Therapists in Cordova, NC
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KH McLean, Counseling Services PLLC
Licensed Clinical Mental Health Counselor, LCMHCS, LPC, MAC, CCTP
Verified Verified
Rockingham, NC 28379
Welcome to my website! Hello my Name is Kozma Hoskins McLean, and I am here to assist you! K. H. McLean, Counseling Services PLLC, is owned & operated by Kozma Marie Hoskins McLean, MS, LCMHCS, LPC, MAC, CCTP. Specializing in Child, Adolescent & Family Services. I am a professionally trained fully Licensed Clinical Mental Health Counselor Supervisor , (LCMHCS) in NC, Licensed Professional Counselor, (LPC), in SC and VA. Certified Master Addictions Counselor & Certified Clinical Trauma Professional.Over the last 13-years I have worked as a Continuing Education Instructor, Social Worker/Bereavement (CM), for Hospice, & Contract OPT.
Welcome to my website! Hello my Name is Kozma Hoskins McLean, and I am here to assist you! K. H. McLean, Counseling Services PLLC, is owned & operated by Kozma Marie Hoskins McLean, MS, LCMHCS, LPC, MAC, CCTP. Specializing in Child, Adolescent & Family Services. I am a professionally trained fully Licensed Clinical Mental Health Counselor Supervisor , (LCMHCS) in NC, Licensed Professional Counselor, (LPC), in SC and VA. Certified Master Addictions Counselor & Certified Clinical Trauma Professional.Over the last 13-years I have worked as a Continuing Education Instructor, Social Worker/Bereavement (CM), for Hospice, & Contract OPT.
Online Therapists
Diana D. Landers
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Charlotte, NC 28273
I have a special interest in working with families, with men, and with illness or chronic pain.
A lonely moment. A slight stressor. A tipping point or crisis. A sense of vulnerability or troubling thoughts. Maybe you are in physical pain. Something has called you to therapy, and you are seeking a guide to walk alongside you. My goal is to provide you both a place of comfort and autonomy, yet ensure we have the flexibility and willingness to go where we must. I am a therapist. I am also a parent, a spouse, a daughter, and a sibling. I believe that family bonds, or lack thereof, shape who we become and I cannot guide you where I haven’t also been myself.
I have a special interest in working with families, with men, and with illness or chronic pain.
A lonely moment. A slight stressor. A tipping point or crisis. A sense of vulnerability or troubling thoughts. Maybe you are in physical pain. Something has called you to therapy, and you are seeking a guide to walk alongside you. My goal is to provide you both a place of comfort and autonomy, yet ensure we have the flexibility and willingness to go where we must. I am a therapist. I am also a parent, a spouse, a daughter, and a sibling. I believe that family bonds, or lack thereof, shape who we become and I cannot guide you where I haven’t also been myself.
Paige Orlandi-Holmes
Licensed Clinical Mental Health Counselor, MEd, LCMHC
Verified Verified
19 Endorsed
Raleigh, NC 27607
Waitlist for new clients
I enjoy helping young adults in transitions or seeking career counseling, clients overcoming trauma, anxiety, depression, pregnancy/postpartum, or chronic illness/pain, and highly sensitive people.
Accepting New Clients. Our world today can be such a loud, chaotic, unpredictable place - and we are all feeling it, especially post COVID. Life can knock us to the ground and then lift us up to the highest of highs. None of us are immune to pain, but this is of course what makes us human. If you choose to work with me, I will be someone who can support you, encourage you to grow with self-discovery, guide you towards a greater sense of well-being, and help you feel empowered to manage life’s ups and downs.
I enjoy helping young adults in transitions or seeking career counseling, clients overcoming trauma, anxiety, depression, pregnancy/postpartum, or chronic illness/pain, and highly sensitive people.
Accepting New Clients. Our world today can be such a loud, chaotic, unpredictable place - and we are all feeling it, especially post COVID. Life can knock us to the ground and then lift us up to the highest of highs. None of us are immune to pain, but this is of course what makes us human. If you choose to work with me, I will be someone who can support you, encourage you to grow with self-discovery, guide you towards a greater sense of well-being, and help you feel empowered to manage life’s ups and downs.
