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Online Therapists

Photo of Leigh Zick Dongre, Licensed Clinical Mental Health Counselor Supervisor in Pikeville, NC
Leigh Zick Dongre
Licensed Clinical Mental Health Counselor Supervisor, PhD, LCMHC-S, LCAS
Verified Verified
Chapel Hill, NC 27516
I counsel all people, but I specialize in depression, anxiety, obsessive compulsive disorders, chronic pain, depression disorders, substance use and recovery, life transitions (i.
The path to living more fully is an adventure, one I believe has transformed my own life. Each day I am honored to join people along a path of recovery, self-exploration, and healing. I have helped people break through the obstacles that seem to be holding them back in life. My role as your counselor is to be a knowledgeable, genuine, and empathetic guide along this journey and provide a safe and supportive environment to do so. I help people live their best lives, by reaching more authenticity, self-awareness, and making behavioral changes. I primarily offer telemental health counseling with options for counseling in Winston-Salem.
I counsel all people, but I specialize in depression, anxiety, obsessive compulsive disorders, chronic pain, depression disorders, substance use and recovery, life transitions (i.
The path to living more fully is an adventure, one I believe has transformed my own life. Each day I am honored to join people along a path of recovery, self-exploration, and healing. I have helped people break through the obstacles that seem to be holding them back in life. My role as your counselor is to be a knowledgeable, genuine, and empathetic guide along this journey and provide a safe and supportive environment to do so. I help people live their best lives, by reaching more authenticity, self-awareness, and making behavioral changes. I primarily offer telemental health counseling with options for counseling in Winston-Salem.
(336) 791-0314 View (336) 791-0314
Photo of Gloria M Brown, Psychological Associate in Pikeville, NC
Gloria M Brown
Psychological Associate, MA, LPA
Verified Verified
1 Endorsed
Wilmington, NC 28403
I am a licensed therapist with 25+ years of experience. I see adults and adolescents who are ready to work on issues that have a negative impact on their lives and emotional health. I combine a holistic mind/body/spirit approach using positive, solution-focused therapy methods, as well as cognitive behavioral strategies and the many tools from the 12-Step Programs. I work with individuals having problems with addiction, alcoholism, anxiety, panic attacks, social anxiety, anger, bipolar I and II disorders, cyclothymic disorder, depression, chronic pain and health issues, kleptomania, excoriation, self-injury, trichotillomania, schizophrenia, ADHD, OCD, and PTSD.
I am a licensed therapist with 25+ years of experience. I see adults and adolescents who are ready to work on issues that have a negative impact on their lives and emotional health. I combine a holistic mind/body/spirit approach using positive, solution-focused therapy methods, as well as cognitive behavioral strategies and the many tools from the 12-Step Programs. I work with individuals having problems with addiction, alcoholism, anxiety, panic attacks, social anxiety, anger, bipolar I and II disorders, cyclothymic disorder, depression, chronic pain and health issues, kleptomania, excoriation, self-injury, trichotillomania, schizophrenia, ADHD, OCD, and PTSD.
(910) 499-4712 View (910) 499-4712
Photo of Rachel Garfield, Licensed Clinical Mental Health Counselor in Pikeville, NC
Rachel Garfield
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Apex, NC 27502
All pain creates stress which intensifies the pain, becoming a vicious cycle that can lead to anxiety and depression, disruptive relations with others, and despair.
If you are feeling stuck or alone, we will collaborate to find the best approach for you. I’m Psychoanalytic/Attachment based and believe in balance between insight and action. I specialize in the treatment of trauma, chronic pain, anxiety, addiction and relationships with adults with the goal of healing the client's relationship within themselves and with others. We will work through your past to free you in the present. If you feel isolated, or trapped in the same repetitive, negative patterns or relationships there is a solution and there is hope. We will work together so that you can find Joy and be free to move forward.
All pain creates stress which intensifies the pain, becoming a vicious cycle that can lead to anxiety and depression, disruptive relations with others, and despair.
