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), Solution Focused Therapy, Acceptance & Commitment Therapy, Dialectical Behaviour 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..

Acceptance & Commitment Therapy encompasses a range of six principles that aim to help clients develop greater psychological flexibility. The six principles include:

1. Cognitive defusion help to reduce tendencies to regard thoughts, memories and emotions as real and concrete events.

2. Acceptance is about allowing the thoughts to surface and pass without the need to allow them to interfere with daily life.

3.  Being present means being aware of current existence and being involved with the now.

4. Self observation helps the client to be aware of the self and the unchanging consciousness.

5. Exploring values to discover those that are most important to the person.

6. Committed action involves setting goals based on the explored values, and setting actions in place to reach those goals.

Acceptance & Commitment Therapy is a form of cognitive behavioural therapy and is commonly used in therapy, and in it's sub-forms and helpful for a range of conditions, including OCD. If you require Acceptance & Commitment Therapy, have a look at the counsellors listed below.

Dialectical Behaviour Therapy is helpful in helping clients who suffer from a wide range of mental health issues. It is most commonly used for people that are having problems managing their emotions. It typically includes individual and group sessions with focus on skill learning of attention, managing emotions and interpersonal skills.

Dialectical Behaviour Therapy helps individuals to cope with stressful situations and distressing emotions to help improve their interpersonal relationships. During times of stress, a person usually acts automatically with no regard for consequences, and this often leads to self-destructive behaviours such as self-harm, manipulation and poor eating and sleeping habits. Dialectical Behaviour Therapy can help a client to make better decisions.

During sessions, the therapist will discuss different viewpoints, because they share the theory that opposites can, and do, co-exist. The therapist will teach the client helpful skills that will help the client to accept or change a situation.

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

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

Natalie Tiojanco

MCP, RCC
    • Online booking
Hi, I’m Natalie. I am a trauma-informed narrative therapist offering individual counselling to my community, which includes you! I welcome the privilege of hearing your story and supporting you in your path... Read more

Krista Blatchford

M.A., RCC
    • Online booking
Krista (she/her) has many years experience working with children (6+), adolescents, adults, parents and families. Before completing her Masters in Counselling Psychology and becoming a therapist, she was a youth worker... Read more

Melissa Brienza

MCP, RCC
    • Online booking
Hi there! Do you struggle with anxiety, motivation and being a part of a world that doesn't seem like it was designed for you? Have you been considering counselling for some time now? Are you feeling... Read more

Ira Yakubovitz

M.S.W., RSW
    • Online booking
Helping people to find their way through mid-life’s challenges and transitions. Life can be a wonderful mix of challenges and opportunities. Lately it may feel like mostly demands and responsibilities have been... Read more

Sue Perry

M.A., CCC
I am a Certified Clinical Counselor (CCC) and see people in my office in West Sechelt, BC.  Thank you for viewing my page. Chances are if you are reading this, you are struggling with something. I have helped... Read more

Ann Downie

M.Ed., RCC
    • Online booking
Ann meets people from a position of warmth, compassion, openness and curiosity. She has a deep commitment to connect and work alongside individuals and families to develop an authentic, trusting relationship, and offers... Read more

Celia Yeung

M.C., CCC
 Are you feeling overwhelmed, isolated, stuck, lost or depressed? If you are struggling with anxiety, depression, grief and loss, relationship issues or other complex life challenges, I can help. I provide an... Read more

Sarah Becker

Ph.D., R.Psych
    • Online booking
I believe that my role as a therapist involves walking alongside my clients while offering an objective and informed perspective. Because I often see people who are seeking change, my goal is to help my clients identify... Read more

Erica Steward

M.A., RCC
    • Video on profile
    • Online booking
With a deep-rooted belief in the capacity for healing, personal growth, and transformation, I am honoured to offer my support on your unique journey. People often reach out to me when they feel stuck, struggle with... Read more

Vicki McCabe

MCP, RCC
    • Online booking
Are you stressed at work and can’t sleep at night? Feeling worried, stuck and overwhelmed? I understand that these experiences can lead to feelings of loss – loss of control, loss of freedom, and loss of... Read more
One of my greatest passions as a counsellor is helping clients develop tools and coping skills to overcome disordered eating. Wherever you are in recovery, my approach is compassionate and client centered. In our first... Read more

