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

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..

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

    • Online booking
Simone is a Registered Clinical Counsellor with over 5 years of experience working with clients from varying populations and backgrounds including members of LGBTQ2SIA+, BIPOC, and neurodivergent communities. Simone... Read more

Karla Vargas

MCP, RCC
**Currently accepting new clients** Hi! I’m Karla and it is a pleasure to meet you! I am a Registered Clinical Counsellor (RCC) holding a Master of Counselling Psychology degree as well as a Bachelor of Arts... Read more

Kari-Ann Thor

M.Ed., RCC
A Bit About Käri-Ann: I have had a part-time private counselling practice since 2003 and come from a history of Outdoor Education as my first career, followed by over 20 years working in the social service sector... Read more

Edie Reiman

M.S.W., RSW
*****Edie Reiman MSW, RSW is a Psychotherapist, Life Coach and Presenter. Private Practice located in South Surrey/White Rock, BC.  Video and Tele-Counselling/Coaching with clients in Vancouver,... Read more

Kala McKenzie

M.A., RCC
    • Online booking
Are you tired of feeling exhausted by worry, or paralyzed by a harsh inner-critic? Perhaps you have noticed that your self-esteem is unhealthy - you either second-guess yourself, not really believing the nice things... Read more

Chris Rensch

M.A., RCC
    • Blog on profile
    • Online booking
Chris has specialized training in trauma and child therapy. He helps kids and adults get unstuck when life circumstances create barriers. As one of the only male trauma-focused children’s therapists... 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

Jayne Simpson

M.S.W., RSW
    • Online booking
I am the founder of Ash Tree Counselling, and believe in the importance of building a relationship for healing to begin and sustain. Part of my personal on-going relational healing is re-connecting to my ancestral... Read more

Robert Grigore

MCP, RCC
    • Online booking
Professionals hire me to provide life-changing mental health results as fast as possible. By offering the option for extended EMDR sessions (2-5 hours) in addition to the standard 1 hour, busy professionals can... Read more

Tyler Schaus

M.Couns., RCC
As a queer, transguy, and adoptive parent to a neurospicy child, I prioritize the importance of seeing people as complex, nuanced, and unique beings. I strive to keep my practice flexible, authentic, holistic... Read more

Andrew Herfst

M.A., RCC
    • Online booking
*I provide an Online / Telephone counselling option* I am a Registered Clinical Counsellor (RCC) with the BC Association of Clinical Counsellors and a Canadian Certified Counsellor (CCC) with the Canadian... Read more

Lisa Voth

MC, RCC
    • Video on profile
    • Online booking
Three common things I hear: you have some understanding of why something happens intellectually but that doesn't stop it from happening or feeling bad. you can't figure out why you keep... Read more

Nicole Neufeld

M.C., RCC
Hi, I'm Nicole (she/they). If you're in a space where you're not feeling like yourself, you're not alone. Maybe you've been experiencing worry, or a sense of 'what's the point?' about... Read more

Tracey Dahl

M.A., RCC
In the room with neuroscience, attachment and the core self Sometimes we feel unsettled, worried or stuck. Maybe it is a sense that we must to do something different to get out of a rut, but all our efforts don't... Read more

Michelle Mann

Ph.D., RCC
Michelle Mann (PhD RCC) is a Registered Clinical Counsellor and a therapist providing counselling, therapy and coaching to children, youth, adults and families. Trust, respect, warmth and empathy are key... Read more

Brenna King

M.A., RCC
Brenna King has a Masters degree and is a registered member of the British Columbia Association of Clinical Counsellors.  She offers her private practice in North Vancouver  (Lonsdale and 20th).  She... Read more

Krista Sao

MCP, RCC
    • Online booking
I work with people who have a desire for change but are unsure where to start. If you want life to be more fulfilling, but you feel held back by fear, guilt, or shame. You’ve engaged in new behaviours but... Read more

Andee Dale

M.A., RCC
    • Online booking
I am accepting new referrals for both in person counselling (office located in Duncan, BC) or virtual counselling.  I've been a counsellor for over 15 years and have worked in a number of counselling... Read more

Dr Kira Celeste

Ph.D., RCC
    • Video on profile
    • Online booking
Hi—I’m Kira Celeste, a counsellor who is passionate about helping individuals who long for a deeper, fuller experience of life navigate through their history, current circumstances, and societal influences... Read more

Jennifer Mussell

M.Sc., RCC
    • Online booking
Jennifer is a compassionate and engaged therapist who will help clients imagine desired outcomes and create a roadmap to achieve their goals. She balances offering a safe space to process emotions, explore and... Read more

Rachel Braund

M.S.W., RSW
    • Online booking
ACCEPTING NEW CLIENTS. NO REFERRAL NECESSARY.  Do you feel like you are crumbling on the inside, trying to hold it all together; meanwhile you feel tense or just "off"? Did you dig deep to move past a... Read more

Norma Hoeppner

M.S.W., RSW
In private practice since 2007, Norma has been a dynamic clinical therapist across diverse health settings since 1989. Currently she practices with Clear Counselling Inc. in Vancouver, as well as an office through... Read more

Lindsay Faas

M.A., RCC
Lindsay is a Registered Clinical Counsellor with a Master of Arts degree in Counselling Psychology. She is the Owner and Director of ThriveLife Counselling & Wellness, as well as full time Clinical Counsellor... Read more

Kristen Bailey

M.A., RCC
    • Online booking
People come to therapy for a variety if reasons, but ultimately there is something you are experiencing in your life that is causing you pain and suffering that you want to address. We all experience pain that stems... Read more

James Lowe

M.A., CCC
    • Online booking
James is a counsellor who practices multicultural counselling in Vancouver, Richmond and Metro Vancouver, BC. James provides cross cultural counselling and therapy to a variety of ethnic and minority immigrants and... Read more

Lisa Yeates

M.Ed., RCC
    • Online booking
Do you feel hooked by painful thoughts, emotions, and behaviours that pull you away from the person you want to be? Work with me to explore how to live life with meaning, to move on from the past and build skills to... Read more

Geraldine Brooks

Ph.D., R.Psych
My counselling is holistic, informed by scientific advances in psychology and neurology as well as Transpersonal, Jungian (the theories of C.G. Jung) and Energy Psychologies. I address a wide variety of client concerns... Read more

Lara Ellison

M.S.W., RSW
Lara Ellison, MSW, RSW Lara Ellison MSW, RSW has been professionally involved in various mental health programming since 2006.  Starting her work at Peak House, a youth residential alcohol and drug treatment... Read more

Ann-Marie Inoue

M.C., RCC
    • In-Person Sessions
    • Online booking
Do you feel dissatisfied or discontented with life? Is your relationship the source of pain and isolation? Do you constantly push people away that love you? Many people work hard to appear happy on the... Read more

Lydia Hamilton

M.Sc., RCC
    • Online booking
In 2000, Lydia left the film industry to pursue her passion of helping people help themselves. Now, over 20 years later, she brings her wealth of experience and education to her private practice based in the Cowichan... Read more