Chronic Pain Therapists in Greenville, DE

Photo of Dr. Shawna Urbanski, PsyD, Psychologist
Dr. Shawna Urbanski
Psychologist, PsyD
Verified Verified
2 Endorsed
Greenville, DE 19807  (Online Only)
Pursuing therapy is not easy! Mental health is becoming destigmatized, but there are many factors which influence our struggle to see therapy as an empowering choice versus a misperceived "sign of weakness." Your human is your strength which is pain, suffering, joy, accomplishment, struggle and so much more! Therapy is not about fixing you but about finding you, embracing you, and learning how to appreciate everything about you good, bad and ugly. Many of us have been raised under the impression our struggles are not normal and we should "control" our distress which is at the root of many of our issues.
Pursuing therapy is not easy! Mental health is becoming destigmatized, but there are many factors which influence our struggle to see therapy as an empowering choice versus a misperceived "sign of weakness." Your human is your strength which is pain, suffering, joy, accomplishment, struggle and so much more! Therapy is not about fixing you but about finding you, embracing you, and learning how to appreciate everything about you good, bad and ugly. Many of us have been raised under the impression our struggles are not normal and we should "control" our distress which is at the root of many of our issues.
(720) 710-1744 View (720) 710-1744
Photo of Carol Bouzoukis, PhD, RDT, MFA
Carol Bouzoukis
PhD, RDT, MFA
Verified Verified
Greenville, DE 19807  (Online Only)
All sessions are done via telehealth on Doxy.me/drbouzoukis for your child's privacy and your convenience As a Child Psychotherapist, I specialize in the treatment of children ages 3 -12. If your child is exhibiting behaviors that are of concern to you as a parent, play therapy would be highly beneficial. If your child is showing signs of anger, anxiety or a change in behavior, play therapy can make a difference. I treat a wide range of issues in a child friendly/non-invasive yet effective manner. I have successfully treated children with ADHD, anxiety, Asperger's, Bi-polar, PDD, Trauma, Adj. Disorder, and Sensory Integration.
All sessions are done via telehealth on Doxy.me/drbouzoukis for your child's privacy and your convenience As a Child Psychotherapist, I specialize in the treatment of children ages 3 -12. If your child is exhibiting behaviors that are of concern to you as a parent, play therapy would be highly beneficial. If your child is showing signs of anger, anxiety or a change in behavior, play therapy can make a difference. I treat a wide range of issues in a child friendly/non-invasive yet effective manner. I have successfully treated children with ADHD, anxiety, Asperger's, Bi-polar, PDD, Trauma, Adj. Disorder, and Sensory Integration.
(302) 581-9564 View (302) 581-9564
Photo of Mariella Roberts, LPCMH , Counselor
Mariella Roberts
Counselor, LPCMH
Verified Verified
1 Endorsed
Greenville, DE 19807  (Online Only)
Are you looking for a safe space with a counselor who will help you connect with your body, your inner resources, your values, with nature, and with other people. Are you eager to learn easy techniques that will help you self-regulate and find clarity and agency, to create the life that you want. Are you are ready to embark on deeper personal growth, to develop and sustain a way of living that is more mindful, active, and self-compassionate.
Are you looking for a safe space with a counselor who will help you connect with your body, your inner resources, your values, with nature, and with other people. Are you eager to learn easy techniques that will help you self-regulate and find clarity and agency, to create the life that you want. Are you are ready to embark on deeper personal growth, to develop and sustain a way of living that is more mindful, active, and self-compassionate.
(302) 306-4449 View (302) 306-4449
Photo of Deanna Candeloro - Aligned Counseling LLC, MEd, NCC, LPCMH
Aligned Counseling LLC
Mental Health Counselor, MEd, NCC, LPCMH
Verified Verified
Greenville, DE 19807  (Online Only)
I work with women who are smart and ambitious and tend towards perfectionism which leaves you questioning yourself and experiencing stress and worry. It can be easy to lose yourself when you are striving to please others. The work we'll do can help you find your voice and figure out what you really want. You may be questioning the career you've chosen, the relationship you're in, or the beliefs and values you've held your entire life. We'll navigate all of these things so you can better understand yourself and the world around you.
