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Online Therapists

Photo of Valarie Anne Snell, Clinical Social Work/Therapist in North Wilkesboro, NC
Valarie Anne Snell
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
High Point, NC 27265
Waitlist for new clients
At my office, I hope to make sure all feel welcome. I want my clients to know that I hear you and I see you; your pain matters. Brutality at the hands of others is hard to process, but I hope we can go on that journey together. I specialize in trauma recovery, but also treat a variety of issues, including depression, anxiety, relationship problems, and more severe disorders. I work with my client to find what therapy methods work best for her/him/them, as we are all different individuals with different needs.
At my office, I hope to make sure all feel welcome. I want my clients to know that I hear you and I see you; your pain matters. Brutality at the hands of others is hard to process, but I hope we can go on that journey together. I specialize in trauma recovery, but also treat a variety of issues, including depression, anxiety, relationship problems, and more severe disorders. I work with my client to find what therapy methods work best for her/him/them, as we are all different individuals with different needs.
(336) 754-2119 x228 View (336) 754-2119 x228
Photo of Grace Parsley, Counselor in North Wilkesboro, NC
Grace Parsley
Counselor, MS, LCMHC-A, NCC
Verified Verified
1 Endorsed
Asheville, NC 28801
Waitlist for new clients
I’ve always found that authenticity is the only path to true connection. For those wanting support in transition(s), processing loss or trauma, living with chronic illness/disability, or simply unable to find your way forward; You deserve a counselor who will see you as a person first, not defined by your struggles but someone deserving of validation, support, and care. I pay close attention to the systems in which you are surrounded, the relationships that factor in your wellness, how the past informs the present, and the strengths you have within yourself to make a meaningful life.
I’ve always found that authenticity is the only path to true connection. For those wanting support in transition(s), processing loss or trauma, living with chronic illness/disability, or simply unable to find your way forward; You deserve a counselor who will see you as a person first, not defined by your struggles but someone deserving of validation, support, and care. I pay close attention to the systems in which you are surrounded, the relationships that factor in your wellness, how the past informs the present, and the strengths you have within yourself to make a meaningful life.
(828) 547-9064 View (828) 547-9064
Photo of Savana Williams, Pre-Licensed Professional in North Wilkesboro, 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 Deborah Whitley Van Wieren, Licensed Clinical Mental Health Counselor in North Wilkesboro, NC
Deborah Whitley Van Wieren
Licensed Clinical Mental Health Counselor, LCMHC , LCAS
Verified Verified
Hendersonville, NC 28792
Waitlist for new clients
Life can present challenges, some we live with every day, and others seem to come out of nowhere. Maybe life doesn't follow along a path we've spent years creating and working toward. The business of living can begin to feel like a grind, and simple tasks may create exhaustion, fear, and uncertainty. Unresolved and painful childhood memories seem to revisit out of nowhere, and even though you've worked and wished, or prayed about the pain, the pain lingers. We often resign ourselves to perceiving life as a chore instead of a joyful experience, which can lead to a lack of fulfillment and even chronic illness.
Life can present challenges, some we live with every day, and others seem to come out of nowhere. Maybe life doesn't follow along a path we've spent years creating and working toward. The business of living can begin to feel like a grind, and simple tasks may create exhaustion, fear, and uncertainty. Unresolved and painful childhood memories seem to revisit out of nowhere, and even though you've worked and wished, or prayed about the pain, the pain lingers. We often resign ourselves to perceiving life as a chore instead of a joyful experience, which can lead to a lack of fulfillment and even chronic illness.
(828) 373-1168 View (828) 373-1168
Photo of Vanessa Guerrero, LCMHC Associate in North Wilkesboro, NC
Vanessa Guerrero
LCMHC Associate, MA, LCMHC-A, NCC
Verified Verified
Asheville, NC 28803  (Online Only)
I work primarily with female adolescents and young adults with a history of chronic illness, trauma, perfectionism, depression, anxiety, and/or mood disorders.
Currently Accepting Clients ( Telehealth Only)-My name is Vanessa Guerero and I am a clinical therapist with Winter to Spring Wellness. Prior to being in Asheville for almost a decade, I originally hail from Miami, Fl. I am a proud daughter of Cuban immigrants and a first-generation college student. As a teen I had my own battles with physical and mental wellness, difficulties with acculturation as well as struggled with cultural stigma in regard to mental health care. Through my own work, I have been able to find healing and am now honored to support others who struggle with their own mental wellness and similar issues.
