Photo of Malka Golden-Wolfe, Marriage & Family Therapist in Anacortes, WA
Malka Golden-Wolfe
Marriage & Family Therapist, LMFT, PhD
Verified Verified
Anacortes, WA 98221  (Online Only)
I can offer you and your spouse, partner or family, Therapy to Support your Life. I have been trained in many modalities and work with my clients in the way that best suites your personality and communication style. I have been a therapist for over three decades working with individuals and family groups to heal wounds, promote understanding, forgiveness and compassion. Strengthen your self Image, become your best self, express your highest potential and awaken your creativity. Live a happy, awakened and conscious LIFE. I can assist and support you in empowering and creating the present and future you desire.
I can offer you and your spouse, partner or family, Therapy to Support your Life. I have been trained in many modalities and work with my clients in the way that best suites your personality and communication style. I have been a therapist for over three decades working with individuals and family groups to heal wounds, promote understanding, forgiveness and compassion. Strengthen your self Image, become your best self, express your highest potential and awaken your creativity. Live a happy, awakened and conscious LIFE. I can assist and support you in empowering and creating the present and future you desire.
(360) 389-2999 View (360) 389-2999

Online Therapists

Photo of Emerald Behavioral Health, PLLC, Clinical Social Work/Therapist in Anacortes, WA
Emerald Behavioral Health, PLLC
Clinical Social Work/Therapist, MSW, MA, LSWAIC
Verified Verified
Bremerton, WA 98312
I focus on wellness instead of illness and look at the patient's strengths to ensure the best life possible.
I have extensive knowledge working with patients with psychosis, substance use, and at high risk of suicide. Focusing on harm reduction, healthy coping skills, and recovery to live the best possible life. With my vast knowledge of the mental health system, I use various modalities toward treatment and don't believe a one size fit all in regard to interventions. I focus on a holistic approach to treatment as you are the expert in your own life. I am here to assist, listen and guide you towards your goals and dreams.
I focus on wellness instead of illness and look at the patient's strengths to ensure the best life possible.
I have extensive knowledge working with patients with psychosis, substance use, and at high risk of suicide. Focusing on harm reduction, healthy coping skills, and recovery to live the best possible life. With my vast knowledge of the mental health system, I use various modalities toward treatment and don't believe a one size fit all in regard to interventions. I focus on a holistic approach to treatment as you are the expert in your own life. I am here to assist, listen and guide you towards your goals and dreams.
(360) 515-3234 x1 View (360) 515-3234 x1
Photo of Christopher John Olsen, Counselor in Anacortes, WA
Christopher John Olsen
Counselor, MS, LMHC
Verified Verified
Seattle, WA 98112
Let's get started, call me so you can start getting relief from your pain, confusion or fear. I provide psychotherapy and counseling for adults, teens, children and couples. A sign that therapy would be helpful is the presence of recurring pain in relationships, lack of intimacy, loss of friendships, work or career dissatisfaction, shame, physical symptoms or lack of meaning in your life.
Let's get started, call me so you can start getting relief from your pain, confusion or fear. I provide psychotherapy and counseling for adults, teens, children and couples. A sign that therapy would be helpful is the presence of recurring pain in relationships, lack of intimacy, loss of friendships, work or career dissatisfaction, shame, physical symptoms or lack of meaning in your life.
(206) 966-4413 View (206) 966-4413
Photo of Jennifer Croke, Clinical Social Work/Therapist in Anacortes, WA
Jennifer Croke
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98422
I have worked with the elderly, helping the client cope with the onset of a fatal illness, thus bereavement is unique to my practice.
Preferred contact method is email, please check your junk for my reply! I feel so fortunate to have found a career that I love, and cherish! My practice came about in the form of an epiphany one day, as I sat on the AIDS unit in NYC as a volunteer. As I listened to a man share his story, I realized that he had not been celebrated for his many talents, but had been ostracized for having AIDS. I decided that my philosophy was going to be-"our differences are what make us beautiful, we should all be celebrated for our uniqueness." This is the philosophy I live by daily.
I have worked with the elderly, helping the client cope with the onset of a fatal illness, thus bereavement is unique to my practice.