I work with women who are smart and ambitious and tend towards perfectionism which leaves you questioning yourself and experiencing stress and worry. It can be easy to lose yourself when you are striving to please others. The work we'll do can help you find your voice and figure out what you really want. You may be questioning the career you've chosen, the relationship you're in, or the beliefs and values you've held your entire life. We'll navigate all of these things so you can better understand yourself and the world around you.
(302) 715-0074 View (302) 715-0074
Photo of Jenna E Montalbano Williams, MS CMH, LPCMH, CTP, ICADC, CYMHC, Licensed Professional Counselor
Jenna E Montalbano Williams
Licensed Professional Counselor, MS CMH, LPCMH, CTP, ICADC, CYMHC
Verified Verified
2 Endorsed
Greenville, DE 19807
An ideal client, is an unideal person. If humans were perfect they wouldn't need therapy. I work with individuals, couples & families with a range of issues. I help people address unskilled thoughts, emotions &/or behaviors, helping them let go of things that are no longer serving them. If an individual desires to grow by developing their sense of awareness, while developing skills to help them lower their stress levels & address their issues, I can help. I work with all mental health conditions, or stress related issues. No issue is too small or too big for therapy. I am here to support others in their goals & personal growth.
An ideal client, is an unideal person. If humans were perfect they wouldn't need therapy. I work with individuals, couples & families with a range of issues. I help people address unskilled thoughts, emotions &/or behaviors, helping them let go of things that are no longer serving them. If an individual desires to grow by developing their sense of awareness, while developing skills to help them lower their stress levels & address their issues, I can help. I work with all mental health conditions, or stress related issues. No issue is too small or too big for therapy. I am here to support others in their goals & personal growth.
(302) 308-4931 View (302) 308-4931

More Therapists Nearby

Photo of Brent O'Neill, MSW, MDiv, LMSW, Clinical Social Work/Therapist
Brent O'Neill
Clinical Social Work/Therapist, MSW, MDiv, LMSW
Verified Verified
1 Endorsed
Newark, DE 19702
Brent has worked with adults and minors experiencing life-adjustment challenges, severe mental health issues including suicidal ideation, and those experiencing severe chronic illness and the dying process.
Brent is passionate about working with adolescents and adults experiencing depression, anxiety, substance use disorders, and challenges with adjusting to new chapters in life. He specializes in working with LGBTQ+ individuals and religious & spiritual professionals. In creating a therapeutic relationship with clients, Brent operates from empathy- and skills-based perspectives. He works towards understanding clients as they understand themselves, so that together they can work towards healthier coping strategies and relationship patterns.
Brent has worked with adults and minors experiencing life-adjustment challenges, severe mental health issues including suicidal ideation, and those experiencing severe chronic illness and the dying process.
Brent is passionate about working with adolescents and adults experiencing depression, anxiety, substance use disorders, and challenges with adjusting to new chapters in life. He specializes in working with LGBTQ+ individuals and religious & spiritual professionals. In creating a therapeutic relationship with clients, Brent operates from empathy- and skills-based perspectives. He works towards understanding clients as they understand themselves, so that together they can work towards healthier coping strategies and relationship patterns.
(302) 527-6843 View (302) 527-6843
Photo of David S Guseman, LCSW, Clinical Social Work/Therapist
David S Guseman
Clinical Social Work/Therapist, LCSW
Verified Verified
Wilmington, DE 19806  (Online Only)
Do you suffer from physical or emotional pain? Have you been told, "Learn to live with it"? I have shown thousands of clients how to live without it. Experienced in psychotherapy, NLP and hypnotherapy, I mainly use "energy psychology" techniques that balance body energy and eliminate emotional and even physical pain. I am very skilled with phobias (often resolved in one session), stress and anxiety, traumatic memories and PTSD. Grief and mild/moderate depression are gently resolved. And many of my chronic pain patients (back pain, fibromyalgia, etc.) have reduced or eliminated their pain medications.
Do you suffer from physical or emotional pain? Have you been told, "Learn to live with it"? I have shown thousands of clients how to live without it. Experienced in psychotherapy, NLP and hypnotherapy, I mainly use "energy psychology" techniques that balance body energy and eliminate emotional and even physical pain. I am very skilled with phobias (often resolved in one session), stress and anxiety, traumatic memories and PTSD. Grief and mild/moderate depression are gently resolved. And many of my chronic pain patients (back pain, fibromyalgia, etc.) have reduced or eliminated their pain medications.
