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Online Therapists

Photo of The International Center for Wellness PLLC, Clinical Social Work/Therapist in Mcdowell County, 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 Chronic Health Counseling, Clinical Social Work/Therapist in Mcdowell County, 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 SHINE Counseling, PLLC, Clinical Social Work/Therapist in Mcdowell County, 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 Myriam Rabaste, Licensed Professional Counselor in Mcdowell County, 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 Lucyna Sonek, Licensed Professional Counselor in Mcdowell County, NC
Lucyna Sonek
Licensed Professional Counselor, MPsych, MA, LPC, LCAS
Verified Verified
1 Endorsed
Boone, NC 28607  (Online Only)
I specialize in treating emotional dysfunctions, addictions, ADHD, relational problems, gender issues as well as the challenges related to chronic illness/pain including depression, bipolar, anxiety, social phobia, OCD, behavioral compulsions, self-harming, low self esteem, anger, domestic violence, parenting, sexual issues, low motivation, online addiction, gambling, substance abuse, smoking.
I strive to assist distressed individuals in regulating emotions, improving mood, cultivating positive thinking, changing unproductive behaviors, and in creating wellness, life satisfaction, and self-acceptance. By exploring and identifying unique, personal thinking patterns, challenges, needs, and strengths we work in therapy to promote the meaning in life, responsibility, and the pursuit of genuineness and the best in self, life and relationships. My approach is compassionate, backed by extensive training and I have over 30 years of experience in education, community service, and psychotherapy with children, students, adults, couples, families, and groups.
I specialize in treating emotional dysfunctions, addictions, ADHD, relational problems, gender issues as well as the challenges related to chronic illness/pain including depression, bipolar, anxiety, social phobia, OCD, behavioral compulsions, self-harming, low self esteem, anger, domestic violence, parenting, sexual issues, low motivation, online addiction, gambling, substance abuse, smoking.
I strive to assist distressed individuals in regulating emotions, improving mood, cultivating positive thinking, changing unproductive behaviors, and in creating wellness, life satisfaction, and self-acceptance. By exploring and identifying unique, personal thinking patterns, challenges, needs, and strengths we work in therapy to promote the meaning in life, responsibility, and the pursuit of genuineness and the best in self, life and relationships. My approach is compassionate, backed by extensive training and I have over 30 years of experience in education, community service, and psychotherapy with children, students, adults, couples, families, and groups.
(828) 527-0143 View (828) 527-0143
Photo of Guy Morganstein, Licensed Professional Counselor in Mcdowell County, NC
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.
(828) 337-7549 View (828) 337-7549
Photo of Jennifer Beeghly, Psychologist in Mcdowell County, 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 Tim Bandell, Clinical Social Work/Therapist in Mcdowell County, 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 Carol Greenberger, Counselor in Mcdowell County, NC
Carol Greenberger
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Asheville, NC 28805
Are you feeling alone, anxious or depressed? Unsatisfied with your career, have chronic pain or illness? Relationship stress, extended family issues? My clients tell me I'm warm, easy to talk to, and down to earth. I use a variety of treatment approaches: psychodynamic and relational, combined with CBT, EFT, and EMDR. EMDR can help almost any problem resolve more quickly because it allows the brain to make changes on a deeper level than just talking. We still talk plenty though, before, during and after EMDR. My clients find telehealth to be helpful and convenient. I see regular clients occasionally at my home office.
Are you feeling alone, anxious or depressed? Unsatisfied with your career, have chronic pain or illness? Relationship stress, extended family issues? My clients tell me I'm warm, easy to talk to, and down to earth. I use a variety of treatment approaches: psychodynamic and relational, combined with CBT, EFT, and EMDR. EMDR can help almost any problem resolve more quickly because it allows the brain to make changes on a deeper level than just talking. We still talk plenty though, before, during and after EMDR. My clients find telehealth to be helpful and convenient. I see regular clients occasionally at my home office.
(828) 484-2226 View (828) 484-2226
Photo of Jessica Wing, Counselor in Mcdowell County, NC
Jessica Wing
Counselor, MA, LCMHCA, NCC
Verified Verified
1 Endorsed
Mooresville, NC 28117
Waitlist for new clients
I primarily work with teenagers, older children, families, and young adults. I feel that adolescents have their entire future in front of them, and it is the most opportune time to learn positive thinking patterns, coping skills, and life strategies. Teenagers are at a pivotal point in their lives, facing many large life decisions. Having a neutral person to be open with in life is invaluable. I have worked with clients through many challenges such as (not limited to) depression, anxiety, suicidal thoughts, trauma, grief, self-harm, self-esteem, sexual identity, school struggles, behavioral/impulse challenges, and anger management.