Preferred contact method is email, please check your junk for my reply! I feel so fortunate to have found a career that I love, and cherish! My practice came about in the form of an epiphany one day, as I sat on the AIDS unit in NYC as a volunteer. As I listened to a man share his story, I realized that he had not been celebrated for his many talents, but had been ostracized for having AIDS. I decided that my philosophy was going to be-"our differences are what make us beautiful, we should all be celebrated for our uniqueness." This is the philosophy I live by daily.
(253) 259-3202 View (253) 259-3202
Photo of Jim Hjort, Clinical Social Work/Therapist in Anacortes, WA
Jim Hjort
Clinical Social Work/Therapist, LCSW, LICSW, CMT-P
Verified Verified
Seattle, WA 98164  (Online Only)
Suffering with emotional pain can leave us feeling disoriented and miserable in the present, and discouraged and afraid about the future. Yet we all have an innate impulse to survive, heal, and recover. You're heeding that impulse right now—all we need to begin your journey of healing is for you to keep heeding it. We'll discover the rest together, one step at a time. Imagine getting to know new parts of yourself and giving them the attention they’ve been yearning for. Hopping out of bed in the morning feeling whole, healthy, and positive. Meeting life’s difficulties with skill and finesse instead of brute force.
Suffering with emotional pain can leave us feeling disoriented and miserable in the present, and discouraged and afraid about the future. Yet we all have an innate impulse to survive, heal, and recover. You're heeding that impulse right now—all we need to begin your journey of healing is for you to keep heeding it. We'll discover the rest together, one step at a time. Imagine getting to know new parts of yourself and giving them the attention they’ve been yearning for. Hopping out of bed in the morning feeling whole, healthy, and positive. Meeting life’s difficulties with skill and finesse instead of brute force.
(424) 292-4636 View (424) 292-4636
Photo of Lisa Geraud LMFT RD, Marriage & Family Therapist in Anacortes, WA
Lisa Geraud LMFT RD
Marriage & Family Therapist, MA, LMFT, MS, RD
Verified Verified
Bellevue, WA 98005  (Online Only)
Waitlist for new clients
I am an experienced licensed marriage and family therapist specializing in the assessment and treatment of eating disorders, anxiety, depression and relationship issues. I also teach emotion skills classes. I am also a registered dietitian (RD), which enables me to provide nutrition assessment and counseling for persons with eating and weight concerns or eating disorders. I support and guide families through relational conflict, psychiatric illness and loss. I enjoy working with males and female children over age 12, adolescents and adults.
I am an experienced licensed marriage and family therapist specializing in the assessment and treatment of eating disorders, anxiety, depression and relationship issues. I also teach emotion skills classes. I am also a registered dietitian (RD), which enables me to provide nutrition assessment and counseling for persons with eating and weight concerns or eating disorders. I support and guide families through relational conflict, psychiatric illness and loss. I enjoy working with males and female children over age 12, adolescents and adults.
(425) 320-1679 View (425) 320-1679
Photo of Wade Walter, MA, LMHC, LLC, Counselor in Anacortes, WA
Wade Walter, MA, LMHC, LLC
Counselor, MA, LMHC, BC-TMH, CCATP, CSTIP
Verified Verified
Port Orchard, WA 98367  (Online Only)
I have provided crisis intervention, clinical case management and counseling to individuals with severe and persistent mental illness in community mental health centers in Washington and Oregon.
I have over 36 years of broad and rich experience in the mental health field. Anxiety and mood disorders as well as personality disorders are a particular area of specialization for me. I am a Certified Clinical Anxiety Treatment Professional (CCATP), a Certified Sex Therapy Informed Provider (CSTIP) and specialize also in treatment of Personality Disorders. My clients achieve rapid results through exploration of how their thoughts effect their emotional experiences. My theoretical orientation is Cognitive Behavioral and Mindfulness techniques also important to my work with clients. I work with individuals, couples, and families.
I have provided crisis intervention, clinical case management and counseling to individuals with severe and persistent mental illness in community mental health centers in Washington and Oregon.