I work primarily with female adolescents and young adults with a history of chronic illness, trauma, perfectionism, depression, anxiety, and/or mood disorders.
Currently Accepting Clients ( Telehealth Only)-My name is Vanessa Guerero and I am a clinical therapist with Winter to Spring Wellness. Prior to being in Asheville for almost a decade, I originally hail from Miami, Fl. I am a proud daughter of Cuban immigrants and a first-generation college student. As a teen I had my own battles with physical and mental wellness, difficulties with acculturation as well as struggled with cultural stigma in regard to mental health care. Through my own work, I have been able to find healing and am now honored to support others who struggle with their own mental wellness and similar issues.
(828) 382-8550 View (828) 382-8550
Photo of Mary Cottam Keever, Clinical Social Work/Therapist in North Wilkesboro, NC
Mary Cottam Keever
Clinical Social Work/Therapist, LCSW, CHC
Verified Verified
High Point, NC 27265
I find that trauma and chronic illness often go hand in hand.
Glad you found me here! I come from the medical system and am a Licensed Clinical Social Worker and Certified Health Coach. As a social worker, I see you as the expert of yourself and am determined to help you get what you want. I would like to help you with whatever is getting in your way and nurture your connection to yourself-increasing awareness, trust in yourself and love for yourself so that you might feel more capable. I am passionate about working with graduate/college students, young adults and the LGBTQIA2S+ community. I am typically useful to parents, caregivers and partners of folks with substance use disorders.
I find that trauma and chronic illness often go hand in hand.
Glad you found me here! I come from the medical system and am a Licensed Clinical Social Worker and Certified Health Coach. As a social worker, I see you as the expert of yourself and am determined to help you get what you want. I would like to help you with whatever is getting in your way and nurture your connection to yourself-increasing awareness, trust in yourself and love for yourself so that you might feel more capable. I am passionate about working with graduate/college students, young adults and the LGBTQIA2S+ community. I am typically useful to parents, caregivers and partners of folks with substance use disorders.
(336) 916-9181 View (336) 916-9181
Photo of Kelly Stracener, Clinical Social Work/Therapist in North Wilkesboro, NC
Kelly Stracener
Clinical Social Work/Therapist, LCSWA, SEP
Verified Verified
Asheville, NC 28801
I offer somatic therapy that helps turn down the "background noise" of anxiety, stress, pain, and other symptoms.
You might be managing but feeling unsettled inside, or you might be having a hard time keeping up with life. Lots of people struggle with anxiety or get easily overwhelmed and shut down. Sometimes stress exacerbates physical symptoms, like GI issues, autoimmunity, sensory sensitives, or pain, making everything harder. You'd like to get some support and see how things could be different.
I offer somatic therapy that helps turn down the "background noise" of anxiety, stress, pain, and other symptoms.
You might be managing but feeling unsettled inside, or you might be having a hard time keeping up with life. Lots of people struggle with anxiety or get easily overwhelmed and shut down. Sometimes stress exacerbates physical symptoms, like GI issues, autoimmunity, sensory sensitives, or pain, making everything harder. You'd like to get some support and see how things could be different.
(828) 662-8396 View (828) 662-8396
Photo of Anderson Psychotherapy, PLLC, Licensed Clinical Mental Health Counselor in North Wilkesboro, NC
Anderson Psychotherapy, PLLC
Licensed Clinical Mental Health Counselor, LCMHC, NCC, MA
Verified Verified
Charlotte, NC 28206  (Online Only)
Grief, trauma and systemic oppression have increasingly become visible and universal experiences affecting individuals, couples, families and communities. I began my career working with the survivors of intimate partner violence and individuals/families grappling with cancer and death. These experiences have informed my practice working with individuals, couples and families dealing with loss, grief, trauma, anxiety/depression, major life changes, chronic illness, abuse and relational distress.
Grief, trauma and systemic oppression have increasingly become visible and universal experiences affecting individuals, couples, families and communities. I began my career working with the survivors of intimate partner violence and individuals/families grappling with cancer and death. These experiences have informed my practice working with individuals, couples and families dealing with loss, grief, trauma, anxiety/depression, major life changes, chronic illness, abuse and relational distress.
(919) 823-6654 View (919) 823-6654
Photo of Melissa Kay Ciocian, Clinical Social Work/Therapist in North Wilkesboro, NC
Melissa Kay Ciocian
Clinical Social Work/Therapist, LCSW
Verified Verified
Arden, NC 28704
Adolescence, young adulthood, middle age, all stages of life present unique challenges that are sometimes best navigated with support. Just the right help, in an empathetic therapy setting, often makes all the difference. Whether you are a parent, a teen, or a young adult experiencing challenging symptoms related to your mental health, we will work together to find your truth, bring to light goals, focus on strengths, and instill a sense of resiliency and self-worth that are critical to one's ability to evolve and thrive.
