression symptoms. Perhaps you or your child may be struggling and at a loss for what to do. I can support you to find the best strategies to tackle these stressors and get back to balance despite the things we can't change in the world now. I've spent many years working with individuals to navigate their symptoms to work together to make daily life feel back in balance. I have extensive training and experience to treat the whole person with a mindful approach.
(828) 481-8686 View (828) 481-8686
Photo of Ashley Rawls, Marriage & Family Therapist in Marshall, NC
Ashley Rawls
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Boone, NC 28607  (Online Only)
I work with individuals dealing with life transitions, medical related issues, mood and affective disorders, and marriage, parenting or family issues. I use a narrative and solution focused approach to collaboratively work with clients to identify successful solutions to problems and how these strengths can be implemented in future situations. I utilize empirically supported techniques that focus on the ways in which individuals think about and respond to events. These interventions allow clients to restructure their thinking, process events and modify behaviors in more adaptive ways.
I work with individuals dealing with life transitions, medical related issues, mood and affective disorders, and marriage, parenting or family issues. I use a narrative and solution focused approach to collaboratively work with clients to identify successful solutions to problems and how these strengths can be implemented in future situations. I utilize empirically supported techniques that focus on the ways in which individuals think about and respond to events. These interventions allow clients to restructure their thinking, process events and modify behaviors in more adaptive ways.
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Photo of Brian Dugdale, Licensed Clinical Mental Health Counselor in Marshall, NC
Brian Dugdale
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Hendersonville, NC 28739
I provide relational and person-centered therapy to individuals, couples, and families. For the last 14 years I have served a diverse population in treating mental health needs including, anxiety, addiction, relationship/marital trouble, and negative behavior/thinking patterns. People often come wanting a solution to these and many other problems. In my practice, I have found success in helping people look deeper than the surface or for an easy solution. I wish I could promise an easy road ahead. What I can promise is compassion, empathy, support, and guided help on this road to healing.
I provide relational and person-centered therapy to individuals, couples, and families. For the last 14 years I have served a diverse population in treating mental health needs including, anxiety, addiction, relationship/marital trouble, and negative behavior/thinking patterns. People often come wanting a solution to these and many other problems. In my practice, I have found success in helping people look deeper than the surface or for an easy solution. I wish I could promise an easy road ahead. What I can promise is compassion, empathy, support, and guided help on this road to healing.
(828) 348-6572 View (828) 348-6572
Photo of Dr. Blake A Kovner in Marshall, NC
Dr. Blake A Kovner
ND, LMT
Verified Verified
1 Endorsed
Asheville, NC 28804
My passion is people and the therapeutic effect of authentic human connection. It's from a socially safe platform that we begin to really heal. By exploring the lens we're used to, we make space for new perspectives. Learning how you're wired creates opportunity make decisions about what you think, how you feel and what you can and are willing to do about it in order to connect to the self and heal. My clinical lens is rooted in the understanding of and respect for the gut-brain/heart-immune-mind axis, making my approach truly holistic. People deserve to be fed while learning to fish and I love treating people, not diseases.
My passion is people and the therapeutic effect of authentic human connection. It's from a socially safe platform that we begin to really heal. By exploring the lens we're used to, we make space for new perspectives. Learning how you're wired creates opportunity make decisions about what you think, how you feel and what you can and are willing to do about it in order to connect to the self and heal. My clinical lens is rooted in the understanding of and respect for the gut-brain/heart-immune-mind axis, making my approach truly holistic. People deserve to be fed while learning to fish and I love treating people, not diseases.
(828) 520-0145 View (828) 520-0145
Photo of Kambra Meyer, Licensed Professional Counselor in Marshall, NC
Kambra Meyer
Licensed Professional Counselor, MA, LCMHC, LCAS
Verified Verified
1 Endorsed
Asheville, NC 28801
Even the most self-aware humans can experience periods of confusion, stuckness, and destabilization, and oftentimes suffering has unconscious roots. I've dedicated my training and education as a helping professional to learn how to unlock messages from the unconscious to promote healing and well-being. I also strive to arm my clients with concrete tools to use independently, long after our work together is completed. I have many years of experience helping people heal, blending a variety of nontraditional and expressive therapeutic approaches with evidence-based interventions to meet the individual needs of the people I serve.
