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Photo of Rebecca Fox, Licensed Professional Counselor in Lorena, TX
Rebecca Fox
Licensed Professional Counselor, MA, LPC
Verified Verified
Woodway, TX 76712  (Online Only)
Not accepting new clients
I emphasize a practical approach to health and wellness. We'll assess all areas of health, including emotional, mental, physical, social, personal, and spiritual. My hope for you is simple: that through our work together, you will feel better, restore balance, improve your relationships, and enjoy a satisfying quality of life.
I emphasize a practical approach to health and wellness. We'll assess all areas of health, including emotional, mental, physical, social, personal, and spiritual. My hope for you is simple: that through our work together, you will feel better, restore balance, improve your relationships, and enjoy a satisfying quality of life.
(254) 577-4184 View (254) 577-4184

Online Therapists

Photo of Cristina Peck, Marriage & Family Therapist in Lorena, TX
Cristina Peck
Marriage & Family Therapist, MA, LMFT, LPC
Verified Verified
1 Endorsed
Austin, TX 78759
Issues include chronic pain, burnout, coping with cancer, parenting, relationship and communication skills, and more.
Are you experiencing burnout? Do you over-book or overwork yourself, believing you have no choice? Do you prioritize other people's needs or problems before your own? Caring physicians, nurses, social workers, therapists, caregivers and parents need extra help in deciding how much they can offer and when to pull back to avoid burnout. You may need help if you are an adult child of an alcoholic or grew up in a chaotic or unpredictable home.
Issues include chronic pain, burnout, coping with cancer, parenting, relationship and communication skills, and more.
Are you experiencing burnout? Do you over-book or overwork yourself, believing you have no choice? Do you prioritize other people's needs or problems before your own? Caring physicians, nurses, social workers, therapists, caregivers and parents need extra help in deciding how much they can offer and when to pull back to avoid burnout. You may need help if you are an adult child of an alcoholic or grew up in a chaotic or unpredictable home.
(512) 948-3538 View (512) 948-3538
Photo of Olga Simons, LCSW, Clinical Social Work/Therapist in Lorena, TX
Olga Simons, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Austin, TX 78723
I believe the counseling process needs to be tailored to the needs of each individual and the client-counselor relationship is very important in effectively addressing life situations and emotional pain. My education and experience has prepared me to counsel individuals, couples, and families. I have spent several years gaining expertise providing mindfulness based counseling (Hakomi) to clients interested in this person-centered approach. EMDR and PACT (Psychobiological Approach to Couples Therapy - Stan Tatkin's work) trained. Certified mediator.
I believe the counseling process needs to be tailored to the needs of each individual and the client-counselor relationship is very important in effectively addressing life situations and emotional pain. My education and experience has prepared me to counsel individuals, couples, and families. I have spent several years gaining expertise providing mindfulness based counseling (Hakomi) to clients interested in this person-centered approach. EMDR and PACT (Psychobiological Approach to Couples Therapy - Stan Tatkin's work) trained. Certified mediator.
(512) 829-7418 View (512) 829-7418
Photo of Kelsey Kangos, Psychologist in Lorena, TX
Kelsey Kangos
Psychologist, PhD
Verified Verified
Austin, TX 78757  (Online Only)
I provide therapy using empirically supported treatments including Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Emotion-Focused Therapy, and Dialectical Behavior Therapy. I believe emotional pain must be allowed and accepted in order to be fully felt and heard. I believe that often times, people seek therapy when their pattern of responding to pain has become overwhelming and they are unable to consistently find meaning in their lives. I work to help others accept their current experiences and emotions in order to choose to respond in a way that is no longer dictated by past narratives and/or automatic reactions.
I provide therapy using empirically supported treatments including Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Emotion-Focused Therapy, and Dialectical Behavior Therapy. I believe emotional pain must be allowed and accepted in order to be fully felt and heard. I believe that often times, people seek therapy when their pattern of responding to pain has become overwhelming and they are unable to consistently find meaning in their lives. I work to help others accept their current experiences and emotions in order to choose to respond in a way that is no longer dictated by past narratives and/or automatic reactions.
