Therapists in Waynesville, NC
Ashley Merchant
Clinical Social Work/Therapist, LCSWA, MSW
Verified Verified
1 Endorsed
Waynesville, NC 28785 (Online Only)
We live in a world quickly changing with many demands and stressors. Therapy is like working out at a gym. Instead, it is building inner strength and emotional fitness. Traumas or events can happen in life leading to a dysregulated nervous system. We can experience the loss of a job, partner, or identity; the loss of a loved one or pet; disease, illness, financial instability; relationship or family issues, or housing crisis that spin our worlds upside down. Maybe it is low self-worth, stress, or feeling stuck in life. With over 10 years of experience in the mental health field, I am here to be a supportive ally for your growth.
We live in a world quickly changing with many demands and stressors. Therapy is like working out at a gym. Instead, it is building inner strength and emotional fitness. Traumas or events can happen in life leading to a dysregulated nervous system. We can experience the loss of a job, partner, or identity; the loss of a loved one or pet; disease, illness, financial instability; relationship or family issues, or housing crisis that spin our worlds upside down. Maybe it is low self-worth, stress, or feeling stuck in life. With over 10 years of experience in the mental health field, I am here to be a supportive ally for your growth.
N. Diane Stamey
Marriage & Family Therapist, MA, MDiv, LMFT, LFBPC
Verified Verified
Waynesville, NC 28785
My ideal client is a person who is finding life, love and work challenging! I have been a Christian psychotherapist for over thirty years. My extensive education. my two NC licenses and a three year Residency in Pastoral Counseling at Wake Forest Baptist Hospital has equipped me to handle both acute and chronic mental health issues. I like working with Couples, Families, Children, Teens, Adults and Seniors! My specialties are Family Issues, Anxiety Disorders, Depression, Bi-polar Disorders, Grief and Medical Issues. I like these websites: ADAA.org. and anxieties.com. Find me on Facebook@Mountain Center For Pastoral Counseling.
My ideal client is a person who is finding life, love and work challenging! I have been a Christian psychotherapist for over thirty years. My extensive education. my two NC licenses and a three year Residency in Pastoral Counseling at Wake Forest Baptist Hospital has equipped me to handle both acute and chronic mental health issues. I like working with Couples, Families, Children, Teens, Adults and Seniors! My specialties are Family Issues, Anxiety Disorders, Depression, Bi-polar Disorders, Grief and Medical Issues. I like these websites: ADAA.org. and anxieties.com. Find me on Facebook@Mountain Center For Pastoral Counseling.
Mary Monaghan
Clinical Social Work/Therapist, LCSW, LCAS, CCS
Verified Verified
2 Endorsed
Waynesville, NC 28785
Stress, anxiety, uncertainty, and fear can feel overwhelming. You may find yourself turning to drugs or alcohol, harmful eating patterns, self-harm, or fall back on other old habits to cope with your emotions. You may be struggling with anxiety, stress, depression, or fear. Maybe you are in recovery from addiction or an eating disorder, and are having trouble maintaining your progress. You may be navigating your gender and sexual identify. Or perhaps you are concerned that your teenager is dealing with some of these issues. Whatever you are facing, you are not alone! I am here to provide support, guidance, and encouragement.
Stress, anxiety, uncertainty, and fear can feel overwhelming. You may find yourself turning to drugs or alcohol, harmful eating patterns, self-harm, or fall back on other old habits to cope with your emotions. You may be struggling with anxiety, stress, depression, or fear. Maybe you are in recovery from addiction or an eating disorder, and are having trouble maintaining your progress. You may be navigating your gender and sexual identify. Or perhaps you are concerned that your teenager is dealing with some of these issues. Whatever you are facing, you are not alone! I am here to provide support, guidance, and encouragement.
Kristin Mamrack
Counselor, MA, LCMHCA, NCC
Verified Verified
Waynesville, NC 28786
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.
Online Therapists
Jennifer Livingstone
Clinical Social Work/Therapist, LCSW, LCAS, LISW-CP
Verified Verified
Arden, NC 28704 (Online Only)
Your life has not turned out how you had planned or hoped. You are struggling with depression, anxiety, trauma, anger, substance use, or loss. You find yourself trying to solve this discomfort by repeating behaviors that provide temporary relief, but ultimately lead you further away from the kind of life you want, and the kind of person you want to be. Instead of stuck, exhausted, desperate, and dissatisfied, you'd like to move through your life with confidence, compassion, clarity, trust, creativity, curiosity, and centeredness. You'd like to finally resolve the hurt or pain you have been carrying inside you.