Nancy E Arnold
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Charlotte, NC 28204
I work with adult individuals/couples presenting with relationship issues describing symptoms of anxiety, anger, infidelity, depression, addiction, chronic illness/pain, grief, shame, low self-worth.
Do your relationships repeat the same frustrating cycles? Are you consistently feeling frustrated, angry or confused? Are you trying, to no avail, to be what you have always learned was "right" in relationships? What you believe about yourself and others influences the majority of your choices. Those feelings of hurt and frustration in relationships, often result in questions like "why?" and "what next?". I work with my clients to explore those feelings, attempting to uncover past and present patterns and beliefs influencing how you show up. Your work with me will move toward finding authenticity, truth and healing.
I work with adult individuals/couples presenting with relationship issues describing symptoms of anxiety, anger, infidelity, depression, addiction, chronic illness/pain, grief, shame, low self-worth.
Do your relationships repeat the same frustrating cycles? Are you consistently feeling frustrated, angry or confused? Are you trying, to no avail, to be what you have always learned was "right" in relationships? What you believe about yourself and others influences the majority of your choices. Those feelings of hurt and frustration in relationships, often result in questions like "why?" and "what next?". I work with my clients to explore those feelings, attempting to uncover past and present patterns and beliefs influencing how you show up. Your work with me will move toward finding authenticity, truth and healing.
Darren Keith Young
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Knightdale, NC 27545
Our goal is to help you grow from your struggles, heal from your pain, and move forward to where you want to be in your life.
Life is challenging. Sometimes we need professional support to help us navigate our way back to full recovery. Let me help you. I enjoy working with individuals who are trying to make sense of their lives. Whether it involves issues concerning anxiety, depression, stress, anger, life transition(s), academic/work performance, or other personal challenges, I will provide you with a supportive and safe space to assist you in gaining insight into your life.
Our goal is to help you grow from your struggles, heal from your pain, and move forward to where you want to be in your life.
Life is challenging. Sometimes we need professional support to help us navigate our way back to full recovery. Let me help you. I enjoy working with individuals who are trying to make sense of their lives. Whether it involves issues concerning anxiety, depression, stress, anger, life transition(s), academic/work performance, or other personal challenges, I will provide you with a supportive and safe space to assist you in gaining insight into your life.
Lauren Cardwell
Clinical Social Work/Therapist, LCSW
Verified Verified
Chapel Hill, NC 27517
She has a special interest in people experiencing chronic illness, grief and loss, medical professional burn out, perinatal and postpartum depression, and the special needs population.
****Not accepting new clients***Lauren Cardwell, MSW, LCSW is a clinical therapist.. She believes that being a human is hard and messy, but that people have the capability to be resilient. She is passionate about helping others make positive changes in their own timing. Her approach to therapy is strengths-based and a collaborative experience between her and her clients. Her goal of therapy is to help clients feel seen and heard in their experiences. She utilizes Solution Focused Therapy, Cognitive Behavioral Therapy, and is trauma-focused. She is LBGTQ+ affirming and works with individuals, children, adults, couples, and families.
She has a special interest in people experiencing chronic illness, grief and loss, medical professional burn out, perinatal and postpartum depression, and the special needs population.
****Not accepting new clients***Lauren Cardwell, MSW, LCSW is a clinical therapist.. She believes that being a human is hard and messy, but that people have the capability to be resilient. She is passionate about helping others make positive changes in their own timing. Her approach to therapy is strengths-based and a collaborative experience between her and her clients. Her goal of therapy is to help clients feel seen and heard in their experiences. She utilizes Solution Focused Therapy, Cognitive Behavioral Therapy, and is trauma-focused. She is LBGTQ+ affirming and works with individuals, children, adults, couples, and families.
Karen Maynard
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
Clemmons, NC 27012
Stress and emotional pain certainly impact employment/school performance, interpersonal relationships, and physical health. Chronic stress/emotional pain can lead to symptoms of depression, anxiety, and misguided coping through substances. It changes your perception; contributes to conflict with family/friends and situations previously managed become overwhelming. If this sounds familiar, Health Matters can help.
