Photo of Terri George, Licensed Professional Counselor in Berryville, VA
Terri George
Licensed Professional Counselor, MEd, LPC
Verified Verified
Berryville, VA 22611
Waitlist for new clients
Having worked in community mental health for 30+ years, my focuses include healing from trauma, grief, anxiety, depression, chronic pain, and ongoing addiction recovery.
We're all different in the way we experience and manage life. I've always been interested in the wellness of others and have been blessed to witness people find recovery. If you're feeling discouraged, overwhelmed, worried, or sad, together we can discover or revisit the healthy options that you have to navigate those feelings. You've already taken a step in the right direction to manage those feelings by reaching out for help. Connection to others allows us to find peace and to improve quality of life. We can talk about what is going on in your life, what has worked in the past and what has not, and develop a plan to heal.
Having worked in community mental health for 30+ years, my focuses include healing from trauma, grief, anxiety, depression, chronic pain, and ongoing addiction recovery.
We're all different in the way we experience and manage life. I've always been interested in the wellness of others and have been blessed to witness people find recovery. If you're feeling discouraged, overwhelmed, worried, or sad, together we can discover or revisit the healthy options that you have to navigate those feelings. You've already taken a step in the right direction to manage those feelings by reaching out for help. Connection to others allows us to find peace and to improve quality of life. We can talk about what is going on in your life, what has worked in the past and what has not, and develop a plan to heal.
(540) 277-3393 View (540) 277-3393

Online Therapists

Photo of Dr. Laura Russell, Psychologist in Berryville, VA
Dr. Laura Russell
Psychologist, PsyD
Verified Verified
1 Endorsed
Fairfax, VA 22030
Are you feeling emotionally depleted or fearfully uncertain about the future? I offer therapy for individuals who are struggling with anxiety, depression, grief/loss, relationship issues, OCD, insomnia, trauma, chronic pain, and ADHD. If you are feeling distressed, isolated, or experiencing problems in your relationships I hope I can guide you through these challenging times. My goal as your therapist would be to help you find your own pathway to healing, balance, and a peace of mind.
Are you feeling emotionally depleted or fearfully uncertain about the future? I offer therapy for individuals who are struggling with anxiety, depression, grief/loss, relationship issues, OCD, insomnia, trauma, chronic pain, and ADHD. If you are feeling distressed, isolated, or experiencing problems in your relationships I hope I can guide you through these challenging times. My goal as your therapist would be to help you find your own pathway to healing, balance, and a peace of mind.
(571) 526-0449 View (571) 526-0449
Photo of Dr. Danielle M Shpigel, Psychologist in Berryville, VA
Dr. Danielle M Shpigel
Psychologist, PhD
Verified Verified
Arlington, VA 22201  (Online Only)
Choosing a mental health provider can feel daunting. I approach treatment with the philosophy that the foundation for positive change begins with a strong therapist-client relationship and that individuals can find meaning and thrive even amidst life’s most challenging chapters. I am experienced in treating adults with a range of mental health challenges including anxiety, depression, trauma, and life stressors such as relationship and work difficulties. I also specialize in helping clients and their loved ones cope with medical conditions such as pain, insomnia, and cancer, as well as other physical illnesses or disabilities.
Choosing a mental health provider can feel daunting. I approach treatment with the philosophy that the foundation for positive change begins with a strong therapist-client relationship and that individuals can find meaning and thrive even amidst life’s most challenging chapters. I am experienced in treating adults with a range of mental health challenges including anxiety, depression, trauma, and life stressors such as relationship and work difficulties. I also specialize in helping clients and their loved ones cope with medical conditions such as pain, insomnia, and cancer, as well as other physical illnesses or disabilities.
(202) 301-4984 View (202) 301-4984
Photo of Julia Baumgardner Chung, Clinical Social Work/Therapist in Berryville, VA
Julia Baumgardner Chung
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Vienna, VA 22180
My specialties include grief and loss, health psychology for chronic illness, mind/body and experiential treatment of chronic pain and physical symptoms, anxiety, depression, and life transitions.
