Chronic Pain, Post Traumatic Stress Disorder Cognitive Behavioural Therapy (CBT)

Chronic Pain, Post Traumatic Stress Disorder

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.

Post Traumatic Stress Disorder is an anxiety disorder that usually starts within the three months of a traumatic incident. It has been reported that in rare cases, PTSD symptoms may only occur after a number of years.

Three groups of symptoms are present in people with Post Traumatic Stress Disorder. Increased anxiety / emotional arousal includes anger or irritability, overwhelming shame or guilt, sleeplessness and self-destructive behaviour. The second group of symptoms, known as intrusive memories, causes flashbacks to the traumatic event and upsetting dreams. The third group of symptoms that a Post Traumatic Stress Disorder patient may experience, includes emotional numbing or avoidance. This group of symptoms includes memory problems, poor concentration, feeling emotionally numb, a sense of hopelessness, and an avoidance of activities that the person used to find enjoyable.

Post Traumatic Stress Disorder symptoms may be present for a while, disappear and then return again. General stress may increase the symptoms, as can reminders of the traumatic incident.

Therapists who address  Post Traumatic Stress Disorder generally use one, or a combination of trauma therapies to treat it. Eye movement desensitization and reprocessing (EMDR) is commonly used and can help a person to change their reactions to traumatic memories.

Exposure therapy can help a person reduce the amount of fear related to the feelings and thoughts associated with past traumatic events. Cognitive therapy helps a person to change the way he or she thinks about the event and the aftermath of a traumatic incident. It will help a person to identify thoughts that cause fear and anger, and learn ways to replace those thoughts with less stressful and more empowering thoughts.

If you are looking for a counsellor or psychologist who offers Post Traumatic Stress Disorder and related issues you may want to search the directory to find a professional whose approach will suit you best.

Cognitive Behavioural Therapy (CBT)

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.

Jennifer Scott

M.A., RCC
    • Article(s) on profile
Please note I am now offering virtual counselling by phone or video as well as in-person counselling. Many clients have found virtual counselling just as effective as in-person counselling. I welcome you to give it... Read more

Ned Baess

Psy.D., R.Psych
Dr. Ned Baess was awarded his doctoral degree in clinical psychology from the Adler School of Professional Psychology, Chicago, in 2003.  He was clinically trained at the Royal Jubilee Hospital (RJH) and... Read more

Josh Slatkoff

Ph.D., R.Psych
Dr. Josh Slatkoff is a Registered Psychologist (CPBC #1774) who sees adult clients in Victoria, BC. He works with clients to develop coping skills to face challenges and accept limitations. He believes that clients... Read more

Joseph Tse

Ph.D., R.Psych
I am Registered Psychologist (#2491) in British Columbia. I enjoy working with adults on a variety of psychological concerns, including anxiety, depression, stress management, and post-traumatic stress disorder (PTSD).... Read more

Ginnie Cramer

MC, RCC
**My practice is currently full. If you would like to be placed on my waiting list please e-mail me indicating this** ***Due to the Covid-19 circumstances I will be doing telephone and video... Read more

Lephuong Ong

Ph.D., R.Psych
Insight and Therapy:  It takes great courage and insight to make the decision to engage in therapy to examine and address the concerns that have been troubling you. Though it may seem daunting, therapy... Read more

Joanna Nicholson

M.A., RCC
    • Blog on profile
    • Online booking
Since 2017, I have been working in an oncology setting within the health care system. I understand that navigating illness can be incredibly lonely. Feelings of grief and depression are common reactions to health-... Read more

Chelsea Stenner

M.A., RCC
    • Online booking
I am a Registered Clinical Counsellor (#15201) and a Canadian Certified Counsellor (#10002791). I have a Master of Arts in Counselling Psychology and a Bachelor of Arts in Psychology. The first thing I want you to know... Read more

Candace Marshall

M.A., CCC
    • Online booking
UPDATE - COVID-19 and Nexus Counselling Services:  In the wake of the COVID-19 pandemic, your safety and health is paramount.  Whether you are a new or existing client, to accommodate your concerns and... Read more

Colette Mrazek

M.Ed., RCC
    • Online booking
My counselling career began over 20 years ago and since then, I have worked in a variety of settings with many different populations, such as youth at risk, children who have been orphaned, young parents,... Read more

Megan Hughes

M.A., Registered Psychology Assistant
*Now offering video and phone sessions.* *My practice is currently accepting new clients, to book please email/call: info@stillwatercounselling.com / 604-734-2779.* Megan Hughes has been counselling in... Read more

Cynthia Gyuk

B.S.W., RSW
Welcome and thank you for taking a moment to read my profile. As a Registered Social Worker with specialized training, I provide a compassionate and safe space to support individuals and families who may be ... Read more

Leona Westra

MCP, RCC
    • Online booking
Do you find your life limited by trauma and chronic pain and want to get more out of your life? Are you tired of the pain and suffering and are looking for a way to gain some control over your life? If the following... Read more

Judy Zhu

M.Ed., RCC
Are you struggling with depression, anxiety, addiction, or feeling stressed out? Are you also experiencing health issues such as digestion problems, poor sleep, pain and fatigue? I am a registered clinical... Read more

Raheel Rahman

M.A., RCC
    • Online booking
  Raheel Rahman is committed to providing compassion and support to help you through many life issues.   RAHEEL RAHMAN CAN HELP YOU WITH: Anxiety in adults and children Depression in adults... Read more

Harry Stefanakis

Ph.D., R.Psych
    • Video on profile
Dr. Harry Stefanakis holds a doctorate degree in psychology and is registered with College of Psychologists of BC (#1489). He is an experienced counselor and educator who communicates effectively with both humour and... Read more

Marco Ma

MCP, RCC
    • Online booking
I am a compassionate and dedicated Registered Clinical Counsellor (RCC # 17221) affiliated with the BC Association of Clinical Counsellors. With the expertise in individual and couple therapy, I tailor my... 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

Anthony Cave

M.A., R.Psych
    • In-Person Sessions
About me My private practice consists of psychotherapy services for youth, adults and elders. An appointment usually lasts an hour and takes place in a confidential office setting. I also provide clinical consulting... Read more

Deborah Kieran

M.C., R.Psych
Deborah Kieran is a Registered Psychologist with the College of Psychologists of BC (#2677). She obtained her Master of Arts in Counselling Psychology from City University in 2008.  Deborah sees counselling as a... 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

Rebecca Chan

M.A., RCC
I am a Registered Clinical Counsellor with the BC Association of Clinical Counsellors. I completed my Bachelor of Arts in Communications and Psychology at Simon Fraser University and my Master of Arts in Counselling... Read more