Stress and emotional pain certainly impact employment/school performance, interpersonal relationships, and physical health. Chronic stress/emotional pain can lead to symptoms of depression, anxiety, and misguided coping through substances. It changes your perception; contributes to conflict with family/friends and situations previously managed become overwhelming. If this sounds familiar, Health Matters can help.
Dr. Aqsa Salman
Licensed Clinical Mental Health Counselor, LCMHC, DBH
Verified Verified
1 Endorsed
Concord, NC 28025 (Online Only)
You are not your pain or your struggles! Dr. Salman provides “whole person care” through Motivational interviewing techniques, Acceptance & Commitment therapy, Cognitive Behavioral therapy, Mindfulness and Person-centered care. Dr. Salman provides Teletherapy in NC via a HIPPA compliant platform. Dr. Salman believes and specializes in providing services to individuals struggling with physical and emotional pain. Clients often served by Dr. Salman includes trauma survivors, those with anxiety/depression, those with GI issues, people living with chronic illness/pain, individuals struggling with disordered body image/eating patterns.
You are not your pain or your struggles! Dr. Salman provides “whole person care” through Motivational interviewing techniques, Acceptance & Commitment therapy, Cognitive Behavioral therapy, Mindfulness and Person-centered care. Dr. Salman provides Teletherapy in NC via a HIPPA compliant platform. Dr. Salman believes and specializes in providing services to individuals struggling with physical and emotional pain. Clients often served by Dr. Salman includes trauma survivors, those with anxiety/depression, those with GI issues, people living with chronic illness/pain, individuals struggling with disordered body image/eating patterns.
Integrated Holistic Solutions, PLLC
Lic Clinical Mental Health Counselor Supervisor, DBH, LCMHCS, BCIM, BC-TMH, NCC
Verified Verified
2 Endorsed
Huntersville, NC 28070 (Online Only)
Feeling as if you will never get well? Tired of visiting multiple practices in search of answers and never finding them? Do you have difficulty managing a chronic illness or complying with your provider's recommended treatment plan? If any of these scenarios sound familiar, allow one of our team members to assist you in regaining your optimal health.
The clinicians at Integrated Holistic Solutions, PLLC are qualified, credentialed, and licensed professionals whose primary mission is to provide quality therapeutic care and organizational training to the surrounding community. Their goal is to empower people; to enrich lives; to give you control of your outcomes; and to restore your body, mind and spirit back to their optimal states of functioning. The certified and licensed clinicians at Integrated Holistic Solutions have over 28 years of experience and are trained in equipping clients with the tools necessary to maximize their environment and enhance their well-being.
Feeling as if you will never get well? Tired of visiting multiple practices in search of answers and never finding them? Do you have difficulty managing a chronic illness or complying with your provider's recommended treatment plan? If any of these scenarios sound familiar, allow one of our team members to assist you in regaining your optimal health.
The clinicians at Integrated Holistic Solutions, PLLC are qualified, credentialed, and licensed professionals whose primary mission is to provide quality therapeutic care and organizational training to the surrounding community. Their goal is to empower people; to enrich lives; to give you control of your outcomes; and to restore your body, mind and spirit back to their optimal states of functioning. The certified and licensed clinicians at Integrated Holistic Solutions have over 28 years of experience and are trained in equipping clients with the tools necessary to maximize their environment and enhance their well-being.
Cindy W Hickman
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
Sanford, NC 27330
Are you feeling stressed, overwhelmed with life, exhausted, anxious, or depressed? Have you experienced a stressful or traumatic life event? Perhaps you struggle with a chronic illness. Maybe you struggle with a difficult child or teen. Or maybe your partner has been unfaithful. Are you tired of feeling isolated and hopeless? You want- no, you need- things to change, but you don’t where to begin. Asking for help can be one of the most difficulty things to do, but I would be honored to help you discover your inner strength and begin your journey to healing and being who you are meant to be.
