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More Therapists Nearby

Photo of Lucyna Sonek, Licensed Professional Counselor in Vilas, NC
Lucyna Sonek
Licensed Professional Counselor, MPsych, MA, LPC, LCAS
Verified Verified
1 Endorsed
Boone, NC 28607  (Online Only)
I specialize in treating emotional dysfunctions, addictions, ADHD, relational problems, gender issues as well as the challenges related to chronic illness/pain including depression, bipolar, anxiety, social phobia, OCD, behavioral compulsions, self-harming, low self esteem, anger, domestic violence, parenting, sexual issues, low motivation, online addiction, gambling, substance abuse, smoking.
I strive to assist distressed individuals in regulating emotions, improving mood, cultivating positive thinking, changing unproductive behaviors, and in creating wellness, life satisfaction, and self-acceptance. By exploring and identifying unique, personal thinking patterns, challenges, needs, and strengths we work in therapy to promote the meaning in life, responsibility, and the pursuit of genuineness and the best in self, life and relationships. My approach is compassionate, backed by extensive training and I have over 30 years of experience in education, community service, and psychotherapy with children, students, adults, couples, families, and groups.
I specialize in treating emotional dysfunctions, addictions, ADHD, relational problems, gender issues as well as the challenges related to chronic illness/pain including depression, bipolar, anxiety, social phobia, OCD, behavioral compulsions, self-harming, low self esteem, anger, domestic violence, parenting, sexual issues, low motivation, online addiction, gambling, substance abuse, smoking.
I strive to assist distressed individuals in regulating emotions, improving mood, cultivating positive thinking, changing unproductive behaviors, and in creating wellness, life satisfaction, and self-acceptance. By exploring and identifying unique, personal thinking patterns, challenges, needs, and strengths we work in therapy to promote the meaning in life, responsibility, and the pursuit of genuineness and the best in self, life and relationships. My approach is compassionate, backed by extensive training and I have over 30 years of experience in education, community service, and psychotherapy with children, students, adults, couples, families, and groups.
(828) 527-0143 View (828) 527-0143

Online Therapists

Photo of Bonita Hutchinson and Associates, PLLC, Licensed Clinical Mental Health Counselor in Vilas, NC
Bonita Hutchinson and Associates, PLLC
Licensed Clinical Mental Health Counselor, MEd, LPC, LCMHC-S, LCAS, SAP
Verified Verified
2 Endorsed
Charlotte, NC 28210  (Online Only)
We understand physical and emotional pain and the sense of hopelessness associated with depression, anxiety, chronic illness and trauma.
Experiencing family, work or relationship issues that are overwhelming, you’re not alone. Counseling can support you in Managing Stress & Anxiety. All services are online Due to the PANDEMIC... connect thru telehealth on your Electronic Device to our secure platform for A Safe Place to share, Learn and for support of your mental and emotional health. We are Open Mornings, Evenings and Saturdays - Serving NC and NJ.
We understand physical and emotional pain and the sense of hopelessness associated with depression, anxiety, chronic illness and trauma.
Experiencing family, work or relationship issues that are overwhelming, you’re not alone. Counseling can support you in Managing Stress & Anxiety. All services are online Due to the PANDEMIC... connect thru telehealth on your Electronic Device to our secure platform for A Safe Place to share, Learn and for support of your mental and emotional health. We are Open Mornings, Evenings and Saturdays - Serving NC and NJ.
(980) 338-4035 View (980) 338-4035
Photo of Shannon South, Licensed Professional Counselor in Vilas, NC
Shannon South
Licensed Professional Counselor, LCMHC, ThD
Verified Verified
Asheville, NC 28801
These heal depression and anxiety, pain and grief, increase immunity, empower you and build confidence, increase a feeling of wholeness and connection to others and set you free from the past.