Adolescence, young adulthood, middle age, all stages of life present unique challenges that are sometimes best navigated with support. Just the right help, in an empathetic therapy setting, often makes all the difference. Whether you are a parent, a teen, or a young adult experiencing challenging symptoms related to your mental health, we will work together to find your truth, bring to light goals, focus on strengths, and instill a sense of resiliency and self-worth that are critical to one's ability to evolve and thrive.
(828) 818-8897 View (828) 818-8897
Photo of J. Sophia Cory, Counselor in North Wilkesboro, NC
J. Sophia Cory
Counselor, MEd, LCMHC
Verified Verified
3 Endorsed
Greensboro, NC 27408
Waitlist for new clients
Thanks for taking a look at my page! I'm a queer, trans, and neurodivergent counselor in Greensboro and Winston-Salem, NC. I'm passionate about helping others develop new skills, find self-acceptance, and engage in a process of personal transformation. Whatever you are bringing to the table, I am here to be with you in your experience and help you along the way. Through authentic, healing relationships, I believe that we can begin to let go of barriers that keep us distant from others and our sources of meaning in life.
Thanks for taking a look at my page! I'm a queer, trans, and neurodivergent counselor in Greensboro and Winston-Salem, NC. I'm passionate about helping others develop new skills, find self-acceptance, and engage in a process of personal transformation. Whatever you are bringing to the table, I am here to be with you in your experience and help you along the way. Through authentic, healing relationships, I believe that we can begin to let go of barriers that keep us distant from others and our sources of meaning in life.
(336) 649-4551 View (336) 649-4551
Photo of Alyssa Triolo, Licensed Professional Counselor in North Wilkesboro, NC
Alyssa Triolo
Licensed Professional Counselor, MS/EdS, LCMHC
Verified Verified
1 Endorsed
Greensboro, NC 27405  (Online Only)
Feeling overwhelmed or anxious about life's challenges? I've been there. As your therapist, I aim to provide a judgement-free space where you can unpack your thoughts, gain clarity, and take steps towards the life you desire. My expertise in relationship issues, trauma recovery, and LGBTQ+ experiences helps clients process painful events, build resilience, and move forward with self-compassion. Whether you're struggling with anxiety, identity issues, trauma, or just need a listening ear during a life transition, I would be honored to walk alongside you on your journey towards growth and fulfillment.
Feeling overwhelmed or anxious about life's challenges? I've been there. As your therapist, I aim to provide a judgement-free space where you can unpack your thoughts, gain clarity, and take steps towards the life you desire. My expertise in relationship issues, trauma recovery, and LGBTQ+ experiences helps clients process painful events, build resilience, and move forward with self-compassion. Whether you're struggling with anxiety, identity issues, trauma, or just need a listening ear during a life transition, I would be honored to walk alongside you on your journey towards growth and fulfillment.
(336) 331-5966 View (336) 331-5966
Photo of Dr. Rebecca Levy, Marriage & Family Therapist in North Wilkesboro, NC
Dr. Rebecca Levy
Marriage & Family Therapist, PhD, LMFT
Verified Verified
2 Endorsed
Jamestown, NC 27282
We all deserve a safe space to understand and take care of our health. Many times a new physical diagnosis is given and treated but a big part of your health is forgotten, your mental health. My approach to your health is holistically. Physical health diagnoses can impact how we feel and interact. We forget that our brain lives inside of our body and to heal we must think about the entire body. Using this lens, I work with those struggling with a new physical diagnosis, mood disorders, trauma, life transitions and family distress. I have also worked with various healthcare workers in navigating burnout and healthcare challenges.
We all deserve a safe space to understand and take care of our health. Many times a new physical diagnosis is given and treated but a big part of your health is forgotten, your mental health. My approach to your health is holistically. Physical health diagnoses can impact how we feel and interact. We forget that our brain lives inside of our body and to heal we must think about the entire body. Using this lens, I work with those struggling with a new physical diagnosis, mood disorders, trauma, life transitions and family distress. I have also worked with various healthcare workers in navigating burnout and healthcare challenges.