Your life has not turned out how you had planned or hoped. You are struggling with depression, anxiety, trauma, anger, substance use, or loss. You find yourself trying to solve this discomfort by repeating behaviors that provide temporary relief, but ultimately lead you further away from the kind of life you want, and the kind of person you want to be. Instead of stuck, exhausted, desperate, and dissatisfied, you'd like to move through your life with confidence, compassion, clarity, trust, creativity, curiosity, and centeredness. You'd like to finally resolve the hurt or pain you have been carrying inside you.
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.
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.
Savana Williams
Pre-Licensed Professional, PsyD
Verified Verified
Candler, NC 28715 (Online Only)
I have worked with those who are struggling with anxiety, depression, relationship difficulties, life transitions, and have experience in chronic pain/health psychology.
Accepting NEW clients! I know that finding a therapist can be an overwhelming process. I honor your courage and hope that I can provide a soft place for you to land. I aim to foster a safe, empowering, and collaborative space for my clients. Sometimes we find ourselves losing focus of our life's purpose. Together, we can help identify your values and incorporate them in your life. Through mindfulness practices and acceptance-based strategies, I can help you let go of what is no longer serving you. The ultimate goal for my clients is to decrease any areas of distress while pursuing your values and finding more meaning in your life.
I have worked with those who are struggling with anxiety, depression, relationship difficulties, life transitions, and have experience in chronic pain/health psychology.
Accepting NEW clients! I know that finding a therapist can be an overwhelming process. I honor your courage and hope that I can provide a soft place for you to land. I aim to foster a safe, empowering, and collaborative space for my clients. Sometimes we find ourselves losing focus of our life's purpose. Together, we can help identify your values and incorporate them in your life. Through mindfulness practices and acceptance-based strategies, I can help you let go of what is no longer serving you. The ultimate goal for my clients is to decrease any areas of distress while pursuing your values and finding more meaning in your life.
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.
Carol Greenberger
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Asheville, NC 28805
Are you feeling alone, anxious or depressed? Unsatisfied with your career, have chronic pain or illness? Relationship stress, extended family issues? My clients tell me I'm warm, easy to talk to, and down to earth. I use a variety of treatment approaches: psychodynamic and relational, combined with CBT, EFT, and EMDR. EMDR can help almost any problem resolve more quickly because it allows the brain to make changes on a deeper level than just talking. We still talk plenty though, before, during and after EMDR. My clients find telehealth to be helpful and convenient. I see regular clients occasionally at my home office.
Are you feeling alone, anxious or depressed? Unsatisfied with your career, have chronic pain or illness? Relationship stress, extended family issues? My clients tell me I'm warm, easy to talk to, and down to earth. I use a variety of treatment approaches: psychodynamic and relational, combined with CBT, EFT, and EMDR. EMDR can help almost any problem resolve more quickly because it allows the brain to make changes on a deeper level than just talking. We still talk plenty though, before, during and after EMDR. My clients find telehealth to be helpful and convenient. I see regular clients occasionally at my home office.
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.
Jennifer Beeghly
Psychologist, PsyD
Verified Verified
Asheville, NC 28801
I have specialized expertise in providing evidenced-based therapy to treat PTSD, adjustment from military service, relationship dissatisfaction, couple therapy, insomnia, pain, anxiety, somatic concerns, suicidality, and depression.
I am a licensed doctoral level clinical psychologist who provides individual and couple therapy. My approach is individualized based on the specific needs and goals of each client or couple and involves providing warmth and genuineness. My role is to assist you in gaining insight and perspective into the obstacles that are limiting you from living the life that you desire using a supportive and non-judgmental style that will facilitate personal exploration.
I have specialized expertise in providing evidenced-based therapy to treat PTSD, adjustment from military service, relationship dissatisfaction, couple therapy, insomnia, pain, anxiety, somatic concerns, suicidality, and depression.
I am a licensed doctoral level clinical psychologist who provides individual and couple therapy. My approach is individualized based on the specific needs and goals of each client or couple and involves providing warmth and genuineness. My role is to assist you in gaining insight and perspective into the obstacles that are limiting you from living the life that you desire using a supportive and non-judgmental style that will facilitate personal exploration.
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.
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.
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.
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.
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.
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.
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.
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.
See more therapy options for Waynesville
Nearby Chronic Pain Therapists Searches for Waynesville
- Arden
- Asheville
- Black Mountain
- Brevard
- Candler
- Canton
- Fairview
- Fletcher
- Franklin
- Hendersonville
- Sylva
- Weaverville
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.