Chronic Pain Cognitive Behavioural Therapy (CBT)

Chronic Pain

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.

Cognitive Behavioural Therapy (CBT), Motivational Interviewing, Gestalt Therapy

Cognitive Behavioural Therapy (CBT) is a psychological approach that deals with the way in which clients think about themselves, other people and the world. The outside world affects how we think and feel about ourselves and as a result, our behaviour. Cognitive Behavioural Therapy can help a person to change the way they think about thoughts and feelings, but it is not like other types of talk therapy.

Cognitive Behavioural Therapy focuses on current issues and challenges that affect the client right now. It doesn't consider the past issues that caused distress, but rather looks for solutions that can improve the client's state of mind in the moment. Much of CBT involves looking at thought distortions that can affect mood and are affected by mood, and helps client examine and challenge distorted thinking patters.

CBT can help a range of problems, from OCD, PTSD, bulimia, stress, phobias and other issues that might seem overwhelming to the client, by breaking them down into smaller, more manageable chunks.

If you are looking for a therapist who offers Cognitive Behavioural Therapy, please browse our list of practitioners below..

Motivational Interviewing is a short term treatment approach, which is specifically aimed at strengthening the client's commitment for, and motivation to change. This approach is widely recognized and is used in a number of applications, including substance abuse, rehabilitation, social work, criminal justice, schools, coaching and in health promotion.

During a Motivational Interviewing session, the therapist will make sure that the client feels understood and supported. The therapist will also assure the client that his or her emotions are normal and expected, in anticipation of the great changes ahead. The key to Motivational Interviewing is to juxtapose the client's goals and behaviours that may stand in the way of success. Motivational Interviewing  can help a client recognize behavioural issues that are not conducive to success.

If you are looking for a therapist who offers Motivational Interviewing, please browse our list of practitioners below..

Gestalt Therapy helps clients to understand the connection between their physical bodies and emotional states. When a person understands their internal motivations, it is easier to understand the external behaviours and reactions. Gestalt Therapy can help a client to develop that awareness through self-discovery. It will empower a client to develop coping skills to help him or her through stressful situations.

Gestalt Therapy beliefs that we all have all the answers within us, and it can help us to develop a greater sense of acceptance, of ourselves and of other people. As such, Gestalt Therapy can help people to improve relationships, improve decision making and gain confidence. It is a useful approach for dealing with a range of psychological issues, including PTSD, addiction, anxiety, tension and depression.

If you are looking for a therapist who offers Gestalt Therapy, please browse our list of practitioners below..

Note: You may narrow your search by selecting more than one filter below.

Lisa Bylsma

M.Ed., RCC
Currently accepting new clients. Available for in-person sessions in Nanaimo or virtual sessions anywhere in BC. After over 12 years working as a counsellor within government and non-profit organizations, I have... Read more

Jason Lehmann

M.A., RCC
*NOW ACCEPTING CREDIT CARDS, CASH, CHEQUE, OR E-TRANSFER *Over 11 years of clinical practice.  Some Information about the work  Clients present a number of problem areas, or life issues. Jason... Read more

Lucia Pecnikova

M.Ed., RCC
    • Online booking
Creating a safe space where you feel heard and seen is my priority and I consider my work a privilege as we create a secure therapeutic relationship to support your healing process and inner exploration. I have a master... Read more

Amrita Dhoot

MCP, RCC
    • Online booking
Welcome! Do you come from a family with complex dynamics and feel like people don’t quite understand you? Have these experiences led to you being anxious, and struggling to trust yourself or others? My unique... Read more

Audrey Carriere

M.Couns., RCC
    • Online booking
I am a Registered Clinical Counsellor who primarily works with adults that have ADHD and/or Autism. I also offer EMDR, IFS and trauma therapy online and in person! Using person-centered therapy that is... Read more

Stephanie Pugsley

M.A., RCC
I have over 20 years experience of working with individuals, couples, families and groups in private practice, the Health Service, the Social Services and voluntary organisations.  I am a registered Clinical... Read more

Shahrzad Jamali

MFT, RCC
Shahrzad has her Master of Arts in Marriage & Family Therapy from Trinity Western University. She holds a Bachelor degree in Psychology with an emphasis on neuroscience from University of British Columbia. She has... Read more

Leah Dhahan

M.A., RCC
Welcome! Are you struggling to set boundaries and speak your truth in relationships? Are you currently experiencing feelings of anxiety, anger, or powerlessness in your life or relationships? Do you find yourself... Read more

Florence Ling

M.A., RCC
    • In-Person Sessions
    • Online booking
* Languages: Mandarin, Cantonese, English. * Accept ICBC clients. * Helping clients understand their difficulties and inner world. * Discovery of their inherent strengths so as to encourage the development... Read more

John Taylor

M.A., RCC
    • Online booking
Relationships make the world go round; they can also make your world miserable when things aren't working. I am a trained couples counsellor with the tools and intuition to help you improve... Read more