If you are feeling stuck or alone, we will collaborate to find the best approach for you. I’m Psychoanalytic/Attachment based and believe in balance between insight and action. I specialize in the treatment of trauma, chronic pain, anxiety, addiction and relationships with adults with the goal of healing the client's relationship within themselves and with others. We will work through your past to free you in the present. If you feel isolated, or trapped in the same repetitive, negative patterns or relationships there is a solution and there is hope. We will work together so that you can find Joy and be free to move forward.
(919) 535-4925 View (919) 535-4925
Photo of Suzanne F Bates, Psychologist in Pikeville, NC
Suzanne F Bates
Psychologist, PhD
Verified Verified
1 Endorsed
Chapel Hill, NC 27514
Many of my clients struggle with depression, bipolar disorder, OCD and other anxiety disorders, chronic illness, relationship issues, and grief and loss issues.
Psychotherapy is an opportunity to enhance learning about behavior, emotions, relationships, and oneself. My goal is to work through the difficulties you are experiencing now while we also build your resiliency to prevent or minimize future difficulties. I ask clients to devote time in between sessions to our work: to increase how accurately we understand your concerns and to take the therapeutic work into your everyday life. Treatment effectiveness relies heavily on the match between therapist and client. If it is not a positive match with me, I assist clients in finding your best match.
Many of my clients struggle with depression, bipolar disorder, OCD and other anxiety disorders, chronic illness, relationship issues, and grief and loss issues.
Psychotherapy is an opportunity to enhance learning about behavior, emotions, relationships, and oneself. My goal is to work through the difficulties you are experiencing now while we also build your resiliency to prevent or minimize future difficulties. I ask clients to devote time in between sessions to our work: to increase how accurately we understand your concerns and to take the therapeutic work into your everyday life. Treatment effectiveness relies heavily on the match between therapist and client. If it is not a positive match with me, I assist clients in finding your best match.
(919) 429-7291 View (919) 429-7291
Photo of Janet Heuring Larsen, Psychologist in Pikeville, NC
Janet Heuring Larsen
Psychologist, MA, LCAS, LPA, HSP-PA, CTP
Verified Verified
1 Endorsed
Raleigh, NC 27615
PRACTICE MAY HAVE A WAITLIST, PLEASE EMAIL YOUR INQUIRIES: My psychology practice is committed to delivering highly effective treatment and outstanding client care. I've helped individuals navigate challenges and improve their lives for over 10 years. I treat clients with an array of issues including relationship struggles, anxiety, trauma, panic attacks, PTSD, depression, anger, insomnia, ADD/ADHD, chronic pain, substance use/addiction and grief. I serve many clients with co-occurring disorders and have trained other therapists. I specialize in treating clients with anxiety and trauma using EMDR and also offer ADHD/ADD counseling.
PRACTICE MAY HAVE A WAITLIST, PLEASE EMAIL YOUR INQUIRIES: My psychology practice is committed to delivering highly effective treatment and outstanding client care. I've helped individuals navigate challenges and improve their lives for over 10 years. I treat clients with an array of issues including relationship struggles, anxiety, trauma, panic attacks, PTSD, depression, anger, insomnia, ADD/ADHD, chronic pain, substance use/addiction and grief. I serve many clients with co-occurring disorders and have trained other therapists. I specialize in treating clients with anxiety and trauma using EMDR and also offer ADHD/ADD counseling.
(919) 948-3053 View (919) 948-3053
Photo of Dr. Ralph Fox II, Licensed Professional Counselor in Pikeville, NC
Dr. Ralph Fox II
Licensed Professional Counselor, LCMHC-S, LCMHC
Verified Verified
Wilmington, NC 28405
Anxiety, Marital Tensions, Desire, Fetish/Kink/Poly, Pain, ED, Confusion, LBGTQIA+, Apprehension, and more.
The world is very different in 2024 and can cause depression, trauma, anxiety, etc. You need a place to discuss things that you can't or shouldn't talk about w/friends & family. Let's determine your needs in a safe, non-judgmental environment. Let me help empower you, stabilize, & deal with anger, sadness, anxiety, embarrassment, grief, etc. Together we develop a plan. Privacy, discretion, stability & compassion are important to your life & career. I strive to enable people to smile again. Thank you for the opportunity to guide you through life's ups and downs. Helping Individuals & Couples find balance for over 35 years.
