This is a system of psychological techniques that have been found to be effective for primary pain (also called neuroplastic or nociplastic pain). It is focused on breaking the fear-pain cycle by retraining the brain away from faulty misinterpretations fueled by fear and threat towards a more accurate view that is based on safety. 

In-person counseling involves face-to-face meetings between a counsellor and a client in an actual physical office, allowing for direct interpersonal connection and non-verbal cues. Virtual counseling takes place online, often through video calls or messaging platforms, offering convenience and accessibility but potentially limiting some aspects of personal interaction and body language interpretation.  Many counsellors offer both but may need to switch primarily to online/virtual counselling if public health advisories are in effect.