(512) 641-3299 View (512) 641-3299
Photo of Kelly Pastori, Licensed Professional Counselor in Lorena, TX
Kelly Pastori
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78704
Trauma and abuse: spiritual, emotional, sexual, physical, racial; Nervous system psychoeducation, anxiety/depression; Boundaries and codependency; Sexual identity development, Evangelical fundamentalist Purity culture recovery; White identity development; Chronic illness, unidentified physical pain and stress, psychosomatic stress.
At the heart of my work, I approach therapy from a relational, psychodynamic therapy model, which means I believe the relationship between the client and therapist can be a transformative component in the growth process. I am a LPC combining modern neurobiology with holistic somatic healing, the psychodynamic therapeutic relationship, and body-based practices to create an experiential awakening on a bodily, psychological and emotional level. I work from a somatic-centered therapeutic approach, meaning that I believe that the body tells the stories and narratives. For more information, my website is: www.kellypastori.com
Trauma and abuse: spiritual, emotional, sexual, physical, racial; Nervous system psychoeducation, anxiety/depression; Boundaries and codependency; Sexual identity development, Evangelical fundamentalist Purity culture recovery; White identity development; Chronic illness, unidentified physical pain and stress, psychosomatic stress.
At the heart of my work, I approach therapy from a relational, psychodynamic therapy model, which means I believe the relationship between the client and therapist can be a transformative component in the growth process. I am a LPC combining modern neurobiology with holistic somatic healing, the psychodynamic therapeutic relationship, and body-based practices to create an experiential awakening on a bodily, psychological and emotional level. I work from a somatic-centered therapeutic approach, meaning that I believe that the body tells the stories and narratives. For more information, my website is: www.kellypastori.com
(512) 598-5003 View (512) 598-5003
Photo of Jim D Murphy, Marriage & Family Therapist in Lorena, TX
Jim D Murphy
Marriage & Family Therapist, LMFT
Verified Verified
College Station, TX 77845
Are you overwhelmed with your chronic pain, a chronic illness, or other health challenges and aren't sure if anyone understands your concerns? Do you feel like a burden to your family and friends? Consider getting an ally who can help you find hope and more effectively manage your situation.
Are you overwhelmed with your chronic pain, a chronic illness, or other health challenges and aren't sure if anyone understands your concerns? Do you feel like a burden to your family and friends? Consider getting an ally who can help you find hope and more effectively manage your situation.
(979) 800-3070 View (979) 800-3070
Photo of Michelle E Rodriguez, Marriage & Family Therapist in Lorena, TX
Michelle E Rodriguez
Marriage & Family Therapist, LMFT
Verified Verified
Georgetown, TX 78628
Waitlist for new clients
We are all a work in progress. Maybe you are… struggling with communication and conflict, feeling overwhelmed by grief and pain, looking to find fulfillment in your life, don't know who you or your partner is anymore, wondering how to address past issues/traumas with your partner, feeling burdened by life and choices, or want to foster more meaningful relationships... Maybe none of these fit you, but instead, you have other reasons for looking for a therapist that focuses on relationships. I am here to help you along that path.
We are all a work in progress. Maybe you are… struggling with communication and conflict, feeling overwhelmed by grief and pain, looking to find fulfillment in your life, don't know who you or your partner is anymore, wondering how to address past issues/traumas with your partner, feeling burdened by life and choices, or want to foster more meaningful relationships... Maybe none of these fit you, but instead, you have other reasons for looking for a therapist that focuses on relationships. I am here to help you along that path.
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Photo of Kristine Roberts, Clinical Social Work/Therapist in Lorena, TX
Kristine Roberts
Clinical Social Work/Therapist, LCSW
Verified Verified
Bastrop, TX 78602  (Online Only)
Kris Roberts is a Licensed Clinical Social Worker (LCSW) with over 10 years of professional experience. Kris assists clients with a variety of issues, ranging from anxiety, depression, chronic pain, grief and loss, sexual abuse, and family or relationship issues. Kris specializes in working with children (ages 12 to 18), young adults, adults, families, and couples.