Congratulations on taking the first step toward a major life change! The decision to begin counseling is an immense gesture of self love and courage. Finding the right fit is so important to the therapeutic process. Whatever brings you here - the loss of a loved one, a major life transition, troubling relationship patterns, chronic illness or pain, or feeling stuck and confused about the future - will be explored with openness, curiosity, and acceptance. Things can feel easier, when explored without shame or judgment. I believe that we all have the innate ability to heal with the right connection and understanding.
My specialties include grief and loss, health psychology for chronic illness, mind/body and experiential treatment of chronic pain and physical symptoms, anxiety, depression, and life transitions.
Congratulations on taking the first step toward a major life change! The decision to begin counseling is an immense gesture of self love and courage. Finding the right fit is so important to the therapeutic process. Whatever brings you here - the loss of a loved one, a major life transition, troubling relationship patterns, chronic illness or pain, or feeling stuck and confused about the future - will be explored with openness, curiosity, and acceptance. Things can feel easier, when explored without shame or judgment. I believe that we all have the innate ability to heal with the right connection and understanding.
(571) 351-1823 View (571) 351-1823
Photo of Ashley Duquette, Counselor in Berryville, VA
Ashley Duquette
Counselor, LPC, LMHC, BC-DMT
Verified Verified
Woodbridge, VA 22193  (Online Only)
When life gets hard, I believe the bravest, most effective thing we can do is face our own emotions and allow ourselves to receive support. If you are feeling lost, unfulfilled or overwhelmed, you can find relief. Unresolved shame can keep us stuck in fear and frozen in old patterns. Within the container of our therapeutic relationship, we can integrate pain from the past and access connection in the present. Healing can happen in a safe, nonjudgemental interpersonal space where we can replace confusion and self-blame with understanding and compassion.
When life gets hard, I believe the bravest, most effective thing we can do is face our own emotions and allow ourselves to receive support. If you are feeling lost, unfulfilled or overwhelmed, you can find relief. Unresolved shame can keep us stuck in fear and frozen in old patterns. Within the container of our therapeutic relationship, we can integrate pain from the past and access connection in the present. Healing can happen in a safe, nonjudgemental interpersonal space where we can replace confusion and self-blame with understanding and compassion.
(718) 683-5774 View (718) 683-5774
Photo of Sarah Douglas, Clinical Social Work/Therapist in Berryville, VA
Sarah Douglas
Clinical Social Work/Therapist, LCSW
Verified Verified
Alexandria, VA 22314  (Online Only)
Sarah specializes in supporting individuals with chronic illness.
Living with a chronic illness can be isolating and undeniably difficult. There are physical, psychological, and social challenges that no person should have to endure alone. Tending to your mental health is an important step toward living a full and meaningful life despite the complexities of chronic conditions.
Sarah specializes in supporting individuals with chronic illness.
Living with a chronic illness can be isolating and undeniably difficult. There are physical, psychological, and social challenges that no person should have to endure alone. Tending to your mental health is an important step toward living a full and meaningful life despite the complexities of chronic conditions.
(703) 783-2148 View (703) 783-2148
Photo of Nathan Kerr, Psychologist in Berryville, VA
Nathan Kerr
Psychologist, PhD, LCP
Verified Verified
1 Endorsed
Alexandria, VA 22314
Life often throws us out of our comfort zone. You may be dealing with a change in relationships, work, or just trying to make it all work. Even mastering one or more areas of your life may leave you feeling like you are floundering to deal with something that you just can't seem to get, no matter how hard you try. Therapy can be a great way to address these struggles, to find out what challenges you may be working through and help to identify ways to address your pain points and meet your goals. We can work together to find a path to a better life.
Life often throws us out of our comfort zone. You may be dealing with a change in relationships, work, or just trying to make it all work. Even mastering one or more areas of your life may leave you feeling like you are floundering to deal with something that you just can't seem to get, no matter how hard you try. Therapy can be a great way to address these struggles, to find out what challenges you may be working through and help to identify ways to address your pain points and meet your goals. We can work together to find a path to a better life.
