Photo of Marie Romeo, Clinical Social Work/Therapist in Sylva, NC
Marie Romeo
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Sylva, NC 28779  (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 Janet J. Zander, Licensed Professional Counselor in Sylva, NC
Janet J. Zander
Licensed Professional Counselor, LCMHC, PLLC
Verified Verified
Sylva, NC 28779
Are you looking to improve health in mind, body and spirit? I believe healing comes from dimensions including physical, mental and emotional health, environmental factors, lifestyle choices, relationships and spiritual life. My approach is strength based, empathic and interactive. My training has been in the treatment of anxiety, depression, ADHD/ADD, trauma, PTSD, grief/loss, relationships and family issues. My aim is to provide a supportive and safe space where we can collaborate and work at your own pace to help you reach your goals.
Are you looking to improve health in mind, body and spirit? I believe healing comes from dimensions including physical, mental and emotional health, environmental factors, lifestyle choices, relationships and spiritual life. My approach is strength based, empathic and interactive. My training has been in the treatment of anxiety, depression, ADHD/ADD, trauma, PTSD, grief/loss, relationships and family issues. My aim is to provide a supportive and safe space where we can collaborate and work at your own pace to help you reach your goals.
(828) 618-4684 View (828) 618-4684

More Therapists Nearby

Photo of Kristin Mamrack, Counselor in Sylva, NC
Kristin Mamrack
Counselor, MA, LCMHCA, NCC
Verified Verified
Cullowhee, NC 28723
You're worried and irritable, thinking of worst-case scenarios for everything. Are you constantly questioning yourself? Or afraid if you drop your guard, you'll lose control of yourself? You're probably exhausted and worry it will always be like this. You need a change. Constant stress and fear is so overwhelming and can have a chilling effect both on your relationship with others and with yourself. You want to be able to enjoy your life, without worrying about what comes next. You want to let go of the struggle for perfection. You deserve some peace. I can help you get there.
You're worried and irritable, thinking of worst-case scenarios for everything. Are you constantly questioning yourself? Or afraid if you drop your guard, you'll lose control of yourself? You're probably exhausted and worry it will always be like this. You need a change. Constant stress and fear is so overwhelming and can have a chilling effect both on your relationship with others and with yourself. You want to be able to enjoy your life, without worrying about what comes next. You want to let go of the struggle for perfection. You deserve some peace. I can help you get there.
(828) 301-4110 View (828) 301-4110

Online Therapists

Photo of Katie Fitzpatrick Camenzind, Psychologist in Sylva, NC
Katie Fitzpatrick Camenzind
Psychologist, PhD
Verified Verified
Mills River, NC 28759
Waitlist for new clients
In times like these it can feel like you’re losing a lot: losing hope, losing sleep, losing control. But pain can be productive. Struggles can be opportunities to see what we're made of. They can also be the impetus to make changes we've been putting off, maybe out of fear that they would upset the balance we work so hard to maintain. Right now during this pandemic, it's hard to find one thing in our lives that hasn't changed and there are so many unknowns. It can be very difficult to persevere when you can't see the light at the end of the tunnel and when your usual outlets for support and coping are now limited.
In times like these it can feel like you’re losing a lot: losing hope, losing sleep, losing control. But pain can be productive. Struggles can be opportunities to see what we're made of. They can also be the impetus to make changes we've been putting off, maybe out of fear that they would upset the balance we work so hard to maintain. Right now during this pandemic, it's hard to find one thing in our lives that hasn't changed and there are so many unknowns. It can be very difficult to persevere when you can't see the light at the end of the tunnel and when your usual outlets for support and coping are now limited.
(828) 383-9981 View (828) 383-9981
Photo of Audrey Amir, Clinical Social Work/Therapist in Sylva, NC
Audrey Amir
Clinical Social Work/Therapist, LCSW, MA, RYT
Verified Verified
1 Endorsed
Fletcher, NC 28732
Other areas of focus include chronic illness, medical trauma, and managing grief and isolation.