(302) 907-9921 View (302) 907-9921
Photo of Elizabeth Paige Parsons - LTC Psychological Services, PhD, Psychologist
LTC Psychological Services
Psychologist, PhD
Verified Verified
Wilmington, DE 19807
Treating Psychiatric Illness in Patients with Dementia is available at Amazon by copying and pasting the link below: https://www.
Enhancing Quality of Life for Patients Residing in Long Term Care Facilities.
Treating Psychiatric Illness in Patients with Dementia is available at Amazon by copying and pasting the link below: https://www.
Enhancing Quality of Life for Patients Residing in Long Term Care Facilities.
(518) 620-5075 View (518) 620-5075
Photo of Leslyn Kantner, MSMHC, NCC, LPC, Licensed Professional Counselor
Leslyn Kantner
Licensed Professional Counselor, MSMHC, NCC, LPC
Verified Verified
1 Endorsed
Newark, DE 19711
When the painful experiences of death and divorce are turning your world upside down, having someone listen and acknowledge the pain can be very helpful.
I am a humanistic oriented therapist, which means that I believe YOU have the ability to recognize methods of solving your concerns and the inate strength to initiate them if offered guidance and support. I provide the guidance and support to help you find viable solutions and bring balance back into your life.
When the painful experiences of death and divorce are turning your world upside down, having someone listen and acknowledge the pain can be very helpful.
I am a humanistic oriented therapist, which means that I believe YOU have the ability to recognize methods of solving your concerns and the inate strength to initiate them if offered guidance and support. I provide the guidance and support to help you find viable solutions and bring balance back into your life.
(484) 509-0422 View (484) 509-0422
Photo of Yulia Watters, PhD, LMFT, BC-TMH, Marriage & Family Therapist
Yulia Watters
Marriage & Family Therapist, PhD, LMFT, BC-TMH
Verified Verified
1 Endorsed
Wilmington, DE 19809
As a medical family therapist, I have the required knowledge to help you navigate the healthcare system and discuss challenges associate with an acute or chronic illness.
Utilizing solution-focused strength based approach Dr Yulia Watters offers counseling to individuals, couples and families. Free phone Consultation available. What I cherish the most in being a therapist is the opportunity to work along with my clients to help them build their solutions towards a desired future. Nelson Mandela is known for saying "It's always seems impossible until it is done". At some point in our lives we might feel discouraged afraid or stuck. This is not to say that with a little help we can overcome our challenges and find a new path towards growth and fulfillment.
As a medical family therapist, I have the required knowledge to help you navigate the healthcare system and discuss challenges associate with an acute or chronic illness.
Utilizing solution-focused strength based approach Dr Yulia Watters offers counseling to individuals, couples and families. Free phone Consultation available. What I cherish the most in being a therapist is the opportunity to work along with my clients to help them build their solutions towards a desired future. Nelson Mandela is known for saying "It's always seems impossible until it is done". At some point in our lives we might feel discouraged afraid or stuck. This is not to say that with a little help we can overcome our challenges and find a new path towards growth and fulfillment.
(754) 260-1242 View (754) 260-1242
Photo of Sasikala Raman, MS, LPC, LMT, CPT, CES, Licensed Professional Counselor
Sasikala Raman
Licensed Professional Counselor, MS, LPC, LMT, CPT, CES
Verified Verified
1 Endorsed
Wilmington, DE 19810
People with chronic pain, anger, anxiety, internal conflicts, distractability, depression seem to heal faster through these approaches using more of their own ability to heal wounds.
In therapy you are my co-worker where you bring what you know about living your life. We bring your family members to help support your therapy when we see that as helpful to you. We also set up support for you through your community of human and non-human life.
People with chronic pain, anger, anxiety, internal conflicts, distractability, depression seem to heal faster through these approaches using more of their own ability to heal wounds.
In therapy you are my co-worker where you bring what you know about living your life. We bring your family members to help support your therapy when we see that as helpful to you. We also set up support for you through your community of human and non-human life.