(571) 570-2737 View (571) 570-2737
Photo of Dr. Catchings Women's Emotional Wellness Center, Clinical Social Work/Therapist in Berryville, VA
Dr. Catchings Women's Emotional Wellness Center
Clinical Social Work/Therapist, PhD, LCSW-S, CFTP, EMDR, LCSWC
Verified Verified
1 Endorsed
Alexandria, VA 22314  (Online Only)
Emotional issues are a community matter that affects us all. I am dedicated to meeting your needs through support, education, and direct services. I believe in a new high standard of response, helping you at the earliest stage and preventing unnecessary impairment and suffering for you and your family. I specialize in relationships, depression, anxiety, and family violence. I also assist with immigration and home studies. My main goal is to ensure you live a happy life, free of pain and negativity. You are not alone. We can walk together until you feel ready to fly. Cynthia V. Catchings, LCSW-S, CMHIMP, CLYL, CFTP, CMS, EMDR-T
Emotional issues are a community matter that affects us all. I am dedicated to meeting your needs through support, education, and direct services. I believe in a new high standard of response, helping you at the earliest stage and preventing unnecessary impairment and suffering for you and your family. I specialize in relationships, depression, anxiety, and family violence. I also assist with immigration and home studies. My main goal is to ensure you live a happy life, free of pain and negativity. You are not alone. We can walk together until you feel ready to fly. Cynthia V. Catchings, LCSW-S, CMHIMP, CLYL, CFTP, CMS, EMDR-T
(571) 253-7505 View (571) 253-7505
Photo of Paula J Hamm, Licensed Professional Counselor in Berryville, VA
Paula J Hamm
Licensed Professional Counselor, MA, LPC
Verified Verified
Winchester, VA 22602  (Online Only)
Running, running, running to where do I ask? Running away from painful feelings is often a compromised solution to painful feelings. Pain and Suffering is the portal to emotional maturity. No one is spared suffering but it is how we choose to make meaning out of loss that makes the difference between thriving or a life of bitterness and defeat. Intentional committment to understanding your unique narrative is the task I can help you with. Together we will identify the patterns of behavior, and intense emotional feelings that dysregulate your emotions. Please visit and contact me through my website; PaulaJHamm.com and send request
Running, running, running to where do I ask? Running away from painful feelings is often a compromised solution to painful feelings. Pain and Suffering is the portal to emotional maturity. No one is spared suffering but it is how we choose to make meaning out of loss that makes the difference between thriving or a life of bitterness and defeat. Intentional committment to understanding your unique narrative is the task I can help you with. Together we will identify the patterns of behavior, and intense emotional feelings that dysregulate your emotions. Please visit and contact me through my website; PaulaJHamm.com and send request
(703) 457-8940 View (703) 457-8940
Photo of Janice L Fristad, Clinical Social Work/Therapist in Berryville, VA
Janice L Fristad
Clinical Social Work/Therapist, LCSW, ACSW
Verified Verified
Leesburg, VA 20175
Are you entering a new life transitions, and need some direction? Do you feel that you are in pain as a couple or in a family situation? Please reach out to me today. I would welcome the opportunity of working with you. I have always felt that my passion in life was to offer support to others and to suggest alternative choices in life. I have a Master's degree in Social Work with a focus on gerontology, but I have had experience in working with youth, adults and seniors.
Are you entering a new life transitions, and need some direction? Do you feel that you are in pain as a couple or in a family situation? Please reach out to me today. I would welcome the opportunity of working with you. I have always felt that my passion in life was to offer support to others and to suggest alternative choices in life. I have a Master's degree in Social Work with a focus on gerontology, but I have had experience in working with youth, adults and seniors.
(703) 215-2389 View (703) 215-2389
Photo of Ashley-Nicole N Sullivan, Clinical Social Work/Therapist in Berryville, VA
Ashley-Nicole N Sullivan
Clinical Social Work/Therapist, LCSW-C, LCSW, LICSW, SAP, CTMH
Verified Verified
2 Endorsed
Manassas, VA 20111
Are you tired of feeling controlled by your anger, substance use, or toxic relationships? Do you feel as if getting out of bed is the hardest part of your day, feeling unable to make decisions and achieve your goals, or frustrated by chronic pain and illness? The first step in any journey is always the hardest, so congratulations on taking it and starting to consider participation in therapy. I would be honored to work with you to identify specifically what is and isn’t working in your life and discover how the skills and strengths you already possess can be applied in new ways to meet your goals.