Are you feeling stressed, overwhelmed with life, exhausted, anxious, or depressed? Have you experienced a stressful or traumatic life event? Perhaps you struggle with a chronic illness. Maybe you struggle with a difficult child or teen. Or maybe your partner has been unfaithful. Are you tired of feeling isolated and hopeless? You want- no, you need- things to change, but you don’t where to begin. Asking for help can be one of the most difficulty things to do, but I would be honored to help you discover your inner strength and begin your journey to healing and being who you are meant to be.
Gene Haas
Psychological Associate, MA, LPA, HSP
Verified Verified
Concord, NC 28025 (Online Only)
Clients with chronic illness, or pain, or PTSD work well with my approach to therapy including the use of EMDR.
I work best with an individual client, couple, or the family of a child or adolescent that recognizes that what they have been trying to do to deal with their life or behavioral issues is not working well, and they are now open to finding understanding, and trying new approaches to old, or recently acute problems. My experience has been that most couples really want to save their marriage or other family relationships and will do the work necessary to build a new and loving relationship.
Clients with chronic illness, or pain, or PTSD work well with my approach to therapy including the use of EMDR.
I work best with an individual client, couple, or the family of a child or adolescent that recognizes that what they have been trying to do to deal with their life or behavioral issues is not working well, and they are now open to finding understanding, and trying new approaches to old, or recently acute problems. My experience has been that most couples really want to save their marriage or other family relationships and will do the work necessary to build a new and loving relationship.
Michael James Berens
Licensed Professional Counselor, MA, LCMHC, LPC
Verified Verified
Greensboro, NC 27401
I am also specifically trained in Pain Reprocessing Therapy to address chronic pain.
Have you ever felt like your body was reacting in ways you did not want it to? Perhaps you feel uneasy around unexpected things. Maybe your gut is telling you something and you just need some confirmation. I believe we find answers and direction when we sit with someone who takes the time to listen and see. It is not easy to show up and vulnerably talk to someone. I personally know the hard work it takes to look inward, spend time wondering what is going on, and make the inner adjustments so that life does not feel like it's crashing over us.
I am also specifically trained in Pain Reprocessing Therapy to address chronic pain.
Have you ever felt like your body was reacting in ways you did not want it to? Perhaps you feel uneasy around unexpected things. Maybe your gut is telling you something and you just need some confirmation. I believe we find answers and direction when we sit with someone who takes the time to listen and see. It is not easy to show up and vulnerably talk to someone. I personally know the hard work it takes to look inward, spend time wondering what is going on, and make the inner adjustments so that life does not feel like it's crashing over us.
Leigh Zick Dongre
Licensed Clinical Mental Health Counselor Supervisor, PhD, LCMHC-S, LCAS, CCS
Verified Verified
Winston Salem, NC 27104
I counsel all people, but I specialize in depression, anxiety, obsessive compulsive disorders, chronic pain, depression disorders, substance use and recovery, life transitions (i.
The path to living more fully is an adventure, one I believe has transformed my own life. Each day I am honored to join people along a path of recovery, self-exploration, and healing. I have helped people break through the obstacles that seem to be holding them back in life. My role as your counselor is to be a knowledgeable, genuine, and empathetic guide along this journey and provide a safe and supportive environment to do so. I help people live their best lives, by reaching more authenticity, self-awareness, and making behavioral changes. I primarily offer telemental health counseling with options for counseling in Winston-Salem.
I counsel all people, but I specialize in depression, anxiety, obsessive compulsive disorders, chronic pain, depression disorders, substance use and recovery, life transitions (i.
The path to living more fully is an adventure, one I believe has transformed my own life. Each day I am honored to join people along a path of recovery, self-exploration, and healing. I have helped people break through the obstacles that seem to be holding them back in life. My role as your counselor is to be a knowledgeable, genuine, and empathetic guide along this journey and provide a safe and supportive environment to do so. I help people live their best lives, by reaching more authenticity, self-awareness, and making behavioral changes. I primarily offer telemental health counseling with options for counseling in Winston-Salem.