I have over 36 years of broad and rich experience in the mental health field. Anxiety and mood disorders as well as personality disorders are a particular area of specialization for me. I am a Certified Clinical Anxiety Treatment Professional (CCATP), a Certified Sex Therapy Informed Provider (CSTIP) and specialize also in treatment of Personality Disorders. My clients achieve rapid results through exploration of how their thoughts effect their emotional experiences. My theoretical orientation is Cognitive Behavioral and Mindfulness techniques also important to my work with clients. I work with individuals, couples, and families.
(360) 329-9876 View (360) 329-9876
Photo of Rachel Hilliard Psychotherapy, Counselor in Anacortes, WA
Rachel Hilliard Psychotherapy
Counselor, MA, LMHC
Verified Verified
Freeland, WA 98249
*Accepting new clients*- It can be lonely and overwhelming to find ourselves in emotional struggle. The therapeutic relationship is unique and one that I deeply trust. It's instrumental to have a companion and guide as we traverse these unchartered inner landscapes. The pain we feel invites us on a transformative journey from obscurity to clarity. It's so tempting to contract when we are challenged, but it's critical to soften and trust into the process. This movement through our pain rearranges us into an expanded version of ourselves. I bring the qualities of warmth, openness, and curiosity to this transformative work together.
*Accepting new clients*- It can be lonely and overwhelming to find ourselves in emotional struggle. The therapeutic relationship is unique and one that I deeply trust. It's instrumental to have a companion and guide as we traverse these unchartered inner landscapes. The pain we feel invites us on a transformative journey from obscurity to clarity. It's so tempting to contract when we are challenged, but it's critical to soften and trust into the process. This movement through our pain rearranges us into an expanded version of ourselves. I bring the qualities of warmth, openness, and curiosity to this transformative work together.
(360) 226-5416 View (360) 226-5416
Photo of Lena L Boyle, Clinical Social Work/Therapist in Anacortes, WA
Lena L Boyle
Clinical Social Work/Therapist, LICSW
Verified Verified
Mountlake Terrace, WA 98043
Waitlist for new clients
Whether it is situational stressors or more long-term issues that you are dealing with such as a chronic or pervasive mental illness, let me assist you as you walk the path of life. We can identify where there is room for healthy changes and develop a well-rounded supply of coping strategies that are tailored to you specifically to deal with those issues that cannot be changed. As a therapist I believe that each person is an individual with individual needs that must be addressed from their perspectives and abilities. I utilize several evidenced based practices to help you on your journey.
Whether it is situational stressors or more long-term issues that you are dealing with such as a chronic or pervasive mental illness, let me assist you as you walk the path of life. We can identify where there is room for healthy changes and develop a well-rounded supply of coping strategies that are tailored to you specifically to deal with those issues that cannot be changed. As a therapist I believe that each person is an individual with individual needs that must be addressed from their perspectives and abilities. I utilize several evidenced based practices to help you on your journey.
(509) 800-5795 View (509) 800-5795
Photo of Steven Kubacki, Psychologist in Anacortes, WA
Steven Kubacki
Psychologist, PhD
Verified Verified
Seattle, WA 98115
I have been providing psychotherapy and consulting services since 1993 for adults, adolescents, children, couples, and families. My practice is quite diverse and involves the following services: (1) Treatment of PTSD, trauma, bereavement, relationship issues, depression, anxiety disorders, eating disorders, borderline disorder, ADHD, bipolar, conduct disorders, obsessive-compulsive disorder, and Asperger’s. (2) Treatment of chronic pain, quality of life issues, and psychology problems due to debilitating or acute illnesses, such as cancer and auto-immune diseases. (3) Personal growth, spiritual development, and wellness counseling. (4) Sports psychology to improve performance and motivation. (5) Cognitive, personality, learning, and pre-surgical assessments.
