Chronic pain brings hundreds of people to therapy every week. Many physical and psychological issues can cause chronic pain and it is important to rule out any medical causes and get treatment by speaking to a physician.

Some people experience chronic pain as the result of untreated emotional overwhelm, unexpressed anger, depression or grief. Symptoms of chronic pain typically include headaches; muscle tension, pain or fatigue;  shooting nerve pains, and tension in the back, neck and shoulders.

Many people with chronic pain disorder are reluctant to explore the emotional causes of their pain for fear of being told that they are inventing the symptoms. However, true somaticizing is a very real condition in which the emotions are unable to leave the body.

Another reason why people are loathe to admit the emotional roots of their pain, is that they fear that there would be no medical cure. Chronic pain with an emotional root requires that they confront the emotions that have been hidden away, and this can be challenging.

Therapists and psychologists who do  chronic pain therapy offer a confidential and safe environment in which people can explore pent-up emotions and as a result experience short term and long term relief. Symptoms caused by long term emotional build-up may require long-term treatment and due to the physical changes, some medical intervention and active physiotherapy is often very important as well.

If you are looking for a counsellor or psychologist who works with chronic pain you may want to search the directory to find a professional whose approach will suit you best.

Gender identity issues can make a person feel that nature has played a cruel trick, leaving them living in a body and role that is contrary to what they feel inside. However, as society becomes more accepting of gay and lesbian individuals it is also becoming much easier for people to admit that they are transgender than ever before. However, therapy can help people with gender dysphoria to cope with gender identity issues.

Most people with gender dysphoria prefer the term transgender as they deal with the social expectations of living a life that is authentic to their own emotions while conforming to their birth gender.

Whether you are confused about the possibility that you might be transgender, or whether you have accepted the reality, it is a good idea to speak to a therapist. If you are considering gender reassignment surgery, therapy will help you prepare for the psychological impact of the decision.

Living in your gender of choice will take a lot of courage, as well as some experimentation. You will have to learn how to find a congruent appearance, and explore different ways for you to present your body so that it relates to your true gender.

Counselling from a therapist trained in gender identity issues will provide a nurturing and non-judgmental environment for you to explore your emotions, fears and feelings regarding what is happening for you.  Individual and group therapies are common for gender dysphoric patients, while family therapy can help foster better communication, and understanding. Family therapy can help deal with conflicts that can arise from gender dysphoria.

If you are looking for a counsellor or psychologist who offers gender identity counselling to address your gender dysphoria issues you may want to search the directory to find a professional whose approach will suit you best.

Through the media, Obsessive Compulsive Disorder has become quite well known.
Obsessive Compulsive Disorder, or as it's commonly known, OCD is a common anxiety disorder in which a person feels fear, worry, apprehension and other intrusive thoughts. Most people diagnosed with Obsessive Compulsive Disorder report childhood onset of symptoms, which could lead to a range of ongoing anxiety disorders.

It is common for the person to perform repetitive behaviors that are meant to reduce anxiety. A person can develop a range of compulsions or obsessions. Someone who has Obsessive Compulsive Disorder will repeatedly check on things (such as locking doors, switching off lights, etc.), obsessively wash their hands or clean their homes excessively.

In some cases, a person might become preoccupied with religious, violent or sexual thoughts, or have relationship-based obsession. They may become averse to certain words or numbers and perform nervous rituals, such as performing a certain routine repeatedly.

To other people, a person with Obsessive Compulsive Disorder might seem paranoid. It could cause stress in a relationship or family, and could lead to severe financial or emotional distress. Since most people with Obsessive Compulsive Disorder recognize their behavior as irrational, it can cause them even more distress.

Cognitive Behavioural therapy offers a range of techniques to assist people with Obsessive Compulsive Disorder. A specific technique used in OCD is exposure and response prevention (ERP). This technique teaches a person with OCD to gradually learn to tolerate the anxieties caused by not continuing the rituals. Counsellors perform this and other therapies in a safe and non-judgmental environment.

If you are looking for a counsellor or psychologist who offers Obsessive Compulsive Disorder  to help with your repetitive, compulsive behaviour issues you may want to search the directory to find a professional whose approach will suit you best.

** Call the National Suicide Prevention Lifeline at 1-800-SUICIDE  if you or someone you know is at risk of suicide. **

Suicidal ideation includes any thoughts of potentially fatal self-harm, whether they are fleeting or well-formulated, and applies in the absence of actual suicide. While many people have faced suicidal ideation without having committed the act, many have in fact made attempts and some have succeeded.

People who face suicidal ideation often have many other psychological symptoms that lead them to this condition, including panic attacks, insomnia, anxiety, hopelessness and depression. However, not all people with mental or medical issues consider suicide, but all suicidal ideation incidents should receive urgent attention.  Someone who experiences suicidal ideation may threaten to hurt or kill him or herself, make attempts to find ways to commit suicide; write or talk about their own death; seek revenge, feel unhappy or trapped, and engage in risky behaviors.

People with mood disorders, such as schizophrenia and bipolar disorder are at a higher risk for suicidal ideation, as are people with cancer and AIDS.

It is important for people with suicidal ideation to seek urgent help from an experienced counsellor or therapist. Psychotherapy has been found to be effective in helping people deal with issues of hopelessness. A professional counsellor will explore the circumstances that led to the suicidal ideation and help to restore hope to the client. It will help to resolve underlying causes of suicidal ideation and find coping strategies to curb impulses that lead to self-harm. Therapy will also help the client to reframe his or her perceptions and worldview.

If you are looking for a counsellor or psychologist who offers counselling approaches to address your suicidal ideation issues, you may want to search the directory to find a professional whose approach will suit you best.