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Online Therapists

Photo of Nelly Amariglio, PhD, HSP-P, Psychologist
Nelly Amariglio
Psychologist, PhD, HSP-P
Verified Verified
Durham, NC 27705
My passion centers on the ways in which early relationships, life experiences and cultural contexts shape our worldviews and impact our choices, coping and performance. I also focus on the interplay between the mind and the physical body, and the ways we can use this connection to increase well-being and overall functioning. Over the past 15 years I have worked in various academic medical institutions and hospitals (UCLA, CHLA), using research-based interventions to guide individuals (children, youth and adults), couples and families in working towards agency, personal growth, positive change, insight, and adaptation to life events.
My passion centers on the ways in which early relationships, life experiences and cultural contexts shape our worldviews and impact our choices, coping and performance. I also focus on the interplay between the mind and the physical body, and the ways we can use this connection to increase well-being and overall functioning. Over the past 15 years I have worked in various academic medical institutions and hospitals (UCLA, CHLA), using research-based interventions to guide individuals (children, youth and adults), couples and families in working towards agency, personal growth, positive change, insight, and adaptation to life events.
(984) 369-9078 View (984) 369-9078

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Chronic Illness Therapists

How does therapy for chronic illness work?

Many people living with a chronic illness may feel they cannot speak honestly about their experience out of embarrassment or fear of being a burden, or because those close to them do not understand, for example, that they may “look good” even if they do not feel good. Therapy sessions are an opportunity to speak openly with someone who knows their symptoms are not in their head and who can offer practical, proven suggestions for managing feelings of grief, shame, or fatigue, such as techniques to challenge unhelpful thoughts about symptoms and develop new ways to respond to them, such as distraction or calming breathing practices.

Can therapy help with physical symptoms of chronic illness?

Yes, especially if an individual with chronic illness has developed depression. People with depression are less likely to maintain their health treatment regimens or to take positive steps to manage physical symptoms when they arise, thereby potentially complicating their medical prognosis. Treatment of depression, through talk therapy, medication, or both, will often improve one’s physical state as it eases the emotional burden of illness.

What are the most effective treatment options for chronic illness?

No one living with a chronic illness, or their loved ones, should see depression as an unavoidable result of their condition. Instead, they should actively seek treatment. Research shows that people with depression are less likely to devote the required time and effort to maintaining or monitoring their health, and so therapy to limit the risk of depression can be vital for physical health as well. Therapeutic approaches such as cognitive behavioral therapy and mindfulness-based stress reduction have been found to help individuals reduce stress and anxiety.

How long does therapy for chronic illness take?

There is no set timeline for therapy for people living with chronic illnesses, but many will see a therapist for a number of weeks or months, typically spanning at least 12 weekly sessions. Some people feel that they experience progress faster than others but even some who quickly feel improvement may continue with sessions for months or years. Some people may benefit from maintenance therapy if their symptoms change or they experience a decline in physical health. Others find that the skills learned in short-term therapy can be used on an ongoing basis, even after therapy has concluded.