Being a person can be hard. Living a life that best suits you as an individual is a work in progress. Along the way, there are undoubtedly challenges. Sometimes, our experiences leave us confused, overwhelmed, and in need of some support. As a therapist, my role is to help understand where you’ve been, where you’d like to go, and help you get there. It’s possible to move from getting by to feeling you have agency over your own life and choices. I specialize in working with challenging life events such as trauma, major life changes, relationship distress, and chronic illnesses. I also work with C-PTSD and Narcissistic Abuse recovery.
Other areas of focus include chronic illness, medical trauma, and managing grief and isolation.
Being a person can be hard. Living a life that best suits you as an individual is a work in progress. Along the way, there are undoubtedly challenges. Sometimes, our experiences leave us confused, overwhelmed, and in need of some support. As a therapist, my role is to help understand where you’ve been, where you’d like to go, and help you get there. It’s possible to move from getting by to feeling you have agency over your own life and choices. I specialize in working with challenging life events such as trauma, major life changes, relationship distress, and chronic illnesses. I also work with C-PTSD and Narcissistic Abuse recovery.
(828) 373-8290 View (828) 373-8290
Photo of Lottie Cooper, LPC Intern in Sylva, NC
Lottie Cooper
LPC Intern, MA
Verified Verified
Asheville, NC 28803
Are you feeling stuck and want a breakthrough? I can facilitate releasing your physical, emotional, spiritual pain that is stored in the body. Are you ready to commit to yourself ? I am committed to supporting you in creating a joyful & fulfilling life. I use many modalities to individualize sessions to meet your needs to heal your pain mentally, emotionally, physically, and spiritually. Learn sensitive ways of thinking and communicating to support your relationships, create new perspectives, inner wisdom, and self-love, for a more fulfilling life. Learn skills to easily release stress, and explorations to track your progress.
Are you feeling stuck and want a breakthrough? I can facilitate releasing your physical, emotional, spiritual pain that is stored in the body. Are you ready to commit to yourself ? I am committed to supporting you in creating a joyful & fulfilling life. I use many modalities to individualize sessions to meet your needs to heal your pain mentally, emotionally, physically, and spiritually. Learn sensitive ways of thinking and communicating to support your relationships, create new perspectives, inner wisdom, and self-love, for a more fulfilling life. Learn skills to easily release stress, and explorations to track your progress.
(828) 944-4105 View (828) 944-4105
Photo of Christen Mullane, Psychologist in Sylva, NC
Christen Mullane
Psychologist, PhD
Verified Verified
8 Endorsed
Asheville, NC 28805  (Online Only)
It may feel as though you are your illness, right now - as though your medical diagnosis is what defines you.
There are good days, bad days, and days that are completely overwhelming. You have never thought so much about your body in your life, and now you struggle with it every day. You remember when you trusted your body. There were times when you felt ill, but you recovered before. Now, your medical team is telling you that there is no going back to how things used to be. You are angry, you are frightened, you are hurting, and your loved ones are, too. Nobody seems to know exactly what to say, or what you need. It feels like a bomb has gone off in your life, and you are sifting through the rubble.
It may feel as though you are your illness, right now - as though your medical diagnosis is what defines you.
There are good days, bad days, and days that are completely overwhelming. You have never thought so much about your body in your life, and now you struggle with it every day. You remember when you trusted your body. There were times when you felt ill, but you recovered before. Now, your medical team is telling you that there is no going back to how things used to be. You are angry, you are frightened, you are hurting, and your loved ones are, too. Nobody seems to know exactly what to say, or what you need. It feels like a bomb has gone off in your life, and you are sifting through the rubble.
(512) 489-9803 View (512) 489-9803
Photo of Vanessa Guerrero, LCMHC Associate in Sylva, 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 Jeremy T. Cochran - Cochran Christian Counseling, Marriage & Family Therapist in Sylva, NC
Jeremy T. Cochran - Cochran Christian Counseling
Marriage & Family Therapist, MS, LMFT
Verified Verified
Hendersonville, NC 28792
Your pain is unique to you, only you can understand it.