(302) 415-3794 View (302) 415-3794
Photo of Emilee Duckworth, MSW, LCSW, Clinical Social Work/Therapist
Emilee Duckworth
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Wilmington, DE 19805
My specialties include trauma and PTSD, depression, life transitions, chronic pain and illnesses, anxiety, grief/loss.
Are you feeling sad, anxious, or overwhelmed? Have you experienced change, loss, or trauma that is difficult to make sense of? I understand the pain and confusion caused by significant grief, loss, illness, stress, trauma, and transition. I believe that no matter how big the hurt; healing and growth are possible. I use a wide range of techniques, including talk therapy, guided imagery, and EMDR, tailored to your needs to facilitate your growth.
My specialties include trauma and PTSD, depression, life transitions, chronic pain and illnesses, anxiety, grief/loss.
Are you feeling sad, anxious, or overwhelmed? Have you experienced change, loss, or trauma that is difficult to make sense of? I understand the pain and confusion caused by significant grief, loss, illness, stress, trauma, and transition. I believe that no matter how big the hurt; healing and growth are possible. I use a wide range of techniques, including talk therapy, guided imagery, and EMDR, tailored to your needs to facilitate your growth.
(610) 810-3868 View (610) 810-3868
Photo of Heather Alford, PsyD, Psychologist
Heather Alford
Psychologist, PsyD
Verified Verified
Hockessin, DE 19707  (Online Only)
I do my work with the knowledge that I have the honor to offer comfort to those who may have been greatly wounded. I approach my work with the awareness that everyone's story contains both beauty and pain. Just as the hurt occurs in the context of relationships, so does the healing.
I do my work with the knowledge that I have the honor to offer comfort to those who may have been greatly wounded. I approach my work with the awareness that everyone's story contains both beauty and pain. Just as the hurt occurs in the context of relationships, so does the healing.
(610) 345-7468 View (610) 345-7468
Photo of Vanessa Ann Vigilante, PhD, Psychologist
Vanessa Ann Vigilante
Psychologist, PhD
Verified Verified
Wilmington, DE 19803  (Online Only)
Hello and welcome! I provide virtual therapy to adults experiencing concerns such as relationship stress, depression, personal and professional interpersonal issues, over personalizing, codependency, oversensitivity, fear of rejection, parenting stress, work related stress, defensiveness, panic, anxiety, health provider stress, chronic pain, and adjustment to chronic illness. I provide virtual sessions to individuals residing in Delaware, Pennsylvania, and New York as well as to individuals residing in a state that is a member of PSYPACT. Visit https://psypact.site-ym.com/page/psypactmap to learn more.
Hello and welcome! I provide virtual therapy to adults experiencing concerns such as relationship stress, depression, personal and professional interpersonal issues, over personalizing, codependency, oversensitivity, fear of rejection, parenting stress, work related stress, defensiveness, panic, anxiety, health provider stress, chronic pain, and adjustment to chronic illness. I provide virtual sessions to individuals residing in Delaware, Pennsylvania, and New York as well as to individuals residing in a state that is a member of PSYPACT. Visit https://psypact.site-ym.com/page/psypactmap to learn more.
(302) 524-0891 View (302) 524-0891
Photo of Rebecca A Smolak-Kettlehake, PsyD, Psychologist
Rebecca A Smolak-Kettlehake
Psychologist, PsyD
Verified Verified
4 Endorsed
Newark, DE 19711  (Online Only)
** I am currently not accepting new patients.** My areas of interest include anxiety, depression, chronic health issues such as chronic pain, women's issues, grief counseling (death, divorce), stress, anger management, work-related issues, and life transitions. I am also interested in the mind-body connection and mindfulness. Currently I only work with adult individuals.
** I am currently not accepting new patients.** My areas of interest include anxiety, depression, chronic health issues such as chronic pain, women's issues, grief counseling (death, divorce), stress, anger management, work-related issues, and life transitions. I am also interested in the mind-body connection and mindfulness. Currently I only work with adult individuals.