I have been providing psychotherapy and consulting services since 1993 for adults, adolescents, children, couples, and families. My practice is quite diverse and involves the following services: (1) Treatment of PTSD, trauma, bereavement, relationship issues, depression, anxiety disorders, eating disorders, borderline disorder, ADHD, bipolar, conduct disorders, obsessive-compulsive disorder, and Asperger’s. (2) Treatment of chronic pain, quality of life issues, and psychology problems due to debilitating or acute illnesses, such as cancer and auto-immune diseases. (3) Personal growth, spiritual development, and wellness counseling. (4) Sports psychology to improve performance and motivation. (5) Cognitive, personality, learning, and pre-surgical assessments.
(206) 922-8133 View (206) 922-8133
Photo of Rosemary Bannon Tyksinski, PhD, LLC, Counselor in Anacortes, WA
Rosemary Bannon Tyksinski, PhD, LLC
Counselor, PhD, LMHC, NBCMC , BCC
Verified Verified
2 Endorsed
Burien, WA 98166
No matter who you are, what you've accomplished (or haven't ) your pain is common to all.
Awarded Bellevue's Best Mental Health & Counseling Business for 8 consecutive years. Because your life isn't like anyone else's your therapy shouldn't be either. Your therapy is designed to fit your needs, strengths, vulnerabilities, and personality. I offer a flexible array of therapeutic approaches providing both short-term problem-focused therapy and long-term attachment-based therapy. Your therapy is approached holistically because every part of your life and health are important to your well being.
No matter who you are, what you've accomplished (or haven't ) your pain is common to all.
Awarded Bellevue's Best Mental Health & Counseling Business for 8 consecutive years. Because your life isn't like anyone else's your therapy shouldn't be either. Your therapy is designed to fit your needs, strengths, vulnerabilities, and personality. I offer a flexible array of therapeutic approaches providing both short-term problem-focused therapy and long-term attachment-based therapy. Your therapy is approached holistically because every part of your life and health are important to your well being.
(206) 590-4516 View (206) 590-4516
Photo of D. Michael Louderback, Counselor in Anacortes, WA
D. Michael Louderback
Counselor, MA, LMHC
Verified Verified
7 Endorsed
Seattle, WA 98109
It is the intimate opportunity to get into relationship with psychic organization, pain, and suffering with the hope of understanding and overcoming these issues with greater freedom.
We are all alive and trying to learn something about living; we live the way that we feel. We do this automatically (and whether we know it or not) in relationship: in relating to our self and to others. Therefore, my philosophy is everything is emotional and relational and mindful; everything matters.
It is the intimate opportunity to get into relationship with psychic organization, pain, and suffering with the hope of understanding and overcoming these issues with greater freedom.
We are all alive and trying to learn something about living; we live the way that we feel. We do this automatically (and whether we know it or not) in relationship: in relating to our self and to others. Therefore, my philosophy is everything is emotional and relational and mindful; everything matters.
(206) 580-8338 View (206) 580-8338
Photo of Neil R. Jones, Counselor in Anacortes, WA
Neil R. Jones
Counselor, MA, LMHC
Verified Verified
Woodinville, WA 98072
I enjoy working with couples, working with people experiencing anxiety, OCD, panic (anxiety) attacks, depression, chronic pain, and pornography addiction.
I provide a combination of evidence-based and relational therapies to provide individuals, couples, and families the best possible outcomes toward their goals. Combining compassion and information to help people identify the specific obstacles in their lives that hold them back from being satisfied and content in their lives, I help them decide on a plan of action to effect the change in their life that they desire. My goal is to provide you with the tools you need and work together to learn how to effectively implement them and utilize them for life.
I enjoy working with couples, working with people experiencing anxiety, OCD, panic (anxiety) attacks, depression, chronic pain, and pornography addiction.
I provide a combination of evidence-based and relational therapies to provide individuals, couples, and families the best possible outcomes toward their goals. Combining compassion and information to help people identify the specific obstacles in their lives that hold them back from being satisfied and content in their lives, I help them decide on a plan of action to effect the change in their life that they desire. My goal is to provide you with the tools you need and work together to learn how to effectively implement them and utilize them for life.