For any relationship to work you must be able to communicate. Marriage can be tough. I help people communicate and manage their conflict. I am a Licensed Marriage and Family Therapist, serving North Carolina since 2003. I provide marriage, premarital, individual counseling for adults. I see people with a variety of therapeutic concerns including, but not limited to, trauma, depression, anxiety, & non-supportive spouse.
Your pain is unique to you, only you can understand it.
For any relationship to work you must be able to communicate. Marriage can be tough. I help people communicate and manage their conflict. I am a Licensed Marriage and Family Therapist, serving North Carolina since 2003. I provide marriage, premarital, individual counseling for adults. I see people with a variety of therapeutic concerns including, but not limited to, trauma, depression, anxiety, & non-supportive spouse.
(828) 479-0284 View (828) 479-0284
Photo of Corey Costanzo, Drug & Alcohol Counselor in Sylva, NC
Corey Costanzo
Drug & Alcohol Counselor, MA, LCAS, LMBT, SEP
Verified Verified
Asheville, NC 28801
Lets explore your life experience in a new and exciting way. I see suffering as an opportunity to break free from old patterns, habits, and ways of thinking that are not working for you anymore. It's a call from deep inside saying, "something needs to shift". This shift can come from exploring a relationship to a substance that you are using, and the pain, anxiety, depression, or a general sense of not loving your life that may come with it. Your unique journey is here right now, and experiencing it from a nonjudgmental perspective can be a vital ingredient to moving past whatever is holding you back from living your best life.
Lets explore your life experience in a new and exciting way. I see suffering as an opportunity to break free from old patterns, habits, and ways of thinking that are not working for you anymore. It's a call from deep inside saying, "something needs to shift". This shift can come from exploring a relationship to a substance that you are using, and the pain, anxiety, depression, or a general sense of not loving your life that may come with it. Your unique journey is here right now, and experiencing it from a nonjudgmental perspective can be a vital ingredient to moving past whatever is holding you back from living your best life.
(828) 970-1704 View (828) 970-1704
Photo of Michelle McKinzie, Clinical Social Work/Therapist in Sylva, NC
Michelle McKinzie
Clinical Social Work/Therapist, LCSW, CIMHP
Verified Verified
1 Endorsed
Fairview, NC 28730  (Online Only)
Waitlist for new clients
I help clients with histories of trauma in the context of chronic illness.
Have you experienced a life-altering medical condition? Are you experiencing difficulties regulating your mood, including depression and anxiety? Let me help you find ways to manage your emotions and your health more effectively! I would love to help you on a journey to finding more peace and happiness.
I help clients with histories of trauma in the context of chronic illness.
Have you experienced a life-altering medical condition? Are you experiencing difficulties regulating your mood, including depression and anxiety? Let me help you find ways to manage your emotions and your health more effectively! I would love to help you on a journey to finding more peace and happiness.
(828) 475-5258 View (828) 475-5258
Photo of Rebecca Fugate, Counselor in Sylva, NC
Rebecca Fugate
Counselor, MA, LCMHC
Verified Verified
Black Mountain, NC 28711  (Online Only)
Many people arrive in therapy in emotional pain and distress.
I provide individual therapy services to adults of all ages, and am licensed to practice in NC. I have over 20 years of experience working with clients of various backgrounds and life situations. I worked for years providing therapy in adult community mental health settings, a college counseling center, as well as experience serving as a Mental Health therapist for Native American/tribal population. I am well experienced in treatment of anxiety (including OCD, Generalized Anxiety, Phobia, Panic Disorder, etc), depression, grief/loss, codependency, life adjustment/transitions, family of origin issues, and PTSD.
Many people arrive in therapy in emotional pain and distress.
I provide individual therapy services to adults of all ages, and am licensed to practice in NC. I have over 20 years of experience working with clients of various backgrounds and life situations. I worked for years providing therapy in adult community mental health settings, a college counseling center, as well as experience serving as a Mental Health therapist for Native American/tribal population. I am well experienced in treatment of anxiety (including OCD, Generalized Anxiety, Phobia, Panic Disorder, etc), depression, grief/loss, codependency, life adjustment/transitions, family of origin issues, and PTSD.