Even the most self-aware humans can experience periods of confusion, stuckness, and destabilization, and oftentimes suffering has unconscious roots. I've dedicated my training and education as a helping professional to learn how to unlock messages from the unconscious to promote healing and well-being. I also strive to arm my clients with concrete tools to use independently, long after our work together is completed. I have many years of experience helping people heal, blending a variety of nontraditional and expressive therapeutic approaches with evidence-based interventions to meet the individual needs of the people I serve.
(828) 333-5410 View (828) 333-5410
Photo of Pripo Teplitsky, Licensed Clinical Mental Health Counselor in Marshall, NC
Pripo Teplitsky
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Asheville, NC 28801
Are you overwhelmed or unsatisfied with your life? Do you want change but are having difficulties taking the necessary steps for making it happen? Are you longing for connection and love, and less conflict with those you love? I specialize in working with individuals and couples dealing with relationship issues. I also help adults who are feeling unhappy in other parts of their lives. As your therapist I am here to take your thoughts and feelings seriously and help you make sense of your life in order to begin the process of change.
Are you overwhelmed or unsatisfied with your life? Do you want change but are having difficulties taking the necessary steps for making it happen? Are you longing for connection and love, and less conflict with those you love? I specialize in working with individuals and couples dealing with relationship issues. I also help adults who are feeling unhappy in other parts of their lives. As your therapist I am here to take your thoughts and feelings seriously and help you make sense of your life in order to begin the process of change.
(828) 712-8398 View (828) 712-8398
Photo of Debbie Dixon Barney, Lic Clinical Mental Health Counselor Associate in Marshall, NC
Debbie Dixon Barney
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, LCAS-A, NCC
Verified Verified
3 Endorsed
Penrose, NC 28766
Do you ever wake up and wonder, "How did I get here?" or "Why did this have to happen to me?" Maybe you wish your life looked differently but are not sure how to get there. We all have "things" we need to process, but my experience is that we often get “stuck in a rut” with how we approach problems. We need a new perspective or another person to help us process our "stuff” - someone who can ask us questions to help us to see things from a different vantage point or to help us rewrite our stories with hope, purpose, and excitement. My desire is to help people see how the “stuff” in their lives can be used in amazing ways.
Do you ever wake up and wonder, "How did I get here?" or "Why did this have to happen to me?" Maybe you wish your life looked differently but are not sure how to get there. We all have "things" we need to process, but my experience is that we often get “stuck in a rut” with how we approach problems. We need a new perspective or another person to help us process our "stuff” - someone who can ask us questions to help us to see things from a different vantage point or to help us rewrite our stories with hope, purpose, and excitement. My desire is to help people see how the “stuff” in their lives can be used in amazing ways.
(828) 677-2303 View (828) 677-2303
Photo of Elizabeth R Allen, LMFT, Marriage & Family Therapist in Marshall, NC
Elizabeth R Allen, LMFT
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Asheville, NC 28803
I focus primarily on work with adolescents experiencing anxiety and depression or struggling with self-esteem as well as their families who are experiencing life transitions, parenting difficulties, and relationship concerns.
I focus primarily on work with adolescents experiencing anxiety and depression or struggling with self-esteem as well as their families who are experiencing life transitions, parenting difficulties, and relationship concerns.
(828) 408-0527 View (828) 408-0527
Photo of T.j. Stiers, Clinical Social Work/Therapist in Marshall, NC
T.j. Stiers
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Asheville, NC 28801  (Online Only)
The process of therapy is about removing your personal blocks to healing and helping you to remember all that is good, right, and well within you. The path to achieving this can be varied and uniquely personal. I use a variety of methods including traditional psychotherapy and EMDR to assist you in your process. I have helped clients process traumatic memories, cope with grief, and move from anxiety and depression to states of mindful calmness and well being.
The process of therapy is about removing your personal blocks to healing and helping you to remember all that is good, right, and well within you. The path to achieving this can be varied and uniquely personal. I use a variety of methods including traditional psychotherapy and EMDR to assist you in your process. I have helped clients process traumatic memories, cope with grief, and move from anxiety and depression to states of mindful calmness and well being.
(828) 597-0638 View (828) 597-0638

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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.