(302) 543-2604 View (302) 543-2604
Photo of Dr. Narineh Hartoonian, PhD, MS, Psychologist
Dr. Narineh Hartoonian
Psychologist, PhD, MS
Verified Verified
1 Endorsed
Wilmington, DE 19803
I have specialized training in evidence-based cognitive-behavioral therapy approaches to the treatment of depression, anxiety, adjustment, ADHD, insomnia, phobias, chronic pain, cancer, multiple sclerosis, and cognitive rehabilitation.
I am a licensed clinical psychologist with specialized training in Cognitive Behavioral Therapy (CBT). I have been successful helping many people cope with painful emotions and achieve personal growth. My goal is to equip you with tools to use your strengths to thrive in life. If you have experienced a loss, been diagnosed with a medical condition, or have had a difficult life transition, it can be very scary asking for help. But when you take that first step, I assure you it will be rewarding.
I have specialized training in evidence-based cognitive-behavioral therapy approaches to the treatment of depression, anxiety, adjustment, ADHD, insomnia, phobias, chronic pain, cancer, multiple sclerosis, and cognitive rehabilitation.
I am a licensed clinical psychologist with specialized training in Cognitive Behavioral Therapy (CBT). I have been successful helping many people cope with painful emotions and achieve personal growth. My goal is to equip you with tools to use your strengths to thrive in life. If you have experienced a loss, been diagnosed with a medical condition, or have had a difficult life transition, it can be very scary asking for help. But when you take that first step, I assure you it will be rewarding.
(747) 350-3611 View (747) 350-3611
Photo of Judith Pantaloni, MA, Counselor
Judith Pantaloni
Counselor, MA
Verified Verified
1 Endorsed
Newark, DE 19711
Judith worked in grief counseling and support for those experiencing chronic illness for many years.
ONLINE SESSIONS AVAILABLE! WE OFFER TELEHEALTH SERVICES! GET THE HELP YOU NEED FROM THE COMFORT OF HOME! Judith Pantalino is a Nationally Certified Counselor and a Licensed Professional Counselor of Mental Health in Delaware. She received her Master’s Degree in 2013. Judith takes a person-centered approach to counseling in the initial phase while the therapeutic relationship between counselor and client builds, further using motivational interviewing and cognitive-behavioral techniques (CBT). for the client to discover new and healthy ways of coping.
Judith worked in grief counseling and support for those experiencing chronic illness for many years.
ONLINE SESSIONS AVAILABLE! WE OFFER TELEHEALTH SERVICES! GET THE HELP YOU NEED FROM THE COMFORT OF HOME! Judith Pantalino is a Nationally Certified Counselor and a Licensed Professional Counselor of Mental Health in Delaware. She received her Master’s Degree in 2013. Judith takes a person-centered approach to counseling in the initial phase while the therapeutic relationship between counselor and client builds, further using motivational interviewing and cognitive-behavioral techniques (CBT). for the client to discover new and healthy ways of coping.
(302) 318-8504 View (302) 318-8504
Photo of Melissa Forbes, LCSW, Clinical Social Work/Therapist
Melissa Forbes
Clinical Social Work/Therapist, LCSW
Verified Verified
Newark, DE 19711
I specialize in helping with trauma, neglect, physical & sexual abuse, PTSD, depression, anxiety, crisis intervention, disabilities, life transitions, loss & grief, self-esteem, chronic illnesses, oppositional defiance & mood disorders.
Online and In-person availability. New Beginnings Restoration, was established to help individuals & families be restored to their desired state. Clients stated that I provide a safe, accepting, honest, comfortable & insightful therapeutic environment where they were able to grow, heal & move forward in life. Whether you feel worried, depressed, anxious, confused, angry or indifferent about challenges in your life you can change & get the support you need. Therapy is not always the easiest step but it can help you cope when you've been diagnosed with a mental illness, grieving the loss of a love one or relationship.
I specialize in helping with trauma, neglect, physical & sexual abuse, PTSD, depression, anxiety, crisis intervention, disabilities, life transitions, loss & grief, self-esteem, chronic illnesses, oppositional defiance & mood disorders.