Kris Roberts is a Licensed Clinical Social Worker (LCSW) with over 10 years of professional experience. Kris assists clients with a variety of issues, ranging from anxiety, depression, chronic pain, grief and loss, sexual abuse, and family or relationship issues. Kris specializes in working with children (ages 12 to 18), young adults, adults, families, and couples.
(512) 546-6135 View (512) 546-6135
Photo of Life Solutions Counseling & Family Therapy, PLLC, Marriage & Family Therapist in Lorena, TX
Life Solutions Counseling & Family Therapy, PLLC
Marriage & Family Therapist, LMFT-S, LPC, NCC
Verified Verified
Dallas, TX 75201  (Online Only)
suicidal thoughts/ideation, crisis, partner/family violence, severe mental illness), therefore potential clients will be screened to ensure the appropriateness of therapeutic services offered.
Life Solutions Counseling and Family Therapy, PLLC customizes therapeutic services to meet the individual, couple, family, and/or groups goals. Clients can expect a welcoming environment in an effort to make real life changes. With an emphasis on systemic therapy, we take a nonpathological approach to looking at human relationships and challenges. This benefits the client (s) as they learn how to interact and change problems between themselves and others. Congratulations! Problems are not in you, they are between you and another person(s).
suicidal thoughts/ideation, crisis, partner/family violence, severe mental illness), therefore potential clients will be screened to ensure the appropriateness of therapeutic services offered.
Life Solutions Counseling and Family Therapy, PLLC customizes therapeutic services to meet the individual, couple, family, and/or groups goals. Clients can expect a welcoming environment in an effort to make real life changes. With an emphasis on systemic therapy, we take a nonpathological approach to looking at human relationships and challenges. This benefits the client (s) as they learn how to interact and change problems between themselves and others. Congratulations! Problems are not in you, they are between you and another person(s).
(214) 571-7846 View (214) 571-7846
Photo of Zahara Williams, Clinical Social Work/Therapist in Lorena, TX
Zahara Williams
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
Dallas, TX 75219  (Online Only)
I approach therapy with the ideology that life is a culmination of interconnected parts. Feelings stem from experiences, experiences influence perceptions, and subsequently guide many of the decisions one makes in life. When individuals experience stagnation or challenges, it may be connected to an array of life experiences. This may lead to a challenge with seeing beyond that which is. The subsequent result may serve as a breeding ground for emotional and physical pain, challenges in interpersonal relationships and unresolved grief.
I approach therapy with the ideology that life is a culmination of interconnected parts. Feelings stem from experiences, experiences influence perceptions, and subsequently guide many of the decisions one makes in life. When individuals experience stagnation or challenges, it may be connected to an array of life experiences. This may lead to a challenge with seeing beyond that which is. The subsequent result may serve as a breeding ground for emotional and physical pain, challenges in interpersonal relationships and unresolved grief.
(214) 225-8560 View (214) 225-8560
Photo of Emily E Harrison, Licensed Professional Counselor in Lorena, TX
Emily E Harrison
Licensed Professional Counselor, MA
Verified Verified
3 Endorsed
Austin, TX 78703  (Online Only)
I specialize in acting as a companion on illness, trauma, or grief journeys.
Are you grappling with the impacts of a loss, medical diagnosis, or trauma? Loss is common to the human experience, but when it stems from the death of a loved one or a cancer diagnosis, it can be especially isolating and overwhelming. You’re asking big questions: Will I always feel like this? Is this normal? When will my suffering end? And despite trying therapy in the past or talking to your friends and family, it’s felt like no one has truly understood your experience. You’re craving warmth, safety, and radical unconditional regard—somewhere all of your emotions, questions, and fears can be freely shared and expressed.
I specialize in acting as a companion on illness, trauma, or grief journeys.
Are you grappling with the impacts of a loss, medical diagnosis, or trauma? Loss is common to the human experience, but when it stems from the death of a loved one or a cancer diagnosis, it can be especially isolating and overwhelming. You’re asking big questions: Will I always feel like this? Is this normal? When will my suffering end? And despite trying therapy in the past or talking to your friends and family, it’s felt like no one has truly understood your experience. You’re craving warmth, safety, and radical unconditional regard—somewhere all of your emotions, questions, and fears can be freely shared and expressed.