Are you tired of feeling controlled by your anger, substance use, or toxic relationships? Do you feel as if getting out of bed is the hardest part of your day, feeling unable to make decisions and achieve your goals, or frustrated by chronic pain and illness? The first step in any journey is always the hardest, so congratulations on taking it and starting to consider participation in therapy. I would be honored to work with you to identify specifically what is and isn’t working in your life and discover how the skills and strengths you already possess can be applied in new ways to meet your goals.
(410) 376-8298 View (410) 376-8298
Photo of Tatiana Bergstrom, Drug & Alcohol Counselor in Berryville, VA
Tatiana Bergstrom
Drug & Alcohol Counselor, MA, LSATP, ICADC, CSAC, CAP
Verified Verified
Annandale, VA 22003
Low self- esteem, unresolved pain or relationship issues, guilt, shame, and beliefs that keep you struggling, can be hard to change on your own.
As a therapist, I try to provide my client with a calm, nurturing and safe environment. My approach is person-centered and I try to work in collaboration with my client to help them overcome the barriers of life so that they can reach their goals. Often it feels painful and difficult to challenge cognitive distortions, yet I try to assist in a kind fashion to work toward independence and growth.
Low self- esteem, unresolved pain or relationship issues, guilt, shame, and beliefs that keep you struggling, can be hard to change on your own.
As a therapist, I try to provide my client with a calm, nurturing and safe environment. My approach is person-centered and I try to work in collaboration with my client to help them overcome the barriers of life so that they can reach their goals. Often it feels painful and difficult to challenge cognitive distortions, yet I try to assist in a kind fashion to work toward independence and growth.
(571) 992-0035 View (571) 992-0035
Photo of April Bennett, Licensed Professional Counselor in Berryville, VA
April Bennett
Licensed Professional Counselor, EdS, LPC
Verified Verified
Charlottesville, VA 22902
Accompaniment matters. Relationships transform. We sit together to access the health that is at the center of every human being, even when one of us can’t feel it. We sit because healing happens in relationship, access to true self is made easier in the presence of another person’s settled nervous system, and because your healing matters for the health of all of us. Whether you are facing overwhelm, anger, a frozen feeling, compulsions, depression, trauma, anxiety, or facing other difficult experience, we can touch it with awareness and respect. Our experience includes joy, includes pain, and includes connection and compassion.
Accompaniment matters. Relationships transform. We sit together to access the health that is at the center of every human being, even when one of us can’t feel it. We sit because healing happens in relationship, access to true self is made easier in the presence of another person’s settled nervous system, and because your healing matters for the health of all of us. Whether you are facing overwhelm, anger, a frozen feeling, compulsions, depression, trauma, anxiety, or facing other difficult experience, we can touch it with awareness and respect. Our experience includes joy, includes pain, and includes connection and compassion.
(434) 337-3568 View (434) 337-3568
Photo of The Center for Connection, Healing & Change, GV, Marriage & Family Therapist Intern in Berryville, VA
The Center for Connection, Healing & Change, GV
Marriage & Family Therapist Intern, LMFT, LPC, LCSW, LMFT-R, LPC-R
Verified Verified
1 Endorsed
Gainesville, VA 20155
Accepting new clients - Want to feel whole again? We specialize in the promotion of satisfying, secure, and close relationships, both with ourselves and our loved ones. CCHC focuses on harmonious relationships, emotional calm, and abundant self-worth. We appreciate the impact that connection has on our mental, emotional, and physical well-being - when our relationships are going well, we have the confidence and energy we need to tackle the challenges of life. Sessions can explore ways to heal unresolved issues/pain, know who you are, ask for what you need, and access your resilience in moments of stress.
Accepting new clients - Want to feel whole again? We specialize in the promotion of satisfying, secure, and close relationships, both with ourselves and our loved ones. CCHC focuses on harmonious relationships, emotional calm, and abundant self-worth. We appreciate the impact that connection has on our mental, emotional, and physical well-being - when our relationships are going well, we have the confidence and energy we need to tackle the challenges of life. Sessions can explore ways to heal unresolved issues/pain, know who you are, ask for what you need, and access your resilience in moments of stress.