(336) 742-1958 View (336) 742-1958
Photo of Georgie Lazarus, Clinical Social Work/Therapist in North Wilkesboro, NC
Georgie Lazarus
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Winston Salem, NC 27103
In over a decade as a therapist, I have helped clients of all backgrounds cope with trauma and improve their lives. My specialties include depression, anxiety, narcissistic abuse, neurodivergence, parenting concerns, and such women's health issues as infertility, maternal depression, and PCOS. My practice also concentrates on stress management, relationships, and navigating issues related to one's family of origin. Cognitive behavioral therapy and mindfulness lie at the heart of my therapeutic approach. I value being present in the moment with my clients and their emotions, whatever they may be.
In over a decade as a therapist, I have helped clients of all backgrounds cope with trauma and improve their lives. My specialties include depression, anxiety, narcissistic abuse, neurodivergence, parenting concerns, and such women's health issues as infertility, maternal depression, and PCOS. My practice also concentrates on stress management, relationships, and navigating issues related to one's family of origin. Cognitive behavioral therapy and mindfulness lie at the heart of my therapeutic approach. I value being present in the moment with my clients and their emotions, whatever they may be.
(336) 863-8223 View (336) 863-8223
Photo of Keri Renee Willis, Licensed Professional Counselor in North Wilkesboro, NC
Keri Renee Willis
Licensed Professional Counselor, MA, NCC, LCMHC
Verified Verified
Asheville, NC 28801  (Online Only)
I specialize in EMDR (processes traumatic memories/core beliefs), Parts Work influenced by Internal Family Systems (systems of protective and wounded inner parts lead by a core Self), and Mindfulness-Based Somatic Therapy (emotions/sensations in the body in the present moment). I also use a variety of other forms of psychotherapy including Hakomi, Contemplative, Person-Centered (Rogerian), Existential, Relational Life Therapy, and Cognitive-Behavioral Therapy. I provide a safe, nonjudgemental space for you to turn toward your experience. A whole body-mind approach has the ability to transform, much more than talk therapy alone.
I specialize in EMDR (processes traumatic memories/core beliefs), Parts Work influenced by Internal Family Systems (systems of protective and wounded inner parts lead by a core Self), and Mindfulness-Based Somatic Therapy (emotions/sensations in the body in the present moment). I also use a variety of other forms of psychotherapy including Hakomi, Contemplative, Person-Centered (Rogerian), Existential, Relational Life Therapy, and Cognitive-Behavioral Therapy. I provide a safe, nonjudgemental space for you to turn toward your experience. A whole body-mind approach has the ability to transform, much more than talk therapy alone.
(828) 330-9248 View (828) 330-9248
Photo of Karen Arthur, Counselor in North Wilkesboro, NC
Karen Arthur
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Winston Salem, NC 27106
I believe that healing that takes place with another person present is sacred. I enjoy working with clients at any stage of the healing process, from just starting their journey to feeling confident in their abilities. We will create a safe, supportive environment for you to explore yourself and become the best possible you through listening, education, and creative counseling techniques that are NOT Freud's psychotherapy. I love it when clients bring in questions, ask for homework, and commit to the process of counseling. At the same time, I have worked successfully with numerous clients who weren't so sure about going on their journey yet. If motivation is lacking, I like to provide a sounding board for clients who want to be inspired and empowered to decide what's right for them. I regularly ask my clients to get their hands dirty so that in the future, you will have the tools and coping skills you need to embrace your life. Much of counseling is a "choose your own ending" adventure novel, and when you are up for those twists, I'll be right beside you so you do not have to walk through the dark alone.
I believe that healing that takes place with another person present is sacred. I enjoy working with clients at any stage of the healing process, from just starting their journey to feeling confident in their abilities. We will create a safe, supportive environment for you to explore yourself and become the best possible you through listening, education, and creative counseling techniques that are NOT Freud's psychotherapy. I love it when clients bring in questions, ask for homework, and commit to the process of counseling. At the same time, I have worked successfully with numerous clients who weren't so sure about going on their journey yet. If motivation is lacking, I like to provide a sounding board for clients who want to be inspired and empowered to decide what's right for them. I regularly ask my clients to get their hands dirty so that in the future, you will have the tools and coping skills you need to embrace your life. Much of counseling is a "choose your own ending" adventure novel, and when you are up for those twists, I'll be right beside you so you do not have to walk through the dark alone.