Janet Heuring Larsen
Psychologist, MA, LCAS, LPA, HSP-PA, CTP
Verified Verified
1 Endorsed
Raleigh, NC 27615
PRACTICE MAY HAVE A WAITLIST, PLEASE EMAIL YOUR INQUIRIES: My psychology practice is committed to delivering highly effective treatment and outstanding client care. I've helped individuals navigate challenges and improve their lives for over 10 years. I treat clients with an array of issues including relationship struggles, anxiety, trauma, panic attacks, PTSD, depression, anger, insomnia, ADD/ADHD, chronic pain, substance use/addiction and grief. I serve many clients with co-occurring disorders and have trained other therapists. I specialize in treating clients with anxiety and trauma using EMDR and also offer ADHD/ADD counseling.
PRACTICE MAY HAVE A WAITLIST, PLEASE EMAIL YOUR INQUIRIES: My psychology practice is committed to delivering highly effective treatment and outstanding client care. I've helped individuals navigate challenges and improve their lives for over 10 years. I treat clients with an array of issues including relationship struggles, anxiety, trauma, panic attacks, PTSD, depression, anger, insomnia, ADD/ADHD, chronic pain, substance use/addiction and grief. I serve many clients with co-occurring disorders and have trained other therapists. I specialize in treating clients with anxiety and trauma using EMDR and also offer ADHD/ADD counseling.
The International Center for Wellness PLLC
Clinical Social Work/Therapist, LCSW, LISW-CP, LCAS-A
Verified Verified
1 Endorsed
Concord, NC 28025 (Online Only)
Getting to the root cause of mental illness is ideal for successful long term recovery.
The Center for Wellness PLLC is a small group practice dedicated in providing high quality care tailored to meet your individual needs. Our goal is to provide an intimate environment that is safe, supportive and confidential. We offer a wide variety of experience working with many different life challenges. We will walk with you through your journey and work with you to restore health, hope and healing holistically. Lekeshia Lynch, founder and clinical director of the Center for Wellness is a graduate of the University of South Carolina-Columbia. She has over 25 years experience in the field of health/mental health and addiction.
Getting to the root cause of mental illness is ideal for successful long term recovery.
The Center for Wellness PLLC is a small group practice dedicated in providing high quality care tailored to meet your individual needs. Our goal is to provide an intimate environment that is safe, supportive and confidential. We offer a wide variety of experience working with many different life challenges. We will walk with you through your journey and work with you to restore health, hope and healing holistically. Lekeshia Lynch, founder and clinical director of the Center for Wellness is a graduate of the University of South Carolina-Columbia. She has over 25 years experience in the field of health/mental health and addiction.
Sandra Painter
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Durham, NC 27704
Are you feeling overwhelmed, confused, down, or struggling in relationships with family, friends or significant others? Are you experiencing loss or dealing with chronic illness in you or a family member? We all face a variety of challenging situations, emotions relationships and events. I believe there are times people may want to clarify their thinking about a problem or take their management of a life challenge up a notch. I believe my job is to support people’s efforts to do that by listening and assisting people in leveraging their strengths.
Are you feeling overwhelmed, confused, down, or struggling in relationships with family, friends or significant others? Are you experiencing loss or dealing with chronic illness in you or a family member? We all face a variety of challenging situations, emotions relationships and events. I believe there are times people may want to clarify their thinking about a problem or take their management of a life challenge up a notch. I believe my job is to support people’s efforts to do that by listening and assisting people in leveraging their strengths.
Amick Boone
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
4 Endorsed
Durham, NC 27707
Offering multiple discounted sliding scale slots to those who can't afford my rate. Educated, licensed, and in clinical practice since 2018 in the Bay Area, CA, I'm a licensed therapist (LMFTA) who recently moved my practice to Durham. Primarily trained in Gestalt therapy, as an integral therapist I also pull from IFS, Emotionally-Focused Therapy (EFT) for couples, and other somatic, experiential, mindfulness-based modalities. Anxiety, depression, chronic illness, infertility, loss, explorations of identity, communication issues, deepening intimacy, and building trust are a few of the challenges that bring clients to me.