I primarily work with teenagers, older children, families, and young adults. I feel that adolescents have their entire future in front of them, and it is the most opportune time to learn positive thinking patterns, coping skills, and life strategies. Teenagers are at a pivotal point in their lives, facing many large life decisions. Having a neutral person to be open with in life is invaluable. I have worked with clients through many challenges such as (not limited to) depression, anxiety, suicidal thoughts, trauma, grief, self-harm, self-esteem, sexual identity, school struggles, behavioral/impulse challenges, and anger management.
(980) 385-5775 View (980) 385-5775
Photo of Angie Sirvas, Licensed Professional Counselor in Mcdowell County, NC
Angie Sirvas
Licensed Professional Counselor, LCMHC, LCAS
Verified Verified
Charlotte, NC 28205  (Online Only)
We are not responsible for our traumas, but we are responsible for healing from them. This is often an overwhelming and daunting task. I would like to walk side by side with you on your journey, assisting to make it as peaceful and productive as possible.
We are not responsible for our traumas, but we are responsible for healing from them. This is often an overwhelming and daunting task. I would like to walk side by side with you on your journey, assisting to make it as peaceful and productive as possible.
(980) 277-3469 View (980) 277-3469
Photo of N. Diane Stamey, Marriage & Family Therapist in Mcdowell County, NC
N. Diane Stamey
Marriage & Family Therapist, MA, MDiv, LMFT, LFBPC
Verified Verified
Asheville, NC 28801
My ideal client is a person who is finding life, love and work challenging! I have been a Christian psychotherapist for over thirty years. My extensive education. my two NC licenses and a three year Residency in Pastoral Counseling at Wake Forest Baptist Hospital has equipped me to handle both acute and chronic mental health issues. I like working with Couples, Families, Children, Teens, Adults and Seniors! My specialties are Family Issues, Anxiety Disorders, Depression, Bi-polar Disorders, Grief and Medical Issues. I like these websites: ADAA.org. and anxieties.com. Find me on Facebook@Mountain Center For Pastoral Counseling.
My ideal client is a person who is finding life, love and work challenging! I have been a Christian psychotherapist for over thirty years. My extensive education. my two NC licenses and a three year Residency in Pastoral Counseling at Wake Forest Baptist Hospital has equipped me to handle both acute and chronic mental health issues. I like working with Couples, Families, Children, Teens, Adults and Seniors! My specialties are Family Issues, Anxiety Disorders, Depression, Bi-polar Disorders, Grief and Medical Issues. I like these websites: ADAA.org. and anxieties.com. Find me on Facebook@Mountain Center For Pastoral Counseling.
(828) 348-6863 View (828) 348-6863
Photo of Katherine Therrell, Licensed Professional Counselor in Mcdowell County, 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 Nova Lux Counseling, PLLC, Licensed Professional Counselor in Mcdowell County, NC
Nova Lux Counseling, PLLC
Licensed Professional Counselor, MD, PhD, MS, LPC
Verified Verified
1 Endorsed
Charlotte, NC 28246
Nova Lux Counseling works with a wide range of emotional and behavioral issues providing services that span from traditional therapy from depression and grief counseling to parenting support, couples counseling and beyond. In a comfortable and supportive atmosphere, we offer a highly personalized approach tailored to each of the clients' individual needs.
Nova Lux Counseling works with a wide range of emotional and behavioral issues providing services that span from traditional therapy from depression and grief counseling to parenting support, couples counseling and beyond. In a comfortable and supportive atmosphere, we offer a highly personalized approach tailored to each of the clients' individual needs.
(203) 539-6250 View (203) 539-6250
Photo of Dr. Melissa M Sisco, Psychologist in Mcdowell County, NC
Dr. Melissa M Sisco
Psychologist, PhD
Verified Verified
Charlotte, NC 28202  (Online Only)
I hope that this message found you ready to let go of the patterns that ail you and prepared to embrace something new. You do not have to suffer not one day longer, we can navigate it together and I can be with you sitting in your closet or in sweat pants petting your dog healing. If you are feeling stuck, uncertain of how or if therapy can even help, like the last man standing, judged or alienated, this is your place to be celebrated and accepted for all of who you are. A good therapy session realigns your inner compass and enhances the things that make you EXTRAordinary. Let’ connect, big personality, and complex trauma welcomed.
I hope that this message found you ready to let go of the patterns that ail you and prepared to embrace something new. You do not have to suffer not one day longer, we can navigate it together and I can be with you sitting in your closet or in sweat pants petting your dog healing. If you are feeling stuck, uncertain of how or if therapy can even help, like the last man standing, judged or alienated, this is your place to be celebrated and accepted for all of who you are. A good therapy session realigns your inner compass and enhances the things that make you EXTRAordinary. Let’ connect, big personality, and complex trauma welcomed.