Anxiety, Marital Tensions, Desire, Fetish/Kink/Poly, Pain, ED, Confusion, LBGTQIA+, Apprehension, and more.
The world is very different in 2024 and can cause depression, trauma, anxiety, etc. You need a place to discuss things that you can't or shouldn't talk about w/friends & family. Let's determine your needs in a safe, non-judgmental environment. Let me help empower you, stabilize, & deal with anger, sadness, anxiety, embarrassment, grief, etc. Together we develop a plan. Privacy, discretion, stability & compassion are important to your life & career. I strive to enable people to smile again. Thank you for the opportunity to guide you through life's ups and downs. Helping Individuals & Couples find balance for over 35 years.
(910) 216-4872 View (910) 216-4872
Photo of Rob Moser, Counselor in Pikeville, NC
Rob Moser
Counselor, MEd, LCMHCA, LCASA
Verified Verified
Wilmington, NC 28403
Are you struggling with depression, anxiety, marriage issues, relationship struggles, parenting/child/teen problems, pain, addiction, pornography, or a faith crisis? Or maybe just seeking peace amidst life’s general uncertainty? Rob’s 20-year career in counseling, six years as a lead pastor, and four years as an overseas missionary, as well as his experience as a foster/adoptive parent, give him the confidence to wade into a myriad of life’s challenges with you.
Are you struggling with depression, anxiety, marriage issues, relationship struggles, parenting/child/teen problems, pain, addiction, pornography, or a faith crisis? Or maybe just seeking peace amidst life’s general uncertainty? Rob’s 20-year career in counseling, six years as a lead pastor, and four years as an overseas missionary, as well as his experience as a foster/adoptive parent, give him the confidence to wade into a myriad of life’s challenges with you.
(910) 812-8310 View (910) 812-8310
Photo of Alysann Whitley Price, Clinical Social Work/Therapist in Pikeville, NC
Alysann Whitley Price
Clinical Social Work/Therapist, LCSW
Verified Verified
Durham, NC 27713
Hi, my name is Alysann and I'm a Licensed Clinical Social Worker with over 6 years of clinical experience. My therapeutic approach is strengths-based, which means I will empower you by building on your strengths. I specialize in OCD, Anxiety, Depression, Alcohol Addiction, Eating Disorders, Sleep/Insomnia, Stress, Self-esteem, Coping Skills, and Chronic Pain. I am trained in many different modalities such as, ERP, DBT, Mindfulness, Motivational Interviewing, CBT, and ACT, but I will tailor my therapy modality to the individual and find which approach will aid you the most to help accomplish any goals you might have.
Hi, my name is Alysann and I'm a Licensed Clinical Social Worker with over 6 years of clinical experience. My therapeutic approach is strengths-based, which means I will empower you by building on your strengths. I specialize in OCD, Anxiety, Depression, Alcohol Addiction, Eating Disorders, Sleep/Insomnia, Stress, Self-esteem, Coping Skills, and Chronic Pain. I am trained in many different modalities such as, ERP, DBT, Mindfulness, Motivational Interviewing, CBT, and ACT, but I will tailor my therapy modality to the individual and find which approach will aid you the most to help accomplish any goals you might have.
(919) 925-4566 View (919) 925-4566
Photo of Triangle Wellness and Recovery PLLC in Pikeville, NC
Triangle Wellness and Recovery PLLC
Verified Verified
Cary, NC 27513
Our team takes an integrative, cross-disciplinary approach to whole-person wellness and recovery. The clients we work with struggle with a broad range of physical and mental health symptoms and conditions including anxiety and mood disorders, depression and bipolar depression, trauma and PTSD, insomnia, chronic pain, substance or alcohol abuse, compulsive behaviors, ADHD, and autism spectrum disorders. We tailor your treatment plan to start where you are right now and help you build a meaningful, satisfying life that is unique to your personal goals and desires.