Offering multiple discounted sliding scale slots to those who can't afford my rate. Educated, licensed, and in clinical practice since 2018 in the Bay Area, CA, I'm a licensed therapist (LMFTA) who recently moved my practice to Durham. Primarily trained in Gestalt therapy, as an integral therapist I also pull from IFS, Emotionally-Focused Therapy (EFT) for couples, and other somatic, experiential, mindfulness-based modalities. Anxiety, depression, chronic illness, infertility, loss, explorations of identity, communication issues, deepening intimacy, and building trust are a few of the challenges that bring clients to me.
Bonita Hutchinson and Associates, PLLC
Licensed Clinical Mental Health Counselor, MEd, LPC, LCMHC-S, LCAS, SAP
Verified Verified
2 Endorsed
Charlotte, NC 28210 (Online Only)
We understand physical and emotional pain and the sense of hopelessness associated with depression, anxiety, chronic illness and trauma.
Experiencing family, work or relationship issues that are overwhelming, you’re not alone. Counseling can support you in Managing Stress & Anxiety. All services are online Due to the PANDEMIC... connect thru telehealth on your Electronic Device to our secure platform for A Safe Place to share, Learn and for support of your mental and emotional health. We are Open Mornings, Evenings and Saturdays - Serving NC and NJ.
We understand physical and emotional pain and the sense of hopelessness associated with depression, anxiety, chronic illness and trauma.
Experiencing family, work or relationship issues that are overwhelming, you’re not alone. Counseling can support you in Managing Stress & Anxiety. All services are online Due to the PANDEMIC... connect thru telehealth on your Electronic Device to our secure platform for A Safe Place to share, Learn and for support of your mental and emotional health. We are Open Mornings, Evenings and Saturdays - Serving NC and NJ.
New Way Counseling, PLLC
Clinical Social Work/Therapist, LCSW, LCAS, MAC
Verified Verified
1 Endorsed
Knightdale, NC 27545
Our goal is to help you grow from your struggles, heal from your pain, and move forward to where you want to be in your life.
Often times life can be challenging and many of us are not prepared to deal with those issues and find ourselves in an unfamiliar place. As a therapist, I am dedicated to providing individualized care to meet your needs. I've worked with children and adults in the mental health field for over 16 years and individuals with addiction for over 8 years. I've treated individuals with various mental health and substance use disorders. My experience enables me to offer effective, individualized outpatient psychological care. I specialize in treating depression, anxiety, interpersonal challenges and addiction.
Our goal is to help you grow from your struggles, heal from your pain, and move forward to where you want to be in your life.
Often times life can be challenging and many of us are not prepared to deal with those issues and find ourselves in an unfamiliar place. As a therapist, I am dedicated to providing individualized care to meet your needs. I've worked with children and adults in the mental health field for over 16 years and individuals with addiction for over 8 years. I've treated individuals with various mental health and substance use disorders. My experience enables me to offer effective, individualized outpatient psychological care. I specialize in treating depression, anxiety, interpersonal challenges and addiction.
Rachel Garfield
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Apex, NC 27502
All pain creates stress which intensifies the pain, becoming a vicious cycle that can lead to anxiety and depression, disruptive relations with others, and despair.
If you are feeling stuck or alone, we will collaborate to find the best approach for you. I’m Psychoanalytic/Attachment based and believe in balance between insight and action. I specialize in the treatment of trauma, chronic pain, anxiety, addiction and relationships with adults with the goal of healing the client's relationship within themselves and with others. We will work through your past to free you in the present. If you feel isolated, or trapped in the same repetitive, negative patterns or relationships there is a solution and there is hope. We will work together so that you can find Joy and be free to move forward.
All pain creates stress which intensifies the pain, becoming a vicious cycle that can lead to anxiety and depression, disruptive relations with others, and despair.
If you are feeling stuck or alone, we will collaborate to find the best approach for you. I’m Psychoanalytic/Attachment based and believe in balance between insight and action. I specialize in the treatment of trauma, chronic pain, anxiety, addiction and relationships with adults with the goal of healing the client's relationship within themselves and with others. We will work through your past to free you in the present. If you feel isolated, or trapped in the same repetitive, negative patterns or relationships there is a solution and there is hope. We will work together so that you can find Joy and be free to move forward.
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.