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, Somatic Approaches

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.

Somatic approaches to therapy recognize the mind-body connection and focus on addressing psychological issues through bodily experiences. By incorporating techniques such as body awareness, breathwork, and sometines movement, these approaches help individuals access and process stored emotions and trauma. This value lies in their ability to foster self-awareness, emotional regulation, and healing.  Some therapies like "somatic experiencing" require specialized training and certification.  Please ask your therapist whether he/she has sprecialize training and in which approaches.

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

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

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

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

Sarajoy David

Ph.D., R.Psych
    • Audio on profile
The focus of my service is the teaching of emotional self-care skills.  I draw upon leading edge therapies in facilitating each person's journey to self-awareness, healing and empowerment. This self-exploration... Read more

Robyn Kozak

M.Ed., RCC
    • Video on profile
    • Online booking
Whether it is struggles with trauma, anxiety, pregnancy, postpartum, parenting, relationships, or mood, I support individuals with identifying what they want to be different in their life and co-creating a... Read more

Taylor Willis

M.A., RCC
    • Online booking
While life can be filled with joy, wonder and new experiences, it can also prove to be stressful, anxiety-provoking and incredibly challenging. These situations can impact our self-worth, mood, our relationships with... Read more

Andrea Zimmering

M.C., RCC
    • Online booking
I come to this line of work passionate about providing support to individuals seeking change and growth. I strive to show up with integrity in my work and ensure that my clients feel seen, heard, and safe to show up... Read more

Jasmine Gill

M.Ed., RCC
    • Online booking
I view counselling as a deeply relational and collaborative process. Together, we navigate the complexities of human emotions, uncovering resilience and fostering authentic connections that lead to lasting change and... Read more

Kelsey Webster

MCP, RCC
Hello! I provide holistic, trauma-informed clinical counselling for adults and youth healing from mental health challenges, trauma and/or substance use issues. My counselling approach uses somatic (body based... Read more

Kendra Antony

M.A., RCC
    • Online booking
Hello! I'm Kendra (she/her), Registered Clinical Counsellor and owner of Hope Stone Counselling. I’m so glad you’re here.  Since 2006, I’ve had the privilege of being invited into people... Read more

Kara Bezuko

MCP, RCC
    • Online booking
I work with people seeking a gentler path to happiness and well-being. You may be grasped by anxiety, lost in the heavy darkness of depression, or caught in a turmoil of confusion and distraction. You might find... Read more

Tosh Gordey

M.S.W., RSW
    • Online booking
My name is Tosh, and I am a queer therapist who finds my passion in working with individuals and couples on their healing journeys.  Whether you are experiencing relationship challenges or changes, anxiety,... Read more
    • Online booking
As you take the step towards finding a therapist, it’s important to find someone with whom you resonate,  as well as someone whose approach seems to fit for you.   Married, mom of 3 young... Read more

Linda Lin

MCP:AT, RCC
    • Online booking
I believe that every person who comes in the room has unique stories and lived experiences they bring in, so I orient the therapy depending on the your needs. I also recognize the limitations and barriers BIPOC and... Read more

Sofia Daulat

M.A., RCC
    • Online booking
Life experiences can leave us feeling stressed, anxious, inadequate and even hopeless. At times we feel lost, as we struggle to navigate the pain and discomfort we are feeling and may be unsure of how to take steps... Read more

Shannon Tully

M.Sc., RCC
    • Online booking
Welcome. I am a Registered Clinical Counsellor with a background in Speech-Language Pathology. I offer sessions both in Vancouver and on Bowen Island. As a counsellor, I aim to provide an ethical and compassionate... Read more

Sahiba Walia

MCP, RCC
    • Online booking
Journeying inward is not always an easy process, but at some point, the call within us to move beyond our suffering and seek connection with ourselves gets louder and harder to ignore. Whether you are starting out on... Read more

Sky Lee

M.S.W., RSW
    • Online booking
When a loved one is unwell, it can be hard to find your bearings.  With experience stemming from 2008, my area of expertise is providing intensive family and caregiver support services.  If you are... Read more

Amanda Bowers

MCP, RCC
    • Blog on profile
    • Online booking
Hi! I am a Registered Clinical Counsellor (RCC) with a virtual online private practice and a part time practice at Aster Wellness Centre in Port Coquitlam. I am originally from a small town near Toronto, Ontario, and... Read more

Spencer Copland

MCP, RCC
    • Online booking
Spencer Copland Therapy I am a Registered Clinical Counsellor (RCC) with the BC Association of Clinical Counsellors. My offices are located in Vancouver and I work with clients throughout BC.  ... 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

Danielle Peloquin

M.A., RCC
    • Blog on profile
    • Online booking
Are things out of balance? Tired of the same old patterns? Stuck? Taking care of mental wellness is like maintaining a vehicle. Anxiety, depression, relationship trouble and anger may mean it's time for a tune-up.... 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

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

Zakia Ovington

M.Couns., RCC
    • Online booking
As a dedicated therapist at Future Focus Therapist, my practice is centered on fostering emotional well-being, nurturing authentic self-leadership, and facilitating trauma recovery. I understand that each client's... Read more

Caroline Miege

M.A., CCC
I am able to bring my years of experience with counselling to you, offering culturally safe, trauma informed and evidence based treatments. We will build on your skills and strengths, working together and drawing from... Read more

Sho sho O

M.Couns., RCC
    • Online booking
I am a Registered Clinical Counsellor (RCC), Canadian Certified Counsellor (CCC) and Certified Clinical Trauma Specialist (CCTSI) from Hong Kong. I specialize in helping clients heal from traumatic... Read more

Anda Vintila

M.A., RCC
    • Online booking
I incorporate a diverse range of somatic (body-centered) therapies into my practice, drawing on extensive training and personal growth experiences that have significantly shaped my therapeutic approach. My work... Read more

Cordelia Mejin

M.A., RCC
Are you struggling with how to go on living in the wake of a loss? Does the pain of losing your person continue to have significant impact on your life and you are at a loss as to how to process the deep pain? Are you... Read more

Sanela Jakovljev

M.Couns., RCC
Are you tired of waking up to chronic pain each day, struggling to convey spoon theory to those who don't understand, or feeling dismissed by professionals who should be there to help? As a registered clinical... Read more

Katie Burden

M.A., RCC
I believe that suffering can often carry with it important messages about who we are as people, what’s important to us, and what gives our life meaning. Therefore the goal of therapy in my opinion is never to... Read more