Therapists in The Dalles, OR
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Check out therapists located nearby or offering teletherapy in Oregon below.Online Therapists
Angelie Karabatsos
Licensed Professional Counselor, LPC, NCC, MA
Verified Verified
1 Endorsed
Tigard, OR 97223
By building on strengths, healing ruptures, and learning new coping tools to relieve emotional pain.
Does life feel overwhelming like being trapped in a never-ending maze? Having these feelings are perfectly normal. Talking through the life concerns or worries can help but it’s hard to share deep personal concerns with family or friends. The pressure of family, work, or past trauma's can cause anxiety, stress, even depression. Whether dealing with a difficult relationship, career, or life challenges talking with a trained professional, who is caring and compassionate can help you find freedom and start enjoying life. Think about how great it would be living life instead of just making it through each day.
By building on strengths, healing ruptures, and learning new coping tools to relieve emotional pain.
Does life feel overwhelming like being trapped in a never-ending maze? Having these feelings are perfectly normal. Talking through the life concerns or worries can help but it’s hard to share deep personal concerns with family or friends. The pressure of family, work, or past trauma's can cause anxiety, stress, even depression. Whether dealing with a difficult relationship, career, or life challenges talking with a trained professional, who is caring and compassionate can help you find freedom and start enjoying life. Think about how great it would be living life instead of just making it through each day.
Heidi Swartzmiller
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Portland, OR 97214
Welcome! I enjoy working with individuals and couples, and walking alongside them in their healing. I believe therapy is a collaborative experience between the family and therapist, that each client has the resiliency and resources they need already within, and that it is our job to uncover them. My work with clients considers biological, psychological, social, and spiritual factors. I specialize in working with clients who are experiencing relational distress, sex concerns, infertility/pregnancy issues, transracial/transnational family dynamics, processing trauma, religion and spirituality, body-image concerns, or low self esteem.
Welcome! I enjoy working with individuals and couples, and walking alongside them in their healing. I believe therapy is a collaborative experience between the family and therapist, that each client has the resiliency and resources they need already within, and that it is our job to uncover them. My work with clients considers biological, psychological, social, and spiritual factors. I specialize in working with clients who are experiencing relational distress, sex concerns, infertility/pregnancy issues, transracial/transnational family dynamics, processing trauma, religion and spirituality, body-image concerns, or low self esteem.
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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.