(512) 692-4782 View (512) 692-4782
Photo of Latosha Kessell Thomas, Licensed Professional Counselor in Lorena, TX
Latosha Kessell Thomas
Licensed Professional Counselor, MS, LPC, RYT, USAF, Veteran
Verified Verified
Austin, TX 78702  (Online Only)
Life transitions can cause great strain in our lives and can lead to even greater pain if not addressed. Signs that you may be struggling with a life transition are depression, anxiety, feeling unsettled and lost, emptiness, fatigue, chronic pain, unexplained ailments, and illnesses. Life is full of painful transitions. Transitions can disconnect you from your true self, what’s important to you, and ultimately disconnect you from a life with meaning. Greater clarity, self-confidence, and balance will help you reconnect with your true self and your values to live a more meaningful and fulfilling life.
Life transitions can cause great strain in our lives and can lead to even greater pain if not addressed. Signs that you may be struggling with a life transition are depression, anxiety, feeling unsettled and lost, emptiness, fatigue, chronic pain, unexplained ailments, and illnesses. Life is full of painful transitions. Transitions can disconnect you from your true self, what’s important to you, and ultimately disconnect you from a life with meaning. Greater clarity, self-confidence, and balance will help you reconnect with your true self and your values to live a more meaningful and fulfilling life.
(832) 990-1678 View (832) 990-1678
Photo of ATX Therapy Center, Licensed Professional Counselor in Lorena, TX
ATX Therapy Center
Licensed Professional Counselor, LPC, LMFT, LCSW
Verified Verified
Austin, TX 78759
Here are some examples of what we can offer during sessions: Improving communication skills, setting boundaries, creating healthy coping skills to manage overwhelming situations, navigating the waves of grief, building healthier couples & family relationships, reducing anxiety or depression symptoms, & managing chronic pain or illness (just to name a few).
It takes great courage to recognize when you could use some additional support in your life, and even more courage to take the first step in reaching out. It may feel easier at times to suffer in silence. ATX Therapy Center is very glad you're here - you deserve to receive the support you need to overcome life's challenges that you are facing, and live your best life. Our team of expert, professional clinicians have experience in helping people with a wide variety of life situations and struggles. We accept most major insurance plans and want to make sure that you have access to affordable, quality healthcare - we're here to help!
Here are some examples of what we can offer during sessions: Improving communication skills, setting boundaries, creating healthy coping skills to manage overwhelming situations, navigating the waves of grief, building healthier couples & family relationships, reducing anxiety or depression symptoms, & managing chronic pain or illness (just to name a few).
It takes great courage to recognize when you could use some additional support in your life, and even more courage to take the first step in reaching out. It may feel easier at times to suffer in silence. ATX Therapy Center is very glad you're here - you deserve to receive the support you need to overcome life's challenges that you are facing, and live your best life. Our team of expert, professional clinicians have experience in helping people with a wide variety of life situations and struggles. We accept most major insurance plans and want to make sure that you have access to affordable, quality healthcare - we're here to help!
(737) 265-7408 View (737) 265-7408
Photo of Chris Williams, Licensed Professional Counselor in Lorena, TX
Chris Williams
Licensed Professional Counselor, MA, LPC, MBA, TX, WI
Verified Verified
1 Endorsed
Georgetown, TX 78628
Everybody is going through something. We all have our own stories to tell, issues we need to face, and storms we have to go through. I want to come alongside you and help you find healing in your circumstances whatever they may be. If you have experienced trauma, have unresolved pain or are struggling with current issues, I want to help you process those things in a healthy, therapeutic way to resolve the negative emotions and behaviors tied to them. Through grief and loss, depression, anxiety or marital problems, I am here to help you find healing, comfort and strength within yourself to overcome and move forward.
Everybody is going through something. We all have our own stories to tell, issues we need to face, and storms we have to go through. I want to come alongside you and help you find healing in your circumstances whatever they may be. If you have experienced trauma, have unresolved pain or are struggling with current issues, I want to help you process those things in a healthy, therapeutic way to resolve the negative emotions and behaviors tied to them. Through grief and loss, depression, anxiety or marital problems, I am here to help you find healing, comfort and strength within yourself to overcome and move forward.
