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Online Therapists

Photo of Felix Pittman-Storey, Clinical Social Work/Therapist in Goldsboro, NC
Felix Pittman-Storey
Clinical Social Work/Therapist, LCSWA
Verified Verified
Durham, NC 27707
We all deserve to build lives worth living. And while our lives are inherently worth living, mental health struggles may cause that vision to blur in and out of focus depending on what’s going on in our lives. I believe that all the wisdom we need is within us already. To me, it’s about recognizing, becoming attuned to, and building confidence in that wisdom, as well as confidence in ourselves. I am skilled in conducting therapy with LGBTQIA+ clients, individuals with personality disorders (and their loved ones), neurodivergent clients, folks with chronic pain/illness, mood disorders, and people who have experienced trauma.
We all deserve to build lives worth living. And while our lives are inherently worth living, mental health struggles may cause that vision to blur in and out of focus depending on what’s going on in our lives. I believe that all the wisdom we need is within us already. To me, it’s about recognizing, becoming attuned to, and building confidence in that wisdom, as well as confidence in ourselves. I am skilled in conducting therapy with LGBTQIA+ clients, individuals with personality disorders (and their loved ones), neurodivergent clients, folks with chronic pain/illness, mood disorders, and people who have experienced trauma.
(919) 897-7278 View (919) 897-7278
Photo of Jonathan Farber, Psychologist in Goldsboro, NC
Jonathan Farber
Psychologist, PhD
Not Verified Not Verified
1 Endorsed
Chapel Hill, NC 27514
My journey from couch potato to national triathlon champion contributes to my work: balancing effort with rest, coping with pain and injury, food issues, sustaining motivation.
I work with individuals and couples, as well as children, in both DC and Chapel Hill. I do best with adults who are educated or reflective: many are scientists, artists, health and business professionals, or psychotherapists, and some are not pursuing conventional achievement.Some see me for family or work problems, some for help dealing with a chronic health issue or a loss, some to change longstanding emotional and interpersonal patterns involving anxiety, anger, or intimacy. We may try quick and simple approaches first, because sometimes they work, but if not we can go more deeply into the individual's unique personal narrative.
My journey from couch potato to national triathlon champion contributes to my work: balancing effort with rest, coping with pain and injury, food issues, sustaining motivation.
I work with individuals and couples, as well as children, in both DC and Chapel Hill. I do best with adults who are educated or reflective: many are scientists, artists, health and business professionals, or psychotherapists, and some are not pursuing conventional achievement.Some see me for family or work problems, some for help dealing with a chronic health issue or a loss, some to change longstanding emotional and interpersonal patterns involving anxiety, anger, or intimacy. We may try quick and simple approaches first, because sometimes they work, but if not we can go more deeply into the individual's unique personal narrative.
(919) 351-1352 View (919) 351-1352
Photo of James A Barbour, Licensed Professional Counselor in Goldsboro, NC
James A Barbour
Licensed Professional Counselor, MS, LCMHCS, LCAS, CCS, CHT
Verified Verified
3 Endorsed
Raleigh, NC 27610  (Online Only)
I help people decrease symptoms of pain and improve personal performance on and off the court.
Thank you for visiting my page. I know that finding the right counselor can be a challenge and I hope you will find information on this page to help you feel more comfortable and confident in making that decision. Since 2002 I've been helping people enhance the quality of their lives through the use of sound therapeutic interventions including: Cognitive Behavioral Therapy (CBT), Redecision Therapy, Solution-Focused Brief Therapy, Hypnotherapy, Trauma Resolution Energy Therapy, Reality Therapy and Imago Therapy. I am a perpetual student of personal and professional development and I provide education and tools in proven techniques.
I help people decrease symptoms of pain and improve personal performance on and off the court.