I am an integrative therapist focused on healing the split associated with trauma. Trauma can disconnect you from your authenticity and power, creating a misalignment in your mind-body and spirit. Eye Movement Desensitization and Reprocessing (EMDR) and the Inner Counselor are two highly effective approaches used for healing. I see clients with panic disorder and depression, sexual abuse, abusive relationships, codependency and self-esteem issues and more. Bringing health and balance back around areas that have become compulsions (eating, sex, alcohol, relationships, etc.) is another important part of this personal healing journey.
These heal depression and anxiety, pain and grief, increase immunity, empower you and build confidence, increase a feeling of wholeness and connection to others and set you free from the past.
I am an integrative therapist focused on healing the split associated with trauma. Trauma can disconnect you from your authenticity and power, creating a misalignment in your mind-body and spirit. Eye Movement Desensitization and Reprocessing (EMDR) and the Inner Counselor are two highly effective approaches used for healing. I see clients with panic disorder and depression, sexual abuse, abusive relationships, codependency and self-esteem issues and more. Bringing health and balance back around areas that have become compulsions (eating, sex, alcohol, relationships, etc.) is another important part of this personal healing journey.
(828) 351-9963 View (828) 351-9963
Photo of Debbie Dixon Barney, Lic Clinical Mental Health Counselor Associate in Vilas, NC
Debbie Dixon Barney
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, LCAS-A, NCC
Verified Verified
3 Endorsed
Penrose, NC 28766
Do you ever wake up and wonder, "How did I get here?" or "Why did this have to happen to me?" Maybe you wish your life looked differently but are not sure how to get there. We all have "things" we need to process, but my experience is that we often get “stuck in a rut” with how we approach problems. We need a new perspective or another person to help us process our "stuff” - someone who can ask us questions to help us to see things from a different vantage point or to help us rewrite our stories with hope, purpose, and excitement. My desire is to help people see how the “stuff” in their lives can be used in amazing ways.
Do you ever wake up and wonder, "How did I get here?" or "Why did this have to happen to me?" Maybe you wish your life looked differently but are not sure how to get there. We all have "things" we need to process, but my experience is that we often get “stuck in a rut” with how we approach problems. We need a new perspective or another person to help us process our "stuff” - someone who can ask us questions to help us to see things from a different vantage point or to help us rewrite our stories with hope, purpose, and excitement. My desire is to help people see how the “stuff” in their lives can be used in amazing ways.
(828) 677-2303 View (828) 677-2303
Photo of P & G Clinical Services, Licensed Professional Counselor in Vilas, NC
P & G Clinical Services
Licensed Professional Counselor, PhD, LCMHCS
Verified Verified
5 Endorsed
Charlotte, NC 28226  (Online Only)
We are accepting new patients! Hablamos y ofrecemos servicios en Español. Estamos aceptando nuevos pacientes. I am a bilingual (English and Spanish) and bicultural professional who has worked with abused children, adolescents, adults and their families who have experienced trauma. I have also worked with individuals with other mental health disorders (e.g., anxiety disorders, mood disorders, psychotic disorders, eating disorders, impulse control, addiction disorders, personality disorders, obsessive-compulsive disorder, etc.).
We are accepting new patients! Hablamos y ofrecemos servicios en Español. Estamos aceptando nuevos pacientes. I am a bilingual (English and Spanish) and bicultural professional who has worked with abused children, adolescents, adults and their families who have experienced trauma. I have also worked with individuals with other mental health disorders (e.g., anxiety disorders, mood disorders, psychotic disorders, eating disorders, impulse control, addiction disorders, personality disorders, obsessive-compulsive disorder, etc.).
(704) 207-0995 View (704) 207-0995
Photo of Nicole Anzalone, Counselor in Vilas, NC
Nicole Anzalone
Counselor, MS, NCC, LMHC, LPC, LCMHC
Verified Verified
Charlotte, NC 28273  (Online Only)
Welcome! I am licensed in both NY, NC, and SC w/ 12 yrs of professional work experience. I have worked in a variety of settings such as school settings, substance abuse facilities, outpatient facilities, inpatient/hospital behavioral health units, crisis call centers, & private practice settings. I have experience in helping clients with depression, stress and anxiety, coping with addictions, trauma and abuse, motivation, self esteem, as well as a variety of other life stressors. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear or judgement.