Our team takes an integrative, cross-disciplinary approach to whole-person wellness and recovery. The clients we work with struggle with a broad range of physical and mental health symptoms and conditions including anxiety and mood disorders, depression and bipolar depression, trauma and PTSD, insomnia, chronic pain, substance or alcohol abuse, compulsive behaviors, ADHD, and autism spectrum disorders. We tailor your treatment plan to start where you are right now and help you build a meaningful, satisfying life that is unique to your personal goals and desires.
(984) 205-8011 View (984) 205-8011
Photo of Mindy Carlson, Clinical Social Work/Therapist in Pikeville, NC
Mindy Carlson
Clinical Social Work/Therapist, MSW, LCSW, LCAS-A
Verified Verified
Wilmington, NC 28412
So, you want to know a little bit about me, I suppose. You can share your story with me later! One question I get asked a lot is how and why I chose this career. Here's the backstory: I knew that I wanted to be a therapist as a young child, but as it sometimes happens, life had an alternate plan for me and took a slightly different course for a while. Yes, I am also a person that had to take the long way to get to my dream of supporting people on their journey.
So, you want to know a little bit about me, I suppose. You can share your story with me later! One question I get asked a lot is how and why I chose this career. Here's the backstory: I knew that I wanted to be a therapist as a young child, but as it sometimes happens, life had an alternate plan for me and took a slightly different course for a while. Yes, I am also a person that had to take the long way to get to my dream of supporting people on their journey.
(910) 390-8267 View (910) 390-8267
Photo of Animal Assisted Therapy of the Triangle, PC, Licensed Clinical Mental Health Counselor in Pikeville, NC
Animal Assisted Therapy of the Triangle, PC
Licensed Clinical Mental Health Counselor, LCMHC, LCAS-A, DCC
Verified Verified
Raleigh, NC 27609
Animal Assisted Therapy of the Triangle is a mental health and wellness clinic with offices located in located in Clayton, Raleigh, and Powell's Point. Serving children, adolescents, adults, couples, and families in Johnston, Wake, Dare and surrounding counties in NC. We have a team of therapists with the knowledge and experience to help clients with a wide range of mental health and wellness issues. We believe in the power of the human-animal bond and most of our therapists work with animals as co-therapists to accelerate the insight, healing, and growth process.
Animal Assisted Therapy of the Triangle is a mental health and wellness clinic with offices located in located in Clayton, Raleigh, and Powell's Point. Serving children, adolescents, adults, couples, and families in Johnston, Wake, Dare and surrounding counties in NC. We have a team of therapists with the knowledge and experience to help clients with a wide range of mental health and wellness issues. We believe in the power of the human-animal bond and most of our therapists work with animals as co-therapists to accelerate the insight, healing, and growth process.
(919) 980-9132 View (919) 980-9132
Photo of Eric James Kelly, Clinical Social Work/Therapist in Pikeville, NC
Eric James Kelly
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Fuquay Varina, NC 27526
Eric Kelly is a Licensed Clinical Social Worker. Eric attended Hunter College, which is part of the City University Colleges of New York (CUNY), where he earned his Bachelor of Arts degree in psychology. Eric then earned his Master of Social Work degree from the University of North Carolina at Chapel Hill. He has a diverse clinical background, having provided outpatient therapy, intensive in-home, and multisystemic therapy (MST) for adults, adolescents, and families with a wide range of mental health diagnoses. He has also provided mental health services to adults and children with traumatic brain injuries and cognitive challenges.
Eric Kelly is a Licensed Clinical Social Worker. Eric attended Hunter College, which is part of the City University Colleges of New York (CUNY), where he earned his Bachelor of Arts degree in psychology. Eric then earned his Master of Social Work degree from the University of North Carolina at Chapel Hill. He has a diverse clinical background, having provided outpatient therapy, intensive in-home, and multisystemic therapy (MST) for adults, adolescents, and families with a wide range of mental health diagnoses. He has also provided mental health services to adults and children with traumatic brain injuries and cognitive challenges.
(919) 586-8621 x4 View (919) 586-8621 x4
Photo of Freedom Counseling, Licensed Clinical Mental Health Counselor in Pikeville, NC
Freedom Counseling
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
2 Endorsed
Fayetteville, NC 28311  (Online Only)
Everyone experience’s struggles in their lives that can feel too overwhelming at times. Even though you are doing the best you can to cope, you just might need a little help getting things on track. I am interested in providing you with the tools to understand your issues and to reach your life goals.