Thank you for visiting my page. I know that finding the right counselor can be a challenge and I hope you will find information on this page to help you feel more comfortable and confident in making that decision. Since 2002 I've been helping people enhance the quality of their lives through the use of sound therapeutic interventions including: Cognitive Behavioral Therapy (CBT), Redecision Therapy, Solution-Focused Brief Therapy, Hypnotherapy, Trauma Resolution Energy Therapy, Reality Therapy and Imago Therapy. I am a perpetual student of personal and professional development and I provide education and tools in proven techniques.
(252) 585-5186 View (252) 585-5186
Photo of Dr. Ralph Fox II, Licensed Professional Counselor in Goldsboro, NC
Dr. Ralph Fox II
Licensed Professional Counselor, LCMHC-S, LCMHC
Verified Verified
Wilmington, NC 28405
Anxiety, Marital Tensions, Desire, Fetish/Kink/Poly, Pain, ED, Confusion, LBGTQIA+, Apprehension, and more.
The world is very different in 2024 and can cause depression, trauma, anxiety, etc. You need a place to discuss things that you can't or shouldn't talk about w/friends & family. Let's determine your needs in a safe, non-judgmental environment. Let me help empower you, stabilize, & deal with anger, sadness, anxiety, embarrassment, grief, etc. Together we develop a plan. Privacy, discretion, stability & compassion are important to your life & career. I strive to enable people to smile again. Thank you for the opportunity to guide you through life's ups and downs. Helping Individuals & Couples find balance for over 35 years.
Anxiety, Marital Tensions, Desire, Fetish/Kink/Poly, Pain, ED, Confusion, LBGTQIA+, Apprehension, and more.
The world is very different in 2024 and can cause depression, trauma, anxiety, etc. You need a place to discuss things that you can't or shouldn't talk about w/friends & family. Let's determine your needs in a safe, non-judgmental environment. Let me help empower you, stabilize, & deal with anger, sadness, anxiety, embarrassment, grief, etc. Together we develop a plan. Privacy, discretion, stability & compassion are important to your life & career. I strive to enable people to smile again. Thank you for the opportunity to guide you through life's ups and downs. Helping Individuals & Couples find balance for over 35 years.
(910) 216-4872 View (910) 216-4872
Photo of Rob Moser, Counselor in Goldsboro, NC
Rob Moser
Counselor, MEd, LCMHCA, LCASA
Verified Verified
Wilmington, NC 28403
Are you struggling with depression, anxiety, marriage issues, relationship struggles, parenting/child/teen problems, pain, addiction, pornography, or a faith crisis? Or maybe just seeking peace amidst life’s general uncertainty? Rob’s 20-year career in counseling, six years as a lead pastor, and four years as an overseas missionary, as well as his experience as a foster/adoptive parent, give him the confidence to wade into a myriad of life’s challenges with you.
Are you struggling with depression, anxiety, marriage issues, relationship struggles, parenting/child/teen problems, pain, addiction, pornography, or a faith crisis? Or maybe just seeking peace amidst life’s general uncertainty? Rob’s 20-year career in counseling, six years as a lead pastor, and four years as an overseas missionary, as well as his experience as a foster/adoptive parent, give him the confidence to wade into a myriad of life’s challenges with you.
(910) 812-8310 View (910) 812-8310
Photo of Dan Chartier, Psychologist in Goldsboro, NC
Dan Chartier
Psychologist
Verified Verified
2 Endorsed
Raleigh, NC 27612
Dan Chartier, Ph.D., Licensed Psychologist- Health Service Provider, Raleigh, NC has been in private practice since 1983. As a psychotherapist, in addition to "talk therapy", Dr. Chartier uses psychophysiological methods of biofeedback and neurofeedback to facilitate mind-body healing. In his work, deepening awareness and release of non-productive behaviors is a primary process. By learning to enter neutral emotional space clients come to more clearly recognize options and choices that result in improved health. In addition to treating clients with psychological and emotional distress, Dr. Chartier works with patients coping with chronic pain or recovering from brain injury.