Welcome! I am licensed in both NY, NC, and SC w/ 12 yrs of professional work experience. I have worked in a variety of settings such as school settings, substance abuse facilities, outpatient facilities, inpatient/hospital behavioral health units, crisis call centers, & private practice settings. I have experience in helping clients with depression, stress and anxiety, coping with addictions, trauma and abuse, motivation, self esteem, as well as a variety of other life stressors. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear or judgement.
(845) 583-0674 View (845) 583-0674
Photo of Strengthening Foundations Child & Family Cnslng, Licensed Professional Counselor in Vilas, NC
Strengthening Foundations Child & Family Cnslng
Licensed Professional Counselor, MA, LCMHC, LMFTA
Verified Verified
2 Endorsed
Huntersville, NC 28078  (Online Only)
Facing life's challenges and transitions should not be done alone. When you encounter issues arising from lifecycle changes, relational turmoil or any other challenges that invoke a crisis or grief, it is important to have genuine and empathetic support to guide you without passing judgment. As a spouse of a retired veteran, I have over 20 years of experience adapting to the lifestyle challenges that the military community encounters. I have helped many families successfully cope with the military lifestyle, relational struggles and raise special children.
Facing life's challenges and transitions should not be done alone. When you encounter issues arising from lifecycle changes, relational turmoil or any other challenges that invoke a crisis or grief, it is important to have genuine and empathetic support to guide you without passing judgment. As a spouse of a retired veteran, I have over 20 years of experience adapting to the lifestyle challenges that the military community encounters. I have helped many families successfully cope with the military lifestyle, relational struggles and raise special children.
(910) 672-6766 View (910) 672-6766
Photo of Ed Tilley, Clinical Social Work/Therapist in Vilas, NC
Ed Tilley
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlotte, NC 28204
I am a Licensed Clinical Social Worker who was trained at Columbia University, New York City, and the Postgraduate Center for Mental Health, New York City. I have worked in a variety of settings in New York City and here in North Carolina. I view therapy as a way of working on relationships or issues that are causing distress or problems in one's life. I use a variety of treatment modalities including cognitive behavioral therapy and mindfulness. I am a Humanist in terms of my philosophy. I see life as a journey. Therapy can make that journey more fulfilling.
I am a Licensed Clinical Social Worker who was trained at Columbia University, New York City, and the Postgraduate Center for Mental Health, New York City. I have worked in a variety of settings in New York City and here in North Carolina. I view therapy as a way of working on relationships or issues that are causing distress or problems in one's life. I use a variety of treatment modalities including cognitive behavioral therapy and mindfulness. I am a Humanist in terms of my philosophy. I see life as a journey. Therapy can make that journey more fulfilling.
(910) 853-6083 View (910) 853-6083
Photo of Andrea Exley, Marriage & Family Therapist in Vilas, NC
Andrea Exley
Marriage & Family Therapist, LMFT, LCAS
Verified Verified
2 Endorsed
Charlotte, NC 28210
Waitlist for new clients
I am not afraid of hearing the hard truths that you don't share with others. I find it an honor and a privilege to come along side someone who trusts me enough to share their life, the good and the bad. I have supported people who have experienced things that they believe others think to be unreal, people who believe there is no reason to keep living, people who partake in activities they know are not good for them, people who struggle to have healthy relationships, and people that have been living in darkness. I want to help you break away from that darkness. I want to provide a space that fosters security, hope, and healing.
I am not afraid of hearing the hard truths that you don't share with others. I find it an honor and a privilege to come along side someone who trusts me enough to share their life, the good and the bad. I have supported people who have experienced things that they believe others think to be unreal, people who believe there is no reason to keep living, people who partake in activities they know are not good for them, people who struggle to have healthy relationships, and people that have been living in darkness. I want to help you break away from that darkness. I want to provide a space that fosters security, hope, and healing.