(703) 879-3275 View (703) 879-3275
Photo of Tina R Curran-Taylor, Licensed Professional Counselor in Berryville, VA
Tina R Curran-Taylor
Licensed Professional Counselor, LPC, ICADC, BC-TMH, NCC
Verified Verified
1 Endorsed
Arlington, VA 22209
With the advancement in therapeutic approaches including Emotional Freedom Techniques, Energy Psychology approaches and Internal Family Systems, we can compassionately address the pain you carry without rehashing it over and over again.
Hi there, I am Tina.. Do you struggle to have strong connections with loved ones, to progress in your life and career? Sometimes you might find that you are tired, struggling to motivate, feel keyed up, react defensively, or use alcohol to relax. Memories of past experiences may find their way into your mind only to distract and create distress. It’s likely you understand what is going on but feel overwhelmed about how to change it or worse, you have tried but haven’t been able to make significant or longstanding changes. This can leave you discouraged and the subject of your inner critic.
With the advancement in therapeutic approaches including Emotional Freedom Techniques, Energy Psychology approaches and Internal Family Systems, we can compassionately address the pain you carry without rehashing it over and over again.
Hi there, I am Tina.. Do you struggle to have strong connections with loved ones, to progress in your life and career? Sometimes you might find that you are tired, struggling to motivate, feel keyed up, react defensively, or use alcohol to relax. Memories of past experiences may find their way into your mind only to distract and create distress. It’s likely you understand what is going on but feel overwhelmed about how to change it or worse, you have tried but haven’t been able to make significant or longstanding changes. This can leave you discouraged and the subject of your inner critic.
(757) 663-4426 View (757) 663-4426
Photo of Michelle Rad Psyd Lcp, Psychologist in Berryville, VA
Michelle Rad Psyd Lcp
Psychologist, MA, PsyD, LCP
Verified Verified
1 Endorsed
Ashburn, VA 20147
Anxiety, depression, self esteem, ADHD, pain and weight management, and eating DOs are some areas of my expertise.
In 2007, I started a small, quality and evidence based therapeutic, neuro and psychological clinic operating in a patient-friendly environment. I wanted a CBT based yet relaxed and pioneering environment for my clients to promote the emotional, mental, spiritual, relational and academic/professional well-being without feeling stigmatized. My focus has been and will continue to be in responsiveness, structure, uniqueness and innovation and research. Please reach out with any questions via email to Support at EvienceBasedConsultation.com Website: www.EvidenceBasedConsultation.com
Anxiety, depression, self esteem, ADHD, pain and weight management, and eating DOs are some areas of my expertise.
In 2007, I started a small, quality and evidence based therapeutic, neuro and psychological clinic operating in a patient-friendly environment. I wanted a CBT based yet relaxed and pioneering environment for my clients to promote the emotional, mental, spiritual, relational and academic/professional well-being without feeling stigmatized. My focus has been and will continue to be in responsiveness, structure, uniqueness and innovation and research. Please reach out with any questions via email to Support at EvienceBasedConsultation.com Website: www.EvidenceBasedConsultation.com
(571) 999-7201 View (571) 999-7201
Photo of Gianna Giuoco, Licensed Professional Counselor in Berryville, VA
Gianna Giuoco
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
3 Endorsed
Culpeper, VA 22701  (Online Only)
Sometimes life brings you challenges that may wear you down and keep you standing still. You might be experiencing an array of emotions such as anxiety, fear, irrational thoughts, chronic pain, or low self-esteem that have become heavy and overwhelming. The negative emotions you are experiencing may be making your life difficult to maneuver. You may even be experiencing challenging life changes or transitions and need some support to help as you traverse the path. This is where the counseling process may help find the hope, strength, and the courage needed to motivate you to move in right direction and find harmony in your life.
Sometimes life brings you challenges that may wear you down and keep you standing still. You might be experiencing an array of emotions such as anxiety, fear, irrational thoughts, chronic pain, or low self-esteem that have become heavy and overwhelming. The negative emotions you are experiencing may be making your life difficult to maneuver. You may even be experiencing challenging life changes or transitions and need some support to help as you traverse the path. This is where the counseling process may help find the hope, strength, and the courage needed to motivate you to move in right direction and find harmony in your life.