(737) 215-4122 View (737) 215-4122
Photo of Dr. Justin Litvin, Psychologist in Lorena, TX
Dr. Justin Litvin
Psychologist, PhD
Verified Verified
1 Endorsed
Fort Worth, TX 76126
My training has included learning how to improve relationships, increase happiness and joy, develop meaning and purpose, reduce anxiety and depression, recover from trauma and addictions, and enhance sleep and pain management.
Does your anxiety get in the way of doing things? Would you like to improve your relationships with a partner, family, friends, or coworkers? Do you feel down, unmotivated, or not as interested in things as you used to be? If you answered “yes” to any of these questions, there is hope! You are not alone in these experiences, and many people have changed their lives through therapy. Therapy is a journey that we take together. There are many paths we can choose from to go in the direction you desire. Everyone is different, and your path is tailored to your needs, preferences, and values.
My training has included learning how to improve relationships, increase happiness and joy, develop meaning and purpose, reduce anxiety and depression, recover from trauma and addictions, and enhance sleep and pain management.
Does your anxiety get in the way of doing things? Would you like to improve your relationships with a partner, family, friends, or coworkers? Do you feel down, unmotivated, or not as interested in things as you used to be? If you answered “yes” to any of these questions, there is hope! You are not alone in these experiences, and many people have changed their lives through therapy. Therapy is a journey that we take together. There are many paths we can choose from to go in the direction you desire. Everyone is different, and your path is tailored to your needs, preferences, and values.
(817) 396-7205 View (817) 396-7205
Photo of Thanusha Neelapareddy, Psychologist in Lorena, TX
Thanusha Neelapareddy
Psychologist, PsyD
Verified Verified
2 Endorsed
Austin, TX 78703
Dr. Neelapareddy specializes in working with diverse populations, including children, adolescents, young adults, parents, and couples who are facing various challenges such as anxiety, depression, relationship or adjustment issues, as well as chronic illness or pain. With her compassionate approach and extensive experience in the field, she strives to provide personalized care that addresses the unique needs of each individual. Her evidence-based clinical approaches include DBT, CBT, ACT, Gottman Method Couples Therapy, and Motivational Interviewing.
Dr. Neelapareddy specializes in working with diverse populations, including children, adolescents, young adults, parents, and couples who are facing various challenges such as anxiety, depression, relationship or adjustment issues, as well as chronic illness or pain. With her compassionate approach and extensive experience in the field, she strives to provide personalized care that addresses the unique needs of each individual. Her evidence-based clinical approaches include DBT, CBT, ACT, Gottman Method Couples Therapy, and Motivational Interviewing.
(512) 714-8913 View (512) 714-8913
Photo of Deborah Vanko, Licensed Professional Counselor in Lorena, TX
Deborah Vanko
Licensed Professional Counselor, LPC, LMFT
Verified Verified
Austin, TX 78748  (Online Only)
For 30 years I have helped couples and individuals to create a satisfying, loving, conflict-free life by overcoming past or present obstacles. Everyone deserves to be happy and free of emotional pain. I believe empowering people to take charge of their life is liberating. I use a wide variety of counseling approaches customized to fit the individual. These include expressing emotion, identifying helpful and dysfunctional thinking/beliefs and changing behavior or developing strategies to create success. I am an open-minded therapist accepting the diversity of client lifestyle and gender.
For 30 years I have helped couples and individuals to create a satisfying, loving, conflict-free life by overcoming past or present obstacles. Everyone deserves to be happy and free of emotional pain. I believe empowering people to take charge of their life is liberating. I use a wide variety of counseling approaches customized to fit the individual. These include expressing emotion, identifying helpful and dysfunctional thinking/beliefs and changing behavior or developing strategies to create success. I am an open-minded therapist accepting the diversity of client lifestyle and gender.
(512) 515-9483 View (512) 515-9483
Photo of Ali Houshmand, Marriage & Family Therapist in Lorena, TX
Ali Houshmand
Marriage & Family Therapist, MA, LMFT, LPC
Verified Verified
Austin, TX 78746
Seeking support after the death of a loved one, or preparing for the death of a loved one, can be overwhelming. The focus of my work is to support individuals, families, couples, and children/teenagers when they are dealing with the challenges of loss due to an illness or other issues related to loss. I strive to help my clients cope with the difficult prospects of loss such as death, suicide, divorce, marital discord, terminal illness, chronic illness, job loss, and the challenges it brings to the client, and their family.