(704) 396-8736 View (704) 396-8736
Photo of Tova Woullard, Clinical Social Work/Therapist in Vilas, NC
Tova Woullard
Clinical Social Work/Therapist, LCSW, LCAS-A, CADC
Verified Verified
1 Endorsed
Kannapolis, NC 28083  (Online Only)
Children: 6 to 17. I serve those with ADHD, adjustment disorders, anxiety, depression, PTSD, body dysmorphia, identity disorders, schizophrenia, addictions, truancy issues, low-self-esteem issues, oppositional defiant disorders, & OCD, and mood disorders. Adults (18+): I work with those who have anxiety, depression, low-self-esteem, addictions, ADHD, personality disorders, identity issues, adjusting to new conditions, PTSD, body dysmorphia, separation (a break-up, divorce, separation issues, new parents, teachers, retired individuals, those with immunodeficiency disorders, anger issues, domestic violence issues, & empty nesters.
Children: 6 to 17. I serve those with ADHD, adjustment disorders, anxiety, depression, PTSD, body dysmorphia, identity disorders, schizophrenia, addictions, truancy issues, low-self-esteem issues, oppositional defiant disorders, & OCD, and mood disorders. Adults (18+): I work with those who have anxiety, depression, low-self-esteem, addictions, ADHD, personality disorders, identity issues, adjusting to new conditions, PTSD, body dysmorphia, separation (a break-up, divorce, separation issues, new parents, teachers, retired individuals, those with immunodeficiency disorders, anger issues, domestic violence issues, & empty nesters.
(704) 666-4698 x801 View (704) 666-4698 x801
Photo of Wilsons Counseling and Consulting Services, PLLC, Drug & Alcohol Counselor in Vilas, NC
Wilsons Counseling and Consulting Services, PLLC
Drug & Alcohol Counselor, MSW, LCASA, CEO
Verified Verified
Charlotte, NC 28217
I am Nate Wilson, Jr., MSW, LCAS. I am a Licensed Clinical Addiction Psychotherapist, Specialist. I’ve been in the field of mental health for over 25 years. I’ve worked with various people from various backgrounds as it relates to cultural diversity such as race, gender, religion, ethnicity, and other distinct groups, each of which has different values and lifestyles. I earned my Master of Clinical Social Work from Fordham University, NYC, NY. I have been practicing in a licensed capacity since 2016. As a therapist, I use eclectic therapy approaches that cover many theories.
I am Nate Wilson, Jr., MSW, LCAS. I am a Licensed Clinical Addiction Psychotherapist, Specialist. I’ve been in the field of mental health for over 25 years. I’ve worked with various people from various backgrounds as it relates to cultural diversity such as race, gender, religion, ethnicity, and other distinct groups, each of which has different values and lifestyles. I earned my Master of Clinical Social Work from Fordham University, NYC, NY. I have been practicing in a licensed capacity since 2016. As a therapist, I use eclectic therapy approaches that cover many theories.
(336) 502-8218 View (336) 502-8218
Photo of La Vida Counseling, PLLC, Licensed Professional Counselor in Vilas, NC
La Vida Counseling, PLLC
Licensed Professional Counselor, LCMHCS, LCAS
Verified Verified
4 Endorsed
Matthews, NC 28105
Our team of therapists are ready to help for individual or couples counseling! We offer in person and virtual session! Specialties include but not limited to: trauma, substance abuse, depression, anxiety, behavioral problems and transitions into college. Please visit our website at www.lavidacounseling.com for more details about our therapists and services we offer. We offer counseling services and Immigration Evaluations to clients from age 5 years-Adult and video sessions and in person sessions. ¡Se habla Español!