(703) 691-5052 View (703) 691-5052
Photo of Courtney Mack, Clinical Social Work/Therapist in Berryville, VA
Courtney Mack
Clinical Social Work/Therapist, LCSW-C
Verified Verified
3 Endorsed
Fairfax, VA 22033  (Online Only)
Waitlist for new clients
Welcome to Water Lily Therapy! My primary areas of practice include depression, anxiety, chronic illness, grief and loss, low self-esteem, OCD, LGBTQIA+ and trauma. My approach is eclectic, but based primarily in Client-Centered, Cognitive Behavioral Therapy, with inclusions of motivational interviewing and narrative therapy techniques. When appropriate, I love to incorporate creative interventions such as art, film and humor! I believe that the bond formed between therapist and client is the foundation for healing, change and growth. My goal is to create a safe space for a person to feel truly heard, accepted and valued.
Welcome to Water Lily Therapy! My primary areas of practice include depression, anxiety, chronic illness, grief and loss, low self-esteem, OCD, LGBTQIA+ and trauma. My approach is eclectic, but based primarily in Client-Centered, Cognitive Behavioral Therapy, with inclusions of motivational interviewing and narrative therapy techniques. When appropriate, I love to incorporate creative interventions such as art, film and humor! I believe that the bond formed between therapist and client is the foundation for healing, change and growth. My goal is to create a safe space for a person to feel truly heard, accepted and valued.
(443) 398-3141 View (443) 398-3141
Photo of Wholesome Minds, LLC., Psychologist in Berryville, VA
Wholesome Minds, LLC.
Psychologist, PsyD, PhD, LCSW-C, LICSW
Verified Verified
McLean, VA 22101  (Online Only)
In therapy and coaching, our focus is on overall mental wellness and improving the mental health and mental capacity of individuals with symptoms related to anxiety, depression, trauma, race-based issues, relationships, life transitions, somatic health, weight loss, pain related issues, and weight management.
We are a group practice of licensed clinical psychologists and social workers. Collectively, we have experience covering the developmental lifespan from assessing and treating young children with behavioral and learning concerns to working with adolescents and (young and older) adult clients who have issues navigating anxiety, depression, PTSD, significant life stressors, and life transitions. Our focus is to help individuals heal, energize, and become aware of their inner strengths. We work to achieve this by providing a safe space, listening to your concerns, and customizing an individualized treatment plan.
In therapy and coaching, our focus is on overall mental wellness and improving the mental health and mental capacity of individuals with symptoms related to anxiety, depression, trauma, race-based issues, relationships, life transitions, somatic health, weight loss, pain related issues, and weight management.
We are a group practice of licensed clinical psychologists and social workers. Collectively, we have experience covering the developmental lifespan from assessing and treating young children with behavioral and learning concerns to working with adolescents and (young and older) adult clients who have issues navigating anxiety, depression, PTSD, significant life stressors, and life transitions. Our focus is to help individuals heal, energize, and become aware of their inner strengths. We work to achieve this by providing a safe space, listening to your concerns, and customizing an individualized treatment plan.
(301) 307-5730 View (301) 307-5730
Photo of The Center for Connection, Healing & Change, LLC, Marriage & Family Therapist in Berryville, VA
The Center for Connection, Healing & Change, LLC
Marriage & Family Therapist, LMFT, LPC, LCSW, LMFT-R, LPC-R
Verified Verified
Fairfax, VA 22030
Accepting new clients - The Center for Connection, Healing & Change focuses on the creation of secure, close, and satisfying relationships- within us and between us. We choose to specialize in relationships because we know the importance of satisfying connections for our mental, emotional, and physical well-being. Services explore the relationship we have with both ourselves and others; how well we can live with emotional ease, know who we are, ask for what we need, be responsive to loved ones, set boundaries, deal with loss, move through stressful experiences, find our purpose, and access resilience in moments of need.
Accepting new clients - The Center for Connection, Healing & Change focuses on the creation of secure, close, and satisfying relationships- within us and between us. We choose to specialize in relationships because we know the importance of satisfying connections for our mental, emotional, and physical well-being. Services explore the relationship we have with both ourselves and others; how well we can live with emotional ease, know who we are, ask for what we need, be responsive to loved ones, set boundaries, deal with loss, move through stressful experiences, find our purpose, and access resilience in moments of need.
(571) 777-0640 View (571) 777-0640

See more therapy options for Berryville


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.