Dan Chartier, Ph.D., Licensed Psychologist- Health Service Provider, Raleigh, NC has been in private practice since 1983. As a psychotherapist, in addition to "talk therapy", Dr. Chartier uses psychophysiological methods of biofeedback and neurofeedback to facilitate mind-body healing. In his work, deepening awareness and release of non-productive behaviors is a primary process. By learning to enter neutral emotional space clients come to more clearly recognize options and choices that result in improved health. In addition to treating clients with psychological and emotional distress, Dr. Chartier works with patients coping with chronic pain or recovering from brain injury.
(252) 349-0938 View (252) 349-0938
Photo of Palms Wellness Center, Clinical Social Work/Therapist in Goldsboro, NC
Palms Wellness Center
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Jacksonville, NC 28546
Have you been suffering from Grief & Loss, terminally ill, or just feeling alone and isolated, unheard? Need someone that will truly listen and talk "with you"? Taking things at your pace, understanding your needs, we provide "care" because we care. We can help you through what may be the hardest challenges you have faced. Have you lost yourself or a loved one to Opioid Addiction and need help with medication management and therapy? We have over 16 years helping people build new lives which allows them to move forward by healing forward. We also provide "Pet/Fur Kids" Loss therapy as we at PWC "all" relate first hand to this pain.
Have you been suffering from Grief & Loss, terminally ill, or just feeling alone and isolated, unheard? Need someone that will truly listen and talk "with you"? Taking things at your pace, understanding your needs, we provide "care" because we care. We can help you through what may be the hardest challenges you have faced. Have you lost yourself or a loved one to Opioid Addiction and need help with medication management and therapy? We have over 16 years helping people build new lives which allows them to move forward by healing forward. We also provide "Pet/Fur Kids" Loss therapy as we at PWC "all" relate first hand to this pain.
(910) 758-2346 View (910) 758-2346
Photo of Troy Lantz, Clinical Social Work/Therapist in Goldsboro, NC
Troy Lantz
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Chapel Hill, NC 27514
Through the years of working with others and as an experienced Licensed Clinical Social Worker I have worked in various community and primary care settings assisting people with anxiety, depression, chronic medical conditions, chronic insomnia, chronic pain, maladaptive behaviors, and trauma.
Most people with anxiety or depression don’t realize how their negative self-talk keeps them down and actually deepens their anxiety or depression. After working with me, my clients identify and reverse the effects of their negative self-talk, start feeling energized and motivated to do the things they used to enjoy, and are able to experience the simple joys of being alive again.
Through the years of working with others and as an experienced Licensed Clinical Social Worker I have worked in various community and primary care settings assisting people with anxiety, depression, chronic medical conditions, chronic insomnia, chronic pain, maladaptive behaviors, and trauma.
Most people with anxiety or depression don’t realize how their negative self-talk keeps them down and actually deepens their anxiety or depression. After working with me, my clients identify and reverse the effects of their negative self-talk, start feeling energized and motivated to do the things they used to enjoy, and are able to experience the simple joys of being alive again.
(919) 336-2912 View (919) 336-2912
Photo of Michael Gisser, Marriage & Family Therapist in Goldsboro, NC
Michael Gisser
Marriage & Family Therapist, PhD, LMFT-S
Verified Verified
3 Endorsed
Pittsboro, NC 27312
I feel that my experience allows me to connect and empathize with individuals and couples who might be dealing with the stress of marriage, military life and chronic illness, including depression and anxiety.
I am a former US Army chaplain and ordained rabbi trained in Marriage and Family Therapy with additional training in trauma recovery, and post-traumatic stress disorder symptoms (PTSD). My experience embodies an experiential integrative approach and I can individualize therapy to meet client goals. I work with individuals, couples, military personnel, veterans, and their families, and the LGBTQIA community. I am knowledgeable of world religions and diverse cultural backgrounds. I am currently accepting new clients in Pittsboro. To schedule an appointment vist our website - migcounseling.com
I feel that my experience allows me to connect and empathize with individuals and couples who might be dealing with the stress of marriage, military life and chronic illness, including depression and anxiety.