Online and In-person availability. New Beginnings Restoration, was established to help individuals & families be restored to their desired state. Clients stated that I provide a safe, accepting, honest, comfortable & insightful therapeutic environment where they were able to grow, heal & move forward in life. Whether you feel worried, depressed, anxious, confused, angry or indifferent about challenges in your life you can change & get the support you need. Therapy is not always the easiest step but it can help you cope when you've been diagnosed with a mental illness, grieving the loss of a love one or relationship.
(302) 321-6288 View (302) 321-6288
Photo of Tanya Koifman - Licensed Clinical Social Worker, NY, NJ, ID, PA, DE, VT, RI, SC, FL, Clinical Social Work/Therapist
Tanya Koifman - Licensed Clinical Social Worker
Clinical Social Work/Therapist, NY, NJ, ID, PA, DE, VT, RI, SC, FL
Verified Verified
1 Endorsed
Montchanin, DE 19710  (Online Only)
I support people through a range of life situations including: anxiety, grief/loss, living with chronic illness, dynamic disability, HSP, 2E, care givers, coming out, college, life transitions, exploring various new ventures in life, menopause, fertility treatments, DCP, parenting, couples/relationships, ENM/polyamory, navigating communication, sex/intimacy.
I am a warm, affirming, non-judgmental psychotherapist with over 20 years of experience, and I work with an interactive, humanistic, strengths-based, trauma-informed, HAES-aligned, and transparent narrative therapy approach. I believe that people have the innate capacity to heal and change. We will work together to develop a deeper understanding of your life goals and perspectives, so that we can custom-tailor techniques to make life most meaningful for you. I am licensed to practice with people who reside in: NY, NJ, PA, ID, VT, RI, DE, SC, FL. I work with individuals and couples/relationships of various configurations.
I support people through a range of life situations including: anxiety, grief/loss, living with chronic illness, dynamic disability, HSP, 2E, care givers, coming out, college, life transitions, exploring various new ventures in life, menopause, fertility treatments, DCP, parenting, couples/relationships, ENM/polyamory, navigating communication, sex/intimacy.
I am a warm, affirming, non-judgmental psychotherapist with over 20 years of experience, and I work with an interactive, humanistic, strengths-based, trauma-informed, HAES-aligned, and transparent narrative therapy approach. I believe that people have the innate capacity to heal and change. We will work together to develop a deeper understanding of your life goals and perspectives, so that we can custom-tailor techniques to make life most meaningful for you. I am licensed to practice with people who reside in: NY, NJ, PA, ID, VT, RI, DE, SC, FL. I work with individuals and couples/relationships of various configurations.
(201) 730-4497 View (201) 730-4497
Photo of Julie Collins, MA, CHP, CRNC
Julie Collins
MA, CHP, CRNC
Verified Verified
Hockessin, DE 19707
As a mental health nutrition specialist, I provide powerful nutritional interventions to restore depleted biochemistry that contributes to chronic stress, mood states like depression/anxiety, chronic fatigue/ pain, and substance dependencies.
As a body-centered practitioner, I bring a holistic, mindful approach- somatic, experiential and collaborative. My aim is helping you access wisdom and resources already existing in your body, heart, mind; blending them with new information and experience for a new way forward. Through various modalities, I'll help you deepen self-awareness; explore, study, discover, choose, embody and express yourself more genuinely and fully. Whether struggling with habitual thought/behavior patterns, chronic mood states or health concerns leaving you feeling confused, frustrated, or alone, I'll help you meet and transform these challenges into new possibilities for experiencing life in more satisfying, nourishing ways.
As a mental health nutrition specialist, I provide powerful nutritional interventions to restore depleted biochemistry that contributes to chronic stress, mood states like depression/anxiety, chronic fatigue/ pain, and substance dependencies.
As a body-centered practitioner, I bring a holistic, mindful approach- somatic, experiential and collaborative. My aim is helping you access wisdom and resources already existing in your body, heart, mind; blending them with new information and experience for a new way forward. Through various modalities, I'll help you deepen self-awareness; explore, study, discover, choose, embody and express yourself more genuinely and fully. Whether struggling with habitual thought/behavior patterns, chronic mood states or health concerns leaving you feeling confused, frustrated, or alone, I'll help you meet and transform these challenges into new possibilities for experiencing life in more satisfying, nourishing ways.
(267) 983-5211 View (267) 983-5211

See more therapy options for Greenville

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.