Mary Longworth

M.Sc., RCC
Mary Longworth is in private practice (Delta Counselling) in the South Delta, Tsawwassen, Ladner and New Westminster regions since receiving her M.Sc. in marital, family and child counselling in 1995. Mary is a... Read more

Grant McMahon

M.C., RCC
I am a Registered Clinical Counsellor (RCC # 11135) and psychotherapist working in Vancouver.  I can help you if you are struggling with low mood, depression, anxiety/panic, or problems in your marriage or intimate... Read more

Cate Pelling

M.A., RCC
As a Registered Clinical Counsellor with a MA in Counselling Psychology, I have been working in private practice since 2003.  Previous to this, I worked for a number of years in clinical settings... Read more
    • Online booking
I've been using Mindfulness in my work with clients for 19 years. Mindfulness is a gentle, humanistic, and holistic therapeutic approach that guides your efforts, emphasizing growth rather than deficit.... Read more

David Holmes

M.A., RCC
David provides Individual and Couples Counselling. He is an Adlerian Psychotherapist, Registered Clinical Counsellor, and a Canadian Certified Counsellor at Clear Counselling private practice in downtown Vancouver.... Read more

Elaine Zbitniff

M.A., RCC
Elaine is a registered clinical counsellor and has former experience as a registered nurse in the specialties burns and plastic surgery unit and in a hospice. Her knowledge as a nurse has been informative to... Read more

Steven Lake

M.Ed., CCC
Dr. Lake has a PhD in Educational Administration. He has a personal interest in emotion and crisis management and created a Model Of Effective Crisis Management for his dissertation. His Master's degree is in... Read more

Olivia Kienzel

M.Couns., RCC
Olivia has more than a decade of experience as a counsellor working with clients to transform their relationship to themselves, their lives, and the people they care about. She can help you, gently, get to the root... Read more

Danielle Bowersock

M.A., RCC
    • Blog on profile
As a Registered Clinical Counsellor, I can help if you are stressed, anxious or depressed. At their extreme, anxiety and depression can be crippling, making you feel hopeless. Life becomes a struggle and your... Read more

Isaac Rosenberg

M.A., RCC
I am a Registered Clinical Counsellor (RCC #18234) based in Victoria, British Columbia. I work with individuals and couples, in person or online. I bring a holistic approach to my work, and prioritize collaboration... Read more

Delyse Ledgard

M.A., RCC
    • Video on profile
    • Article(s) on profile
    • Blog on profile
    • Online booking
To be understood, seen, feel the comfort of another’s presence is the heart of therapy.  With over 30 years of experience, I have encountered and worked with people from all walks of life helping... Read more

Keisei Anzai

M.A., BCATR
No matter who we are, life has its up and downturns. Happiness is said to be a rich sense of well-being that comes only from knowing our internal self. A large part of what generates happiness is our cognition.... Read more

Mehran Seyed Emami

M.A., RCC
I am a BC Registered Clinical Counsellor (No. 18736) and Canadian Certified Counsellor (No. 10007447). I'm also a Certified Practitioner of Compassionate Inquiry (a model developed by Dr. Gabor Maté), and... Read more

Iona Monk

M.A., RCC
I am a Registered Clinical Counselor who meets with couples and individuals in private practice in Vancouver. I have been working with couples for over twenty years in private practice. I am a graduate of both... Read more

Lindsay Stewart

M.S.W., RCSW
    • Article(s) on profile
At the heart of Integrative Psychotherapy is a respectful and sensitive attunement to the client’s inner world. This helps create a foundation of safety and trust on which all other work in therapy is built. As... Read more

Stanley Cornfield

M.Ed., RCC
  Thanks for checking out my profile. If you are looking for a counsellor, chances are you are feeling stuck and frustrated with a personal or relational issue. This can cause ... Read more

Joe Ramirez

M.Couns., CCC
    • In-Person Sessions
Joe Ramirez, owner of ClearCounselling.ca, is a Canadian Certified Counsellor and an Adlerian psychotherapist with a Master of Counselling Psychology, providing Individual Counselling, Couples Counselling, and Sex... Read more

Mary Smyth

M.Sc., CCC
    • Video on profile
    • Blog on profile
    • Online booking
I am a Certified Canadian Counsellor and I trained as an Integrative Counsellor and Psychotherapist which enables me to work with clients drawing from  many modalities according to the individual client and what he... Read more

Sharon Jeyakumar

Ph.D., R.Psych
Are you feeling stuck in old patterns and unable to move forward? Are you looking for a safe space to work through your challenges? I am a Registered Psychologist with over 20 years’ clinical experience across various... Read more
    • Video on profile
    • Online booking
Feeling lost, misunderstood, stuck? I have been there. Besides being an experienced therapist, I am also a child of divorce, immigrant, wife, and mother. My own healing journey and continuing professional... Read more