Ashley Shankar

M.S.W., RCSW
I’m a cis South Asian woman. My Masters in Social Work from the University of British Columbia has granted me the opportunity to work extensively in diverse community mental health settings. I work with... Read more

Angela Fu

Psy.D., R.Psych
    • Online booking
I take an open and non-judgemental approach in therapy to attune to each individual’s unique needs. My theoretical approach to treatment is integrative and informed primarily by Cognitive Behavioral Therapy (CBT... Read more

Cynthia Lamont

M.A., RCC
    • Audio on profile
    • Online booking
Cynthia Lamont is available to meet clients via the online Jane System, who are from both B.C. and Alberta. For Kelowna-based, in-person sessions, you can book directly through the website. Cynthia, a Registered... Read more

Halina Deptuck

M.A., RCC
    • Online booking
Periods of struggle, challenge, or feeling stuck inevitably occur throughout our lives. Whether you’ve gone through a life transition, are experiencing low mood, heightened anxieties, relationship challenges,... Read more

Angeline Vaughan

M.A., RCC
Angeline is a Registered Clinical Counsellor (#10058) and a member in good standing with the British Columbia Association of Clinical counsellors (BCACC). Angeline holds a Masters of Arts degree in Counselling... Read more

Gretal Montgomery

M.A., RCC
    • Online booking
Gretal provides phone and video/virtual counselling to clients across British Columbia. She offers individual counselling to youth (12+) and adults. She identifies as a culturally responsive counsellor for BIPOC... Read more

Marie-Eve Martel

Psy.D., R.Psych
    • Online booking
I'm a bilingual (EN/FR) registered psychologist in British Columbia (#2785) with a strong compassionate presence and a mindfulness/acceptance-based orientation. I provide evidence-based care to help people... Read more

Claire McMillan

M.S.W., RSW
    • Online booking
Hi and thanks for stopping by! I'm Claire (she/her) and I've recently relocated to the Sunshine Coast from Vancouver. I was previously offering in-person office sessions while in Vancouver, and will now be... Read more

Alex Abdel-Malek

M.S.W., RCC
    • Video on profile
    • Online booking
*** Please note that in response to the COVID-19 situation, I have moved my therapy practice to a fully online service, meaning we can connect via secure video call for our sessions for individual and couple therapy... Read more

Robin Willis

MCP, RCC
    • Online booking
It takes courage to reach out and seek help - to not go it alone. If you have found your way here, you have taken a brave first step. Life might not offer a clear handbook, and at times, our internal stories may... Read more

Danielle Holtjer

MCP, RCC
    • Online booking
Hi I’m Dani and I’m a Registered Clinical Counsellor and Clinical Director at Skylark Counselling! I have worked in the counselling field for over a decade and have had the pleasure of gaining hands-on... Read more

Nina Hopmeier

M.Couns., RCC
    • Video on profile
Have you been feeling overwhelmed lately by your emotions and life’s demands? Do you sometimes feel like you have exhausted your coping resources and are stuck with where you are? It’s so easy to let these... Read more

Monique Wong

M.Ed., RCC
No one needs to be alone and feel isolated during difficult times. Let’s have a conversation to work together to explore and practice different coping strategies and get the support you need.  Monique is a... Read more

Lindsay Bhuller

M.Ed., RCC
    • Online booking
Do you find yourself getting triggered for reasons you can't explain? Are you having trouble turning your brain off from racing thoughts? Maybe you are overwhelmed by emotion, or the opposite- not... Read more

Sarah Mordell

Ph.D., R.Psych
    • Online booking
Curious about therapy but feeling a bit overwhelmed about where to start? Let's walk through it together. Finding someone who seems like a good fit for you is an important start. But reflecting on what you'... Read more

Nicole Alexander

M.Ed., CCC
    • Online booking
Do you sometimes feel like it is difficult to get through the day? Do you often feel low and like your progress is somehow blocked? Are you at a point in your life where it seems like nothing is changing? I understand... Read more

Coleen Adderley

M.A., RCC
Coleen is the Founder and Clinical Director of Reflective Soul Counselling. She is passionate about helping others and believes that each obstacle we face only makes us that much stronger.   Coleen has over... Read more

Danielle Kingdon

Ph.D., R.Psych
    • Online booking
I provide psychological services (i.e. assessment and therapy) to children, adolescents, and their families. I offer services to youth experiencing a range of difficulties, including: anxiety, depression, ADHD, ... 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