(425) 728-8212 View (425) 728-8212
Photo of Karyn Andriesen, Counselor in Anacortes, WA
Karyn Andriesen
Counselor, MA, LMHCA
Verified Verified
4 Endorsed
Seattle, WA 98125  (Online Only)
Sometimes in life we all need a “companion on the journey,” someone to partner with us and help make sense of our experience, ease our pain, and support our goals. As a therapist, I am committed to providing a safe environment where individuals can identify their strengths, recognize unhelpful patterns, and live into their goals. Working from an integrative, client-centered approach, I seek to support individuals wherever they are on their journey and my approach is holistic, collaborative, and non-judgmental. I value cultural humility and look forward to working with people of all backgrounds, identities, and walks of life.
Sometimes in life we all need a “companion on the journey,” someone to partner with us and help make sense of our experience, ease our pain, and support our goals. As a therapist, I am committed to providing a safe environment where individuals can identify their strengths, recognize unhelpful patterns, and live into their goals. Working from an integrative, client-centered approach, I seek to support individuals wherever they are on their journey and my approach is holistic, collaborative, and non-judgmental. I value cultural humility and look forward to working with people of all backgrounds, identities, and walks of life.
(206) 752-3471 View (206) 752-3471
Photo of Carly Palady Klee, Clinical Social Work/Therapist in Anacortes, WA
Carly Palady Klee
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
1 Endorsed
Maple Valley, WA 98038  (Online Only)
I am out-of-country 12/14-12/31. I will not be scheduling intakes nor consults during this time. Please include in an inquiry name, number, insurance and availability. I will schedule consults when I return. Thank you! I help busy women, moms, First Responders, those living with chronic illness, and trauma to live fuller lives, process trauma, decrease anxiety and depression, thrive, and find Joy again! I work in CBT, CPT, and ACT therapy protocols for PTSD, anxiety and depression as well as chronic health. I also coach high-performing women to go from burnout to breakthrough in their careers, with less stress.
I am out-of-country 12/14-12/31. I will not be scheduling intakes nor consults during this time. Please include in an inquiry name, number, insurance and availability. I will schedule consults when I return. Thank you! I help busy women, moms, First Responders, those living with chronic illness, and trauma to live fuller lives, process trauma, decrease anxiety and depression, thrive, and find Joy again! I work in CBT, CPT, and ACT therapy protocols for PTSD, anxiety and depression as well as chronic health. I also coach high-performing women to go from burnout to breakthrough in their careers, with less stress.
(360) 516-4489 View (360) 516-4489
Photo of Diana Tilson, Clinical Social Work/Therapist in Anacortes, WA
Diana Tilson
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Mill Creek, WA 98012  (Online Only)
Waitlist for new clients
Do you feel stuck? I am here to help you identify and change patterns that are no longer serving you. By listening to you without judgment, I gain a deep understanding of what is bringing you to therapy, then collaborate with you to identify new ways of thinking and being that will work better for you. Problems I often help with include processing adverse childhood experiences and recognizing how they impact us as adults; changing codependent relationship patterns; understanding the impact of attachment styles on relationships; restructuring negative thoughts; healing from eating disorders; coping with chronic illness; and more.
Do you feel stuck? I am here to help you identify and change patterns that are no longer serving you. By listening to you without judgment, I gain a deep understanding of what is bringing you to therapy, then collaborate with you to identify new ways of thinking and being that will work better for you. Problems I often help with include processing adverse childhood experiences and recognizing how they impact us as adults; changing codependent relationship patterns; understanding the impact of attachment styles on relationships; restructuring negative thoughts; healing from eating disorders; coping with chronic illness; and more.
(425) 224-5333 View (425) 224-5333
Photo of Carolann Freedman in Anacortes, WA
Carolann Freedman
MA, LMHC, NCC, NBCCH
Verified Verified
Seattle, WA 98105
Over the years I've worked with many individuals facing illness, loss and change.
As a clinical therapist, I help people who are struggling with feelings of anxiety, depression and loss. I teach my clients to practice what I call "the reverse golden rule": treat yourself as you would treat others! We are often so critical of ourselves, while with a friend we would be kind, supportive, compassionate. My 20+ years of experience have given me the tools to work using an eclectic approach that I tailor to each client. I offer a comfortable, safe environment where you can explore your thoughts and feelings, where you can feel heard, understood and validated.