I am a former US Army chaplain and ordained rabbi trained in Marriage and Family Therapy with additional training in trauma recovery, and post-traumatic stress disorder symptoms (PTSD). My experience embodies an experiential integrative approach and I can individualize therapy to meet client goals. I work with individuals, couples, military personnel, veterans, and their families, and the LGBTQIA community. I am knowledgeable of world religions and diverse cultural backgrounds. I am currently accepting new clients in Pittsboro. To schedule an appointment vist our website - migcounseling.com
(984) 237-3579 View (984) 237-3579
Photo of Anderson Psychotherapy, PLLC, Licensed Clinical Mental Health Counselor in Goldsboro, NC
Anderson Psychotherapy, PLLC
Licensed Clinical Mental Health Counselor, LCMHC, NCC, MA
Verified Verified
Durham, NC 27703  (Online Only)
Grief, trauma and systemic oppression have increasingly become visible and universal experiences affecting individuals, couples, families and communities. I began my career working with the survivors of intimate partner violence and individuals/families grappling with cancer and death. These experiences have informed my practice working with individuals, couples and families dealing with loss, grief, trauma, anxiety/depression, major life changes, chronic illness, abuse and relational distress.
Grief, trauma and systemic oppression have increasingly become visible and universal experiences affecting individuals, couples, families and communities. I began my career working with the survivors of intimate partner violence and individuals/families grappling with cancer and death. These experiences have informed my practice working with individuals, couples and families dealing with loss, grief, trauma, anxiety/depression, major life changes, chronic illness, abuse and relational distress.
(919) 823-6654 View (919) 823-6654
Photo of Darren Keith Young, Clinical Social Work/Therapist in Goldsboro, NC
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.
(919) 877-6644 View (919) 877-6644
Photo of Steve Heymen, Psychological Associate in Goldsboro, NC
Steve Heymen
Psychological Associate, PhD, BCIAC
Verified Verified
Pittsboro, NC 27312
My primary areas of interest are working with adult patients who suffer with emotional dysregulation, anxiety, chronic pain, or gastrointestinal disorders.
My goal is to help individuals develop skills to increase control over their own mental and physical health. I provide a combination of Cognitive Behavior Therapy (CBT), Dialectical Behavior Therapy (DBT) and Biofeedback Therapy to treat a broad range of psychological and physical challenges in an atmosphere that is friendly and efficient.
My primary areas of interest are working with adult patients who suffer with emotional dysregulation, anxiety, chronic pain, or gastrointestinal disorders.
My goal is to help individuals develop skills to increase control over their own mental and physical health. I provide a combination of Cognitive Behavior Therapy (CBT), Dialectical Behavior Therapy (DBT) and Biofeedback Therapy to treat a broad range of psychological and physical challenges in an atmosphere that is friendly and efficient.
(919) 725-8592 View (919) 725-8592
Photo of Dr. Brad Rappaport, Psychologist in Goldsboro, NC
Dr. Brad Rappaport
Psychologist, PsyD
Verified Verified
Raleigh, NC 27615
Clients say that I have a calm and non-judgmental manner that demonstrates great respect for their difficulties and pain.
Are you feeling anxious? Overwhelmed? Stuck? Have you been feeling depressed? Irritable? Unsure of how to feel better or move forward? Are you turning to coping skills that may work in the short-run but offer no long-term potential to help you develop confidence and resilience? If you are struggling with these issues, our work together can help you cultivate a more meaningful life when it comes to love, work, and play. Our work together will focus on developing the tools and the practical "know-how" so that you can meet the challenges of life with calmness and confidence and sustain this growth.
Clients say that I have a calm and non-judgmental manner that demonstrates great respect for their difficulties and pain.
Are you feeling anxious? Overwhelmed? Stuck? Have you been feeling depressed? Irritable? Unsure of how to feel better or move forward? Are you turning to coping skills that may work in the short-run but offer no long-term potential to help you develop confidence and resilience? If you are struggling with these issues, our work together can help you cultivate a more meaningful life when it comes to love, work, and play. Our work together will focus on developing the tools and the practical "know-how" so that you can meet the challenges of life with calmness and confidence and sustain this growth.