Everyone experience’s struggles in their lives that can feel too overwhelming at times. Even though you are doing the best you can to cope, you just might need a little help getting things on track. I am interested in providing you with the tools to understand your issues and to reach your life goals.
(910) 493-3279 View (910) 493-3279
Photo of Outreach Journey Counseling, Clinical Social Work/Therapist in Pikeville, NC
Outreach Journey Counseling
Clinical Social Work/Therapist, MSW, LCSW, LCASA
Verified Verified
Raeford, NC 28376
I believe in the power of self-determination and advocating for others who cannot advocate for themselves. Every person is unique to their core and require special attention in order to reach their full potential. I have personally overcome many life challenges that shook me to my very core. I have worked in a variety of social environments that has helped me to become the person I am today - fun, energetic and outgoing. I love working with others, learning from others and learning from each other. I look forward in meeting new folks and learning life from other's perspectives.
I believe in the power of self-determination and advocating for others who cannot advocate for themselves. Every person is unique to their core and require special attention in order to reach their full potential. I have personally overcome many life challenges that shook me to my very core. I have worked in a variety of social environments that has helped me to become the person I am today - fun, energetic and outgoing. I love working with others, learning from others and learning from each other. I look forward in meeting new folks and learning life from other's perspectives.
(910) 335-9151 View (910) 335-9151
Photo of Nicole L. Davis, Licensed Clinical Mental Health Counselor in Pikeville, NC
Nicole L. Davis
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CSI
Verified Verified
Sanford, NC 27330
I am a Licensed Clinical Mental Health Counselor and a Licensed Clinical Addictions Specialist. I provide individual, couples, and family therapy to people experiencing a variety of mental health, substance use, or relationship concerns. I utilize a combination of cognitive behavioral therapy, motivational interviewing, and other modalities to assist clients in addressing concerns including, but not limited to, addiction, depression, anxiety, personality issues, domestic violence, and trauma. I am also certified as a Clinical Supervisor Intern through the NCASPPB. I provide ongoing supervision to other addictions professionals.
I am a Licensed Clinical Mental Health Counselor and a Licensed Clinical Addictions Specialist. I provide individual, couples, and family therapy to people experiencing a variety of mental health, substance use, or relationship concerns. I utilize a combination of cognitive behavioral therapy, motivational interviewing, and other modalities to assist clients in addressing concerns including, but not limited to, addiction, depression, anxiety, personality issues, domestic violence, and trauma. I am also certified as a Clinical Supervisor Intern through the NCASPPB. I provide ongoing supervision to other addictions professionals.
(919) 626-3910 View (919) 626-3910
Photo of Insight Family Center, LLC in Pikeville, NC
Insight Family Center, LLC
MA, LPC, LCAS-A
Verified Verified
Raleigh, NC 27609
At Insight Family Center, LLC we provide premium psychiatry,mental health and substance abuse services. Our priority is to provide our clients with techniques that will assist them in obtaining their desired outcomes to reach their personal goals.
At Insight Family Center, LLC we provide premium psychiatry,mental health and substance abuse services. Our priority is to provide our clients with techniques that will assist them in obtaining their desired outcomes to reach their personal goals.
(919) 626-3979 View (919) 626-3979
Photo of Silver Linings, Clinical Social Work/Therapist in Pikeville, NC
Silver Linings
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27511
I enjoy working with dully diagnosed clients, victims of violence, adults dealing with stress, anxiety, overwhelm, various traumas, depression, anxiety and so much more. I am an enthusiastic and outcome-based leader with the ability to assess needs, communicate challenges and develop solution focused interventions. I have extensive clinical training in motivational interviewing, strengths-based practice, family centered treatment and trauma focused cognitive behavioral therapy.