Our team of therapists are ready to help for individual or couples counseling! We offer in person and virtual session! Specialties include but not limited to: trauma, substance abuse, depression, anxiety, behavioral problems and transitions into college. Please visit our website at www.lavidacounseling.com for more details about our therapists and services we offer. We offer counseling services and Immigration Evaluations to clients from age 5 years-Adult and video sessions and in person sessions. ¡Se habla Español!
(704) 935-4208 View (704) 935-4208
Photo of Esther Mendez, Licensed Clinical Mental Health Counselor in Vilas, NC
Esther Mendez
Licensed Clinical Mental Health Counselor, MS, CRC, LCMHC
Verified Verified
Winston Salem, NC 27107
Personal power is necessary when bad things happen to good people. With over 18 years of experience in the mental health field, I've worked with individuals of all ages and their families. So whether it's the end of a marriage or a job; PTSD; depression or the roller coaster of ADHD, Bipolar Disorders, Behavioral Addictions and more, I'm here to help you step through the door of your "old" normal and into improved personal power and an increased sense of personal success that will become your "new" normal with a happier, healthier life.
Personal power is necessary when bad things happen to good people. With over 18 years of experience in the mental health field, I've worked with individuals of all ages and their families. So whether it's the end of a marriage or a job; PTSD; depression or the roller coaster of ADHD, Bipolar Disorders, Behavioral Addictions and more, I'm here to help you step through the door of your "old" normal and into improved personal power and an increased sense of personal success that will become your "new" normal with a happier, healthier life.
(336) 814-9297 View (336) 814-9297
Photo of Forsyth Family Counseling, Licensed Professional Counselor in Vilas, NC
Forsyth Family Counseling
Licensed Professional Counselor
Verified Verified
2 Endorsed
Winston Salem, NC 27101
Our licensed therapists have extensive training and experience in issues affecting adults, couples, children, adolescents and their families. We specialize in treating a range of conditions including depression, anxiety, relationship issues, attachment, addiction, grief, women/men's issues, ADHD, oppositional/defiance, trauma, post traumatic stress disorder, OCD, and much more. We also offer extensive effective parenting training if your child is oppositional, defiant, and sometimes even aggressive.
Our licensed therapists have extensive training and experience in issues affecting adults, couples, children, adolescents and their families. We specialize in treating a range of conditions including depression, anxiety, relationship issues, attachment, addiction, grief, women/men's issues, ADHD, oppositional/defiance, trauma, post traumatic stress disorder, OCD, and much more. We also offer extensive effective parenting training if your child is oppositional, defiant, and sometimes even aggressive.
(336) 750-6021 View (336) 750-6021
Photo of Travis M Bradey, Licensed Professional Counselor in Vilas, NC
Travis M Bradey
Licensed Professional Counselor, MA, NCC, LCMHC
Verified Verified
2 Endorsed
Davidson, NC 28035
NEW location and more in person availability! Since 2012, my passion has been therapy/counseling, second only to being a father to my amazing daughter. I have amassed extensive experiences and training along that way. As a result, I can match each client with tools and philosophy that get them closer to where they are trying to go. My approach to all things centers on finding solutions in life, and my sessions are no different. From day one, I seek solutions while being present with those who allow me to be a part of their journey.
NEW location and more in person availability! Since 2012, my passion has been therapy/counseling, second only to being a father to my amazing daughter. I have amassed extensive experiences and training along that way. As a result, I can match each client with tools and philosophy that get them closer to where they are trying to go. My approach to all things centers on finding solutions in life, and my sessions are no different. From day one, I seek solutions while being present with those who allow me to be a part of their journey.
(980) 319-1603 View (980) 319-1603
Photo of Full Circle Community Wellness, Licensed Professional Counselor in Vilas, 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 Advene Health Group, Clinical Social Work/Therapist in Vilas, NC
Advene Health Group
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Charlotte, NC 28270
My idea as a psychotherapist is to provide safe, comfortable & judgment-free environment for clients to work through issues. My role as a psychotherapist is to respect the goals that my clients come in with, and support the process of working toward these goals. I believe Psychotherapy can enhance one's self-awareness and the ability to recognize in one's own self-defeating and self-sabotaging patterns, and to change these patterns.