Over the years I've worked with many individuals facing illness, loss and change.
As a clinical therapist, I help people who are struggling with feelings of anxiety, depression and loss. I teach my clients to practice what I call "the reverse golden rule": treat yourself as you would treat others! We are often so critical of ourselves, while with a friend we would be kind, supportive, compassionate. My 20+ years of experience have given me the tools to work using an eclectic approach that I tailor to each client. I offer a comfortable, safe environment where you can explore your thoughts and feelings, where you can feel heard, understood and validated.
(206) 999-3883 View (206) 999-3883
Photo of Trevor White, Marriage & Family Therapist in Anacortes, WA
Trevor White
Marriage & Family Therapist, LMFT, MS
Verified Verified
Seattle, WA 98103
In my professional training I have obtained specialized experience working with Couples, specifically couples dealing with Infidelity, Pre-marital therapy, Individuals dealing with Anxiety, Depression, Substance Abuse/Misuse, Chronic Mental Illness, and Adolescents dealing with adjustment disorders.
I am a Licensed Marriage and Family Therapist Associate and Licensed Mental Health Professional in the State of Washington My training primarily comes from my time obtaining my Masters in Science from Seattle Pacific University. While in school I specialized in Narrative therapy as well as various other Post-Modern therapies. I have wide and varied experience ranging from working with clients in elementary schools to clients in jail, and everyone in between. Sometimes I joke that I have seen clients for every part of the DSM, but of course that's not true, I am still missing two diagnoses.
In my professional training I have obtained specialized experience working with Couples, specifically couples dealing with Infidelity, Pre-marital therapy, Individuals dealing with Anxiety, Depression, Substance Abuse/Misuse, Chronic Mental Illness, and Adolescents dealing with adjustment disorders.
I am a Licensed Marriage and Family Therapist Associate and Licensed Mental Health Professional in the State of Washington My training primarily comes from my time obtaining my Masters in Science from Seattle Pacific University. While in school I specialized in Narrative therapy as well as various other Post-Modern therapies. I have wide and varied experience ranging from working with clients in elementary schools to clients in jail, and everyone in between. Sometimes I joke that I have seen clients for every part of the DSM, but of course that's not true, I am still missing two diagnoses.
(206) 466-3011 View (206) 466-3011
Photo of Carefrontations, Drug & Alcohol Counselor in Anacortes, WA
Carefrontations
Drug & Alcohol Counselor, SUDP, CDSIII, CC
Verified Verified
Camano Island, WA 98282
Changing your story from despair to relief for families and businesses impacted by the wide array of dysfunctions and addictions threatening someone you care about can be turned around through strength based intervention services, relapse prevention, recovery protection, family workshops and safe escorts. Don't wonder what to do, don't wish you had done something more effective! Learn about our methods and services for no obligation.
Changing your story from despair to relief for families and businesses impacted by the wide array of dysfunctions and addictions threatening someone you care about can be turned around through strength based intervention services, relapse prevention, recovery protection, family workshops and safe escorts. Don't wonder what to do, don't wish you had done something more effective! Learn about our methods and services for no obligation.
(360) 529-5617 View (360) 529-5617
Photo of Jeffrey Serage, Counselor in Anacortes, WA
Jeffrey Serage
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98136  (Online Only)
My ideal client is someone who has an intention to change. During my 31 years as a practicing therapist I have encountered a wide range of issues. Having worked with a large number of clients to the point of solution, I have concluded that in the end, the core of helping people is to listen. Effective listening gives me a deep understanding of their current situation. I can then gently point them toward getting more of what they want. My experience and compassion have often proven to be crucial elements for our success. This is the work of my life.
My ideal client is someone who has an intention to change. During my 31 years as a practicing therapist I have encountered a wide range of issues. Having worked with a large number of clients to the point of solution, I have concluded that in the end, the core of helping people is to listen. Effective listening gives me a deep understanding of their current situation. I can then gently point them toward getting more of what they want. My experience and compassion have often proven to be crucial elements for our success. This is the work of my life.
(206) 707-9303 View (206) 707-9303
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.