(828) 528-6879 View (828) 528-6879
Photo of Paula Garrard, Clinical Social Work/Therapist in Sylva, NC
Paula Garrard
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Morganton, NC 28655
I am a Licensed Clinical Social Worker (LCSW) and have worked over the last 15 + years helping people through difficult times in their lives. I am compassionate, caring and offer a safe place to express your feelings without judgement, to improve your life regardless of the issues you face. I help people experiencing loss and grief, anxiety, depression, LGBTQ+ issues, life changes, self-worth, relationship/marital issues, chronic/terminal illness, adjustment at retirement, and many other issues that maybe keeping you from living your best life. The holistic approach I incorporate is always tailored to your specific issues and needs.
I am a Licensed Clinical Social Worker (LCSW) and have worked over the last 15 + years helping people through difficult times in their lives. I am compassionate, caring and offer a safe place to express your feelings without judgement, to improve your life regardless of the issues you face. I help people experiencing loss and grief, anxiety, depression, LGBTQ+ issues, life changes, self-worth, relationship/marital issues, chronic/terminal illness, adjustment at retirement, and many other issues that maybe keeping you from living your best life. The holistic approach I incorporate is always tailored to your specific issues and needs.
(828) 900-2599 View (828) 900-2599
Photo of David Kaufmann, Licensed Clinical Mental Health Counselor in Sylva, NC
David Kaufmann
Licensed Clinical Mental Health Counselor, MA, LCMHC, LCAS
Verified Verified
Asheville, NC 28801
Waitlist for new clients
Life is challenging, sometimes it can feel like we aren’t made for the pace that is asked of us in today’s world. The result can feel like disconnect, overwhelm, or even depression and anxiety. Therapy can help. It is clear to me in my work, and in my own life, that once we start paying attention to our pain, we can do something about it. Having a guide in that process can make it simpler and more effective. Everyone is unique and as individuals what we need can take time to uncover and incorporate into our daily lives.
Life is challenging, sometimes it can feel like we aren’t made for the pace that is asked of us in today’s world. The result can feel like disconnect, overwhelm, or even depression and anxiety. Therapy can help. It is clear to me in my work, and in my own life, that once we start paying attention to our pain, we can do something about it. Having a guide in that process can make it simpler and more effective. Everyone is unique and as individuals what we need can take time to uncover and incorporate into our daily lives.
(828) 332-5594 View (828) 332-5594
Photo of Starr Renee Roberts, Licensed Professional Counselor in Sylva, NC
Starr Renee Roberts
Licensed Professional Counselor, M ED, LCMHC
Verified Verified
Hendersonville, NC 28792
Do you need someone to bear witness to your daily struggles, and pain? Do you need someone to listen to your story about the difficulties you are having in life that leave you feeling stuck and unable to move forward? Do you feel shut down, worried, anxious, tired, sad, or angry? Are you struggling with school, work, or financial issues? Are you struggling to make it through the day because you are having problems adjusting to changes in your life? Do you feel unappreciated or misunderstood by friends, family or your partner? Are you feeling unsteady or afraid because you've been abused.
Do you need someone to bear witness to your daily struggles, and pain? Do you need someone to listen to your story about the difficulties you are having in life that leave you feeling stuck and unable to move forward? Do you feel shut down, worried, anxious, tired, sad, or angry? Are you struggling with school, work, or financial issues? Are you struggling to make it through the day because you are having problems adjusting to changes in your life? Do you feel unappreciated or misunderstood by friends, family or your partner? Are you feeling unsteady or afraid because you've been abused.
(828) 458-7371 View (828) 458-7371
Photo of Guy Morganstein, Licensed Professional Counselor in Sylva, 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 Deborah Whitley Van Wieren, Licensed Clinical Mental Health Counselor in Sylva, 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 Lisa Lavelle Bowen, Licensed Professional Counselor in Sylva, NC
Lisa Lavelle Bowen
Licensed Professional Counselor, MA, LPC
Verified Verified
Asheville, NC 28803  (Online Only)
My specialties: anxiety, stress, trauma, depression, illness, grief, relationship or family conflicts, parenting skills, anger management, work conflicts, ADHD or other problematic issues, bipolar disorder or other personality disorders.