(984) 207-5328 View (984) 207-5328
Photo of Alan Konell in Goldsboro, NC
Alan Konell
MSW
Verified Verified
Chapel Hill, NC 27516  (Online Only)
My ideal client is one who wants relief from stress, anxiety, guilt and/or shame, trauma, or chronic pain, but has not been able to achieve this. Typically, I can help people realize lasting desired change efficiently and effectively. Also, I have had great success helping people with phobias and fears and those who want improved relationships. My first goal is to do no harm. My second goal is to help clients realize desired goals while respecting and preserving what is already working in their lives.
My ideal client is one who wants relief from stress, anxiety, guilt and/or shame, trauma, or chronic pain, but has not been able to achieve this. Typically, I can help people realize lasting desired change efficiently and effectively. Also, I have had great success helping people with phobias and fears and those who want improved relationships. My first goal is to do no harm. My second goal is to help clients realize desired goals while respecting and preserving what is already working in their lives.
(919) 804-1347 View (919) 804-1347
Photo of Mark Stroeh, Clinical Social Work/Therapist in Goldsboro, NC
Mark Stroeh
Clinical Social Work/Therapist, LCSW, MDiv
Verified Verified
Durham, NC 27713
I am an In-Home and Virtual Mental Health Therapist who has 20 years of experience in working with children, adolescents and adults within their homes and on-line. I have traveled to client's homes, all over Durham County and Chapel Hill, to work with their mental health needs. Therapies include individual and family. I truly attempt to meet my clients where they are. What my clients experience is significant and needs to be heard for growth and change to occur. In this way, clients are able to find greater trust and strength in their self-awareness and personal development.
I am an In-Home and Virtual Mental Health Therapist who has 20 years of experience in working with children, adolescents and adults within their homes and on-line. I have traveled to client's homes, all over Durham County and Chapel Hill, to work with their mental health needs. Therapies include individual and family. I truly attempt to meet my clients where they are. What my clients experience is significant and needs to be heard for growth and change to occur. In this way, clients are able to find greater trust and strength in their self-awareness and personal development.
(919) 626-3932 View (919) 626-3932
Photo of George N Gates, Licensed Clinical Mental Health Counselor in Goldsboro, NC
George N Gates
Licensed Clinical Mental Health Counselor, DMin, MA, LPA, LPC, NCC
Verified Verified
Wilmington, NC 28401
I have had good success with working with the resolution of depression and anxiety with clients for over 35 years. I work with people who are trying to improve their marriage or reluctantly must decide another direction. Sometimes men are ambivalent about trusting therapy. While the national norm is that therapist caseloads are 70/30 % women more than men, my norm is an even split between men and women. Men do find they can make headway on stubborn relational or emotional issues. I also see adolescent boys as they make their transition into young manhood.
I have had good success with working with the resolution of depression and anxiety with clients for over 35 years. I work with people who are trying to improve their marriage or reluctantly must decide another direction. Sometimes men are ambivalent about trusting therapy. While the national norm is that therapist caseloads are 70/30 % women more than men, my norm is an even split between men and women. Men do find they can make headway on stubborn relational or emotional issues. I also see adolescent boys as they make their transition into young manhood.
(910) 401-3384 View (910) 401-3384
Photo of Richard Aab, Counselor in Goldsboro, NC
Richard Aab
Counselor
Verified Verified
3 Endorsed
Raleigh, NC 27609  (Online Only)
Waitlist for new clients
My ideal client is any adult looking to create change in their life by being willing to change how they relate to their internal thoughts and feelings. This has a wide application for individuals struggling with depression, anxiety, grief, life transitions, interpersonal difficulties or just the stress of a post-pandemic world. I have a particular passion for working with those who have experienced developmental trauma and are looking for new ways to relate to themselves and their pasts.