My idea as a psychotherapist is to provide safe, comfortable & judgment-free environment for clients to work through issues. My role as a psychotherapist is to respect the goals that my clients come in with, and support the process of working toward these goals. I believe Psychotherapy can enhance one's self-awareness and the ability to recognize in one's own self-defeating and self-sabotaging patterns, and to change these patterns.
(980) 247-4144 View (980) 247-4144
Photo of Dr. Sarah Stuchell, Marriage & Family Therapist in Vilas, NC
Dr. Sarah Stuchell
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Cornelius, NC 28031
Although you may feel alone in your problem, I guarantee that you are not, and will help you develop individual and relationship skills to overcome your problem(s). I am an avid proponent of examining the systemic nature of problems, which includes taking inventory of the mental, physical, spiritual, societal, and relational aspects that may be effecting you. I will help you deconstruct your life and experiences, and help you reconstruct a healthy psychological paradigm that heals you and brings meaning and purpose to your life. You will ultimately feel more alive, genuine, and hopeful about yourself and your future.
Although you may feel alone in your problem, I guarantee that you are not, and will help you develop individual and relationship skills to overcome your problem(s). I am an avid proponent of examining the systemic nature of problems, which includes taking inventory of the mental, physical, spiritual, societal, and relational aspects that may be effecting you. I will help you deconstruct your life and experiences, and help you reconstruct a healthy psychological paradigm that heals you and brings meaning and purpose to your life. You will ultimately feel more alive, genuine, and hopeful about yourself and your future.
(949) 337-1360 View (949) 337-1360
Photo of Marie Leskauskas, Counselor in Vilas, NC
Marie Leskauskas
Counselor, LCMHC, MA
Verified Verified
Huntersville, NC 28078
Each person is a unique individual whose life and experience is different from anyone else, and deserves to be addressed with unconditional positive regard for themselves and their circumstances. This is why I place an emphasis on authenticity and the importance of understanding each person as a whole, focusing on healing through the integration of mental, physical, and spiritual health. As a therapist, I will involve strategies and techniques including CBT, sandtray and sandplay, motivational interviewing, addressing the mind and body connection, and the incorporation of ongoing psychoeducation.
Each person is a unique individual whose life and experience is different from anyone else, and deserves to be addressed with unconditional positive regard for themselves and their circumstances. This is why I place an emphasis on authenticity and the importance of understanding each person as a whole, focusing on healing through the integration of mental, physical, and spiritual health. As a therapist, I will involve strategies and techniques including CBT, sandtray and sandplay, motivational interviewing, addressing the mind and body connection, and the incorporation of ongoing psychoeducation.
(980) 575-5082 View (980) 575-5082
Photo of Jenny Caldwell, Marriage & Family Therapist in Vilas, NC
Jenny Caldwell
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Charlotte, NC 28277
I am passionate about working with individuals and families. I believe the client/ therapist relationship is a critical component of the therapeutic process and place emphasis on maintaining a nonjudgmental, caring, and safe environment for my clients. My compassion and use of evidence-based research models provide a space for me to empower and support clients. I believe that the therapy process is collaborative, both therapist and client work together to develop strategies and tools to help clients transition through stressful times. Using both long and short-term therapy approaches, I create an individual approach for clients.
I am passionate about working with individuals and families. I believe the client/ therapist relationship is a critical component of the therapeutic process and place emphasis on maintaining a nonjudgmental, caring, and safe environment for my clients. My compassion and use of evidence-based research models provide a space for me to empower and support clients. I believe that the therapy process is collaborative, both therapist and client work together to develop strategies and tools to help clients transition through stressful times. Using both long and short-term therapy approaches, I create an individual approach for clients.
(980) 326-4831 View (980) 326-4831

See more therapy options for Vilas

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.