My specialties are trauma, anxiety, depression. 21 yrs experience counseling adolescents, adults, couples and families. I do supportive listening, accepting, understanding and compassionate counseling to help problem solve together and cope to focus on healing. Kinds of therapy I do: CBT, DBT, REBT, Art therapy, Play therapy and Christian counseling. Experience: worked with World Trade Center 9/11 survivors, survivors of torture, in a psychiatric hospital, an outpatient clinic, as a clinical supervisor, as a school based therapist, counseled military, their spouses & children at bases in USA, Europe and Japan and private practice.
My specialties: anxiety, stress, trauma, depression, illness, grief, relationship or family conflicts, parenting skills, anger management, work conflicts, ADHD or other problematic issues, bipolar disorder or other personality disorders.
My specialties are trauma, anxiety, depression. 21 yrs experience counseling adolescents, adults, couples and families. I do supportive listening, accepting, understanding and compassionate counseling to help problem solve together and cope to focus on healing. Kinds of therapy I do: CBT, DBT, REBT, Art therapy, Play therapy and Christian counseling. Experience: worked with World Trade Center 9/11 survivors, survivors of torture, in a psychiatric hospital, an outpatient clinic, as a clinical supervisor, as a school based therapist, counseled military, their spouses & children at bases in USA, Europe and Japan and private practice.
(828) 360-8820 View (828) 360-8820
Photo of Lawrence Cull, Psychologist in Sylva, NC
Lawrence Cull
Psychologist, PsyD
Verified Verified
2 Endorsed
Brevard, NC 28712
I have been practicing clinical psychology for nearly 20 years as a licensed psychologist. In that time, I have had the pleasure of working with many people who have struggled with a wide range of challenges including relationship and couple's difficulties, addiction, anxiety, depression, serious health concerns, loss, and trauma. I utilize a number of different perspectives including cognitive-behavioral, emotion focused individual and couples, and dynamic therapies. I am also trained in EMDR, mindfulness, relaxation, stress, and pain management.
I have been practicing clinical psychology for nearly 20 years as a licensed psychologist. In that time, I have had the pleasure of working with many people who have struggled with a wide range of challenges including relationship and couple's difficulties, addiction, anxiety, depression, serious health concerns, loss, and trauma. I utilize a number of different perspectives including cognitive-behavioral, emotion focused individual and couples, and dynamic therapies. I am also trained in EMDR, mindfulness, relaxation, stress, and pain management.
(872) 814-7294 View (872) 814-7294
Photo of Melissa Middlebrook, Clinical Social Work/Therapist in Sylva, NC
Melissa Middlebrook
Clinical Social Work/Therapist, MSW, LCSW, MPH, RYT200
Verified Verified
5 Endorsed
Asheville, NC 28806
Waitlist for new clients
None of us are immune to life's challenges and we also don't come with instructions on how to navigate these. We often carry our past experiences and stress without realizing it— to the point where we feel it not only emotionally, but also in our physical bodies. Research confirms the mind and body aren’t so separate after all, but more of an interdependent unit greatly influencing one another. Past traumas, anxiety, depression, feeling stuck, chronic illness, difficult life transition, caught in the cycles of shame + self criticism; these are all labels and struggles many of us identify with at some point, but they don't define us.
None of us are immune to life's challenges and we also don't come with instructions on how to navigate these. We often carry our past experiences and stress without realizing it— to the point where we feel it not only emotionally, but also in our physical bodies. Research confirms the mind and body aren’t so separate after all, but more of an interdependent unit greatly influencing one another. Past traumas, anxiety, depression, feeling stuck, chronic illness, difficult life transition, caught in the cycles of shame + self criticism; these are all labels and struggles many of us identify with at some point, but they don't define us.
(828) 818-9110 View (828) 818-9110

See more therapy options for Sylva

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.