My ideal client is any adult looking to create change in their life by being willing to change how they relate to their internal thoughts and feelings. This has a wide application for individuals struggling with depression, anxiety, grief, life transitions, interpersonal difficulties or just the stress of a post-pandemic world. I have a particular passion for working with those who have experienced developmental trauma and are looking for new ways to relate to themselves and their pasts.
(919) 849-8802 View (919) 849-8802
Photo of Southeast Institute for Group and Family Therapy, Psychologist in Goldsboro, NC
Southeast Institute for Group and Family Therapy
Psychologist, PhD
Verified Verified
1 Endorsed
Chapel Hill, NC 27517  (Online Only)
The Southeast Institute is a nonprofit educational institute offering continuing education (CEUs) workshops and training programs in psychotherapy for mental health professionals as well as direct clinical services. The Southeast Institute has earned respect and recognition for its excellence of training and its continued commitment to developing effective models for individual and social change. Trainees have traveled from nearly every state and more than 10 countries to attend workshops and ongoing training and supervision programs. SEI practitioners offer individual therapy, couples therapy, group therapy, family therapy, redecision therapy, TA, child therapy, energy psychotherapy (AIT), EMDR, and intensive personal growth programs.
The Southeast Institute is a nonprofit educational institute offering continuing education (CEUs) workshops and training programs in psychotherapy for mental health professionals as well as direct clinical services. The Southeast Institute has earned respect and recognition for its excellence of training and its continued commitment to developing effective models for individual and social change. Trainees have traveled from nearly every state and more than 10 countries to attend workshops and ongoing training and supervision programs. SEI practitioners offer individual therapy, couples therapy, group therapy, family therapy, redecision therapy, TA, child therapy, energy psychotherapy (AIT), EMDR, and intensive personal growth programs.
(919) 582-5002 View (919) 582-5002
Photo of Jeffrey Levy, Marriage & Family Therapist in Goldsboro, NC
Jeffrey Levy
Marriage & Family Therapist, MA, LMFT
Verified Verified
Cary, NC 27511
www.CouplesCounseling.com: As Licensed Marriage and Family Therapists devoted to helping people, we offer psychotherapy to individual adults, and couples through Carolina Counseling & Wellness Center, PC. Our specialty is couples counseling - helping couples discover solutions to problems that lead to more fulfilling relationships. Our practitioners are: Jeff Levy, LMFT and Dr. Toni Rabinowitz, Ph.D, LMFT. Each with over 25 experience, we share expertise and similar perspectives on couples counseling. Please visit our website at www.CouplesCounseling.com to learn more about us.
www.CouplesCounseling.com: As Licensed Marriage and Family Therapists devoted to helping people, we offer psychotherapy to individual adults, and couples through Carolina Counseling & Wellness Center, PC. Our specialty is couples counseling - helping couples discover solutions to problems that lead to more fulfilling relationships. Our practitioners are: Jeff Levy, LMFT and Dr. Toni Rabinowitz, Ph.D, LMFT. Each with over 25 experience, we share expertise and similar perspectives on couples counseling. Please visit our website at www.CouplesCounseling.com to learn more about us.
(919) 666-3151 View (919) 666-3151
Photo of Charles Jardin, Psychologist in Goldsboro, NC
Charles Jardin
Psychologist, PhD, MDiv, LP
Verified Verified
3 Endorsed
Hillsborough, NC 27278
As a therapist, I see myself as a guide and partner in each client’s journey of discovery. Insights along the way come from hard work and trying something new. What courage that takes! Therapy opens the door to opportunity, the promised land of a new life through a transformed mind, changed habits, and renewed relationships. I feel honored and grateful to have been a small part of the journeys I’ve joined with numerous patients in my work as a therapist. What a joy!
As a therapist, I see myself as a guide and partner in each client’s journey of discovery. Insights along the way come from hard work and trying something new. What courage that takes! Therapy opens the door to opportunity, the promised land of a new life through a transformed mind, changed habits, and renewed relationships. I feel honored and grateful to have been a small part of the journeys I’ve joined with numerous patients in my work as a therapist. What a joy!
(919) 849-8328 View (919) 849-8328
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.