Seeking support after the death of a loved one, or preparing for the death of a loved one, can be overwhelming. The focus of my work is to support individuals, families, couples, and children/teenagers when they are dealing with the challenges of loss due to an illness or other issues related to loss. I strive to help my clients cope with the difficult prospects of loss such as death, suicide, divorce, marital discord, terminal illness, chronic illness, job loss, and the challenges it brings to the client, and their family.
(512) 764-1045 View (512) 764-1045
Photo of Pamela Morris, Psychologist in Lorena, TX
Pamela Morris
Psychologist, PhD
Verified Verified
1 Endorsed
Fort Worth, TX 76132
Waitlist for new clients
I've been a Psychologist for close to 30 years, working with issues ranging from trauma and abuse, relationship and intimacy issues, self esteem and identity development, addictions, parenting, anxiety, depression, lack of motivation, sexual identity and orientation and serious mental illness.
Hello, It takes courage to speak with a therapist, so I commend you for taking this first step to look for help. I provide a safe, non-judgmental, supportive, genuine and warm space for you to seek and get the help that you need in therapy. I am trained in cognitive and behavioral therapy, but I take an eclectic approach to helping my patients. What this means is that I believe there is not a "one size fits all" way to provide therapy. A skilled therapist should adapt the therapy they provide to each client's individual needs.
I've been a Psychologist for close to 30 years, working with issues ranging from trauma and abuse, relationship and intimacy issues, self esteem and identity development, addictions, parenting, anxiety, depression, lack of motivation, sexual identity and orientation and serious mental illness.
Hello, It takes courage to speak with a therapist, so I commend you for taking this first step to look for help. I provide a safe, non-judgmental, supportive, genuine and warm space for you to seek and get the help that you need in therapy. I am trained in cognitive and behavioral therapy, but I take an eclectic approach to helping my patients. What this means is that I believe there is not a "one size fits all" way to provide therapy. A skilled therapist should adapt the therapy they provide to each client's individual needs.
(817) 242-4315 View (817) 242-4315
Photo of Sara Sloan, Marriage & Family Therapist in Lorena, TX
Sara Sloan
Marriage & Family Therapist, LMFT, CST, AASECT, IRT, MFA
Verified Verified
1 Endorsed
Austin, TX 78750
I help clients with identity & relationship issues stemming from personal/cultural differences, a loss of intimacy, infidelity, premarital, sexual incompatibilities, autoimmunity, disability, chronic pain, miscarriage, infertility, sexual complications, religious issues around sexuality and identity, ED, divorce, a new baby, polyamory, anxiety & depression.
I believe relationships define each of us and form the foundation for our life. I work from a systemic perspective with couples, individuals, and families to create relationships that define not only who we are, but also who we desire to become. I help clients with their relationships, intimacy, connection, communication, and sexual compatibility. I work with a lot of women who have suffered from Narcissistic abuse in relationships and family of origin. I also help those who are confused in their current relationships. I enjoy helping those who have autoimmune disease and cancer redefine their sexuality, relationships and desire.
I help clients with identity & relationship issues stemming from personal/cultural differences, a loss of intimacy, infidelity, premarital, sexual incompatibilities, autoimmunity, disability, chronic pain, miscarriage, infertility, sexual complications, religious issues around sexuality and identity, ED, divorce, a new baby, polyamory, anxiety & depression.
I believe relationships define each of us and form the foundation for our life. I work from a systemic perspective with couples, individuals, and families to create relationships that define not only who we are, but also who we desire to become. I help clients with their relationships, intimacy, connection, communication, and sexual compatibility. I work with a lot of women who have suffered from Narcissistic abuse in relationships and family of origin. I also help those who are confused in their current relationships. I enjoy helping those who have autoimmune disease and cancer redefine their sexuality, relationships and desire.
(512) 982-9836 View (512) 982-9836
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.