(704) 292-6020 View (704) 292-6020
Photo of Alli Becker, Licensed Clinical Mental Health Counselor in Mcdowell County, NC
Alli Becker
Licensed Clinical Mental Health Counselor, MEd, LCMHC
Verified Verified
Charlotte, NC 28277
Have you ever wondered what it would be like if you could wake up every morning feeling happy, fulfilled, and free of any consuming negative thoughts? If your answer is yes, you are in the right place. Whether you are struggling personally or in your relationships (of any sort: romantic, parent/child, etc.) we can help you. With over 15 years of experience with children, adolescents, adults, families, and couples, we are able to provide world class treatment for a variety of mental health concerns. Take the step to end your suffering today. It is time for you to learn how to live the life you deserve.
Have you ever wondered what it would be like if you could wake up every morning feeling happy, fulfilled, and free of any consuming negative thoughts? If your answer is yes, you are in the right place. Whether you are struggling personally or in your relationships (of any sort: romantic, parent/child, etc.) we can help you. With over 15 years of experience with children, adolescents, adults, families, and couples, we are able to provide world class treatment for a variety of mental health concerns. Take the step to end your suffering today. It is time for you to learn how to live the life you deserve.
(704) 869-2937 View (704) 869-2937
Photo of Strengthening Foundations Child & Family Cnslng, Licensed Professional Counselor in Mcdowell County, NC
Strengthening Foundations Child & Family Cnslng
Licensed Professional Counselor, MA, LCMHC, LMFTA
Verified Verified
2 Endorsed
Huntersville, NC 28078  (Online Only)
Facing life's challenges and transitions should not be done alone. When you encounter issues arising from lifecycle changes, relational turmoil or any other challenges that invoke a crisis or grief, it is important to have genuine and empathetic support to guide you without passing judgment. As a spouse of a retired veteran, I have over 20 years of experience adapting to the lifestyle challenges that the military community encounters. I have helped many families successfully cope with the military lifestyle, relational struggles and raise special children.
Facing life's challenges and transitions should not be done alone. When you encounter issues arising from lifecycle changes, relational turmoil or any other challenges that invoke a crisis or grief, it is important to have genuine and empathetic support to guide you without passing judgment. As a spouse of a retired veteran, I have over 20 years of experience adapting to the lifestyle challenges that the military community encounters. I have helped many families successfully cope with the military lifestyle, relational struggles and raise special children.
(910) 672-6766 View (910) 672-6766
Photo of Stellar Counseling Services, Licensed Clinical Mental Health Counselor in Mcdowell County, NC
Stellar Counseling Services
Licensed Clinical Mental Health Counselor, MA, LCMHC, LCAS, NCC
Verified Verified
Asheville, NC 28804
I have a general practice whereby I offer individual and couple counseling. My approach is client-centered and I utilize several different therapeutic modalities, according to what is most effective with each individual client.
I have a general practice whereby I offer individual and couple counseling. My approach is client-centered and I utilize several different therapeutic modalities, according to what is most effective with each individual client.
(828) 354-0395 View (828) 354-0395
Photo of LaTasha Miller, Psychologist in Mcdowell County, NC
LaTasha Miller
Psychologist, PsyD
Verified Verified
1 Endorsed
Charlotte, NC 28262
Waitlist for new clients
Are you feeling stuck? Do you need a space to be vulnerable? Do you want to learn more about yourself? Engaging in a therapeutic relationship can allow you to explore your emotions in a safe space. For me, the most important aspects of psychotherapy are safety and the relationship. I understand the need to feel supported before sharing. Many of my clients have experienced depression, trauma, anxiety, and life stress; my goal as your clinician is to help you process your concerns and bear witness to your growth. I enjoy working with those who are eager to deepen their understanding of themselves and their emotional functioning.
Are you feeling stuck? Do you need a space to be vulnerable? Do you want to learn more about yourself? Engaging in a therapeutic relationship can allow you to explore your emotions in a safe space. For me, the most important aspects of psychotherapy are safety and the relationship. I understand the need to feel supported before sharing. Many of my clients have experienced depression, trauma, anxiety, and life stress; my goal as your clinician is to help you process your concerns and bear witness to your growth. I enjoy working with those who are eager to deepen their understanding of themselves and their emotional functioning.
(704) 389-5542 View (704) 389-5542
Photo of Marsha Virginia Hammond, Psychologist in Mcdowell County, NC
Marsha Virginia Hammond
Psychologist, PhD
Verified Verified
Asheville, NC 28806
An “ideal client” does not exist. Our strengths & weaknesses ebb & flow & simply outline human existence. This being said, persistence & determination—-on the part of the client—— and trusting that the psychologist has their best interest at heart—- encourage sought-after changes to occur.
An “ideal client” does not exist. Our strengths & weaknesses ebb & flow & simply outline human existence. This being said, persistence & determination—-on the part of the client—— and trusting that the psychologist has their best interest at heart—- encourage sought-after changes to occur.
(828) 383-9707 View (828) 383-9707

See more therapy options for Mcdowell 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.