(336) 203-8341 View (336) 203-8341
Photo of Dr. Blake A Kovner in North Wilkesboro, 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 Marie Romeo, Clinical Social Work/Therapist in North Wilkesboro, NC
Marie Romeo
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Asheville, NC 28803  (Online Only)
I believe that we are all on a similar journey in life....to be fully connected and authentic people, and to integrate the different parts of ourselves so that we can experience love and joy and meaningful relationships. In our work together it is my hope that we can explore the different parts of yourself that keeps you from these connections and explore what it means to feel safe. Through exploring shame and early childhood trauma, depression and anxiety, as well as body love and acceptance, we can work together to support a deepening of your self-awareness and find compassion and connection to heal and nurture your deepest self.
I believe that we are all on a similar journey in life....to be fully connected and authentic people, and to integrate the different parts of ourselves so that we can experience love and joy and meaningful relationships. In our work together it is my hope that we can explore the different parts of yourself that keeps you from these connections and explore what it means to feel safe. Through exploring shame and early childhood trauma, depression and anxiety, as well as body love and acceptance, we can work together to support a deepening of your self-awareness and find compassion and connection to heal and nurture your deepest self.
(828) 392-5148 View (828) 392-5148
Photo of Walgren Counseling, PLLC in North Wilkesboro, NC
Walgren Counseling, PLLC
MSW, LCSW, LISW-CP
Verified Verified
Matthews, NC 28105
At Walgren Counseling, PLLC we have 20 therapists. Although each has a unique set of training & experience, our approach to working with you is similar. We all have a holistic, client-centered, and tailored approach. Rather than identifying an ideal client, we believe in developing a relationship with you that will be most helpful to you. Our therapists strive to bring out each person's ability to find balance and healing from within. Our entire office, from office staff to clinician, is committed to making you feel well-cared for.
At Walgren Counseling, PLLC we have 20 therapists. Although each has a unique set of training & experience, our approach to working with you is similar. We all have a holistic, client-centered, and tailored approach. Rather than identifying an ideal client, we believe in developing a relationship with you that will be most helpful to you. Our therapists strive to bring out each person's ability to find balance and healing from within. Our entire office, from office staff to clinician, is committed to making you feel well-cared for.
(704) 312-4364 View (704) 312-4364
Photo of Full Circle Community Wellness, Licensed Professional Counselor in North Wilkesboro, NC
Full Circle Community Wellness
Licensed Professional Counselor, MS, MA, PsyD, LCMHCS
Verified Verified
1 Endorsed
Hendersonville, NC 28792
Full Circle Counseling and Wellness provides access to high quality, experienced counselors and integrative wellness practitioners who operate in a holistic, community oriented environment. Our counselors have experience with a wide range of emotional and psychological health challenges and seek to make effective treatment strategies affordable and sustainable. We employ the power of relationship for therapeutic benefit and to help foster belonging and connection by surrounding you with resources and support. Whether making art together, weeding gardens, or playing a board game, we hope to provide community oriented opportunities for everyone.
Full Circle Counseling and Wellness provides access to high quality, experienced counselors and integrative wellness practitioners who operate in a holistic, community oriented environment. Our counselors have experience with a wide range of emotional and psychological health challenges and seek to make effective treatment strategies affordable and sustainable. We employ the power of relationship for therapeutic benefit and to help foster belonging and connection by surrounding you with resources and support. Whether making art together, weeding gardens, or playing a board game, we hope to provide community oriented opportunities for everyone.
(828) 483-4232 View (828) 483-4232
Photo of Asante McCoy, Clinical Social Work/Therapist in North Wilkesboro, NC
Asante McCoy
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Greensboro, NC 27410
Hi everyone! Thanks for stopping by! Mental Health has been my passion since childhood. Life can bring you so many problems, whether it's stress in a relationship, family stress, work stress, anxiety or depression. You may also be dealing with a diagnosis that you have had for years and may be interested in restarting therapy; whether it's bipolar disorder, ADHD, or OCD. I'm here to help! I offer teletherapy. Yep that's right! You can talk to me from the comfort of your home! Therapy requires hard work and I'm here to put in just as much as work as you to assist with whatever life is throwing at you.
Hi everyone! Thanks for stopping by! Mental Health has been my passion since childhood. Life can bring you so many problems, whether it's stress in a relationship, family stress, work stress, anxiety or depression. You may also be dealing with a diagnosis that you have had for years and may be interested in restarting therapy; whether it's bipolar disorder, ADHD, or OCD. I'm here to help! I offer teletherapy. Yep that's right! You can talk to me from the comfort of your home! Therapy requires hard work and I'm here to put in just as much as work as you to assist with whatever life is throwing at you.
(336) 800-2622 x99298 View (336) 800-2622 x99298

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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.