I enjoy working with dully diagnosed clients, victims of violence, adults dealing with stress, anxiety, overwhelm, various traumas, depression, anxiety and so much more. I am an enthusiastic and outcome-based leader with the ability to assess needs, communicate challenges and develop solution focused interventions. I have extensive clinical training in motivational interviewing, strengths-based practice, family centered treatment and trauma focused cognitive behavioral therapy.
(984) 333-5591 View (984) 333-5591
Photo of Vincent M Wright, Clinical Social Work/Therapist in Pikeville, NC
Vincent M Wright
Clinical Social Work/Therapist, MSW, LCSW, FBMHP
Verified Verified
Raleigh, NC 27603  (Online Only)
**Accepting New Clients** Life can be overwhelming, confusing, disappointing, and painful. Life can be very fast-paced, and it can be very difficult in knowing how to keep up. If you’re feeling depressed, or having difficulty with friendships/relationships/family/job, therapy can help. Are the experiences earlier in your life (childhood and/or early adulthood) impacting you now? Is it difficult to make healthy choices? Do you have anger issues? Do you struggle to share emotions that are natural and more vulnerable? Therapy can aid a person in making healthy choices, and improve your daily decision-making.
**Accepting New Clients** Life can be overwhelming, confusing, disappointing, and painful. Life can be very fast-paced, and it can be very difficult in knowing how to keep up. If you’re feeling depressed, or having difficulty with friendships/relationships/family/job, therapy can help. Are the experiences earlier in your life (childhood and/or early adulthood) impacting you now? Is it difficult to make healthy choices? Do you have anger issues? Do you struggle to share emotions that are natural and more vulnerable? Therapy can aid a person in making healthy choices, and improve your daily decision-making.
(919) 944-8293 View (919) 944-8293
Photo of Debra Apollonia, Licensed Professional Counselor in Pikeville, NC
Debra Apollonia
Licensed Professional Counselor, LCMHC
Verified Verified
3 Endorsed
Raleigh, NC 27613
As a Licensed Professional Counselor, I create a safe and non-judgmental environment where clients are able to explore issues and improve the quality of their lives. I use an integrative style of psychotherapy that pulls from many different approaches with an emphasis on Cognitive Behavioral Therapy. I am also a Licensed Clinical Addictions Specialist and have experience working with those struggling with addiction and recovery issues.I also have years of experience working with emergency and trauma patients and their families. I treat children, adolescents and adults using individual, family and/or couples' counseling.
As a Licensed Professional Counselor, I create a safe and non-judgmental environment where clients are able to explore issues and improve the quality of their lives. I use an integrative style of psychotherapy that pulls from many different approaches with an emphasis on Cognitive Behavioral Therapy. I am also a Licensed Clinical Addictions Specialist and have experience working with those struggling with addiction and recovery issues.I also have years of experience working with emergency and trauma patients and their families. I treat children, adolescents and adults using individual, family and/or couples' counseling.
(919) 948-1395 View (919) 948-1395
Photo of Irma Abrego-Lappin, Clinical Social Work/Therapist in Pikeville, NC
Irma Abrego-Lappin
Clinical Social Work/Therapist, MSW, LCSWA, LCASA
Verified Verified
Winterville, NC 28590
Waitlist for new clients
As a therapist, I believe people have deep-rooted aspirations for well-being in many areas of their lives, including emotional, physical, social, and spiritual wellness. I strive to make a safe and trusting relationship with clients so that they can improve in each of these areas and feel more balanced and fulfilled. I collaboratively work with clients, valuing their unique strengths, interests, and aspirations. I enjoy working with clients dealing with anxiety, depression, trauma and PTSD, grief, life transitions, career/vocational concerns, spirituality, weight management and body image concerns, and relationship issues.
As a therapist, I believe people have deep-rooted aspirations for well-being in many areas of their lives, including emotional, physical, social, and spiritual wellness. I strive to make a safe and trusting relationship with clients so that they can improve in each of these areas and feel more balanced and fulfilled. I collaboratively work with clients, valuing their unique strengths, interests, and aspirations. I enjoy working with clients dealing with anxiety, depression, trauma and PTSD, grief, life transitions, career/vocational concerns, spirituality, weight management and body image concerns, and relationship issues.
(252) 379-0066 View (252) 379-0066

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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.