Chronic Pain, Grief and Loss - General, Marriage and/or Relationship Issues, Perfectionism Cognitive Behavioural Therapy (CBT)

Chronic Pain, Grief and Loss - General, Marriage and/or Relationship Issues, Perfectionism

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.

Grief is a natural part of dealing with the loss of a loved one, or a situation, or a way in which we see ourselves. Loss requires that we change the way things used to be and find a new way to restructure our lives accordingly. It's common for people to fear change, particularly if a part of us, or a person we loved deeply, is no longer there. It leaves a gap that has to be filled, but nothing can replace the person who has left us behind.

People deal with loss in many different ways, but the desired end result is the same - trying to piece together the puzzle to the best of our ability, without the missing piece. We also go through the various stages of grief at varying speeds and intensities. Dealing with all the emotions that form part of grief is what makes support so very important.

Time is of the essence during the grieving period, and something we sometimes tend to rush. That's why it's so useful to speak to a therapist who does grief counselling during this time.

A therapist will help you understand that what you are feeling is completely normal and even expected. Medical professionals are aware of the wide range of natural responses to grief and loss and are generally reluctant to diagnose mental illness while a person is in a period of bereavement. However, if depression is present, medication is likely to be prescribed.

Grief therapy will help you to accept the loss and be able to talk about it without breaking down. You will learn to identify and express your emotions regarding the loss and learn to make decisions without your loved one.

If you are looking for a counsellor or psychologist does grief counselling to address your grief and loss you may want to search the directory to find a professional whose approach will suit you best.

Entering into a relationship means merging your life with another person, understanding his or her flaws, quirks and beliefs. With marriage rates declining and divorce statistics set at 50%, it is clear that people are increasingly challenged by marriage and relationship issues, and many lack effective ways to address them. So how can we bridge the gap to understanding our partners better and enjoying romantic bliss?

Many factors affect the interpersonal relationship between two partners who are a couple and sometimes it's hard to see the cause of conflict or friction in a relationship. While some people find divorce to be the best or only option, other people speak to counsellors and psychologists  in a bid to try salvage the relationship.

Signs that indicate a need for couples counselling include poor communication in a relationship, affairs, living past one another, inability to resolve marriage of couples' issues, and acting out negative feelings. When divorce seems like the only option, or if a couple is staying together for the kids' sake, that's a sure sign that therapy is needed.

Therapists do not necessarily  believe that all marriages can be salvaged, but counselling can often help even some of the most challenged relationships.  Through talk therapy, the couple will discover again why they fell in love and what they can do to get back to that place in their marriage. They use a range of effective, proven methods to help couples in any situation to restore intimacy and move past the hurt and wounds to a safe and comfortable place.

The concrete tools used by marriage therapists provide guidance in a supportive and encouraging setting and empower clients to restructure their thoughts and emotions. It helps the couple to work with each other, instead of on one another, helping each individual to find the person he or she is at the core level and to build a happy union.

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

Perfectionism is considered as a personality trait among many mental health practitioners.  Perfectionists tend to view projects or tasks that are not perfect done, as unworthy. Unless they know that they can do something perfectly, they are unlikely to take it on. They tend not to care much about the learning process while completing a task, but rather about the end project, which, for them, is the most important aspect of any project they undertake.

Procrastination is a great obstacle with people who are perfectionists. They usually don't want to start a task until they are sure that they can do it perfectly. It's common for them to spend an enormous amount of time on a project, making sure that it is done to perfection. Yet, perfectionism prevents these people from appreciating a job well done. Instead, they don't believe that anything they do is good enough and they constantly compare their results with that of other people. They become fixated on achieving perfection.

There is a correlation between perfectionism and obsessive-compulsive disorder (OCD), and some perfectionists also have OCD.  However, not all people with OCD are perfectionists. While most people with an ambition to succeed and therefore strive to excel in their pursuits, they are not necessarily perfectionists.

Therapy can be very helpful in treating perfectionism. Therapy will help the individual to reframe their thinking to change the end goal of his or her undertakings. A therapist may often help perfectionists recognize that some of the most successful people are not perfectionists at all.

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

Cognitive Behavioural Therapy (CBT), Solution Focused 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..

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

Rochelle Chapman

M.A., RCC
    • Video on profile
Counselling can be a way to grow while facing difficult circumstances. It can also be about building resources or heading in a new direction. In each case, you have the opportunity to become more yourself. Whatever... 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

Roya Vojdani

M.A., RCC
    • Blog on profile
    • Online booking
Life is a journey full of twists and turns, but you don't have to face it all alone. Depression, anxiety, trauma and other emotional struggles take away from the joys of everyday life and might leave you feeling... Read more

Elisa-Maria Chong

M.Ed., RCC
    • Online booking
Our lives each contain moments of great joy and sorrow, pain and pleasure, opportunity, and obstacle. At the center of these experiences is our innate search for connection. We need relationships, they are precious and... 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

Lisa Webster

M.A., CCC
    • In-Person Sessions
  What makes Lisa stand out is her warm personality and her straight forward approach. With gentleness and humour, she guides clients to find their own insights, while providing tools and teaching techniques... Read more

Geoff Williams

M.S.W., RCC
It takes courage to engage with therapy and self improvement. So please, let me commend you, and express that it is my privilege to work with you.   My name is Geoff Williams and I am of English, Scottish,... Read more

Ruth Skutezky

M.A., RCC
    • Online booking
Is anxiety getting in the way of living your best life? Are you feeling disconnected from your partner, arguing more, or even having doubts about your future together? Are you a new parent, struggling to adjust to this... Read more

Jennifer Vishloff

M.A., RCC
    • Online booking
Many of the clients I’ve worked with feel overwhelmed by their emotions. On the outside they are able to be successful through a lot of hard work, but inside they feel like they’re barely holding it together... Read more

Shea Talbot

M.A., RCC
    • Online booking
My passion to be a counsellor was sparked by witnessing the challenges faced by close family and friends dealing with mental health issues growing up. I believe that each person has the power within themselves to make... Read more

Bradley Murray

Ph.D., RCC
    • Online booking
Dr. Murray is a psychoanalyst and Registered Clinical Counsellor based in North Vancouver who has been in private practice for 11 years. He offers consultations and therapy for individuals living on the North Shore and... 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

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

Deborrah Dunne

Ph.D., RCC
The decision to go for counselling often arises in the face of crisis and overwhelm. It can also come about because we are tired of dragging our issues along with us through days, weeks, months and even years. My goal... 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