Chronic Pain, Addictions - Including Substances Counsellors

Chronic Pain, Addictions - Including Substances

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.

While some people can use prescription or recreational drugs with no negative effects, many others become addicted and face dramatic health and lifestyle problems as a result. Substance addictions negatively affect relationships, home, school or work, leaving the person feeling ashamed, helpless and isolated.

Physical symptoms of substance abuse and addiction are varied depending on the drug of choice, but the symptoms of the addiction itself are similar. People who are addicted to substances may neglect their responsibilities, take potentially dangerous risks and get into trouble with the law. As their drug use spirals out of control, they will lose interest in activities that used to be enjoyable and continue to take drugs despite knowing the harm it causes.

Substance addicts tend to build up a tolerance to their drug of choice, and get angry when they can't get more of it. Withdrawal symptoms are highly probable when an addict goes without it for too long. Depression, nausea, insomnia, sweating, restlessness, anxiety and shaking are all common withdrawal symptoms.

Psychotherapy can help you to overcome substance addiction by focusing on correcting maladaptive behaviors. Substance abuse is usually a coping mechanism against emotionally overwhelming past events or memories. Substances are often used to provide instant gratification instead of facing certain issues.

Therapists are equipped to help clients deal with addiction recovery through empowerment and helping them set simple short term targets. The first target is sobriety, followed by empowering the client with adaptive skills and finding new coping strategies that deal with the issues that caused the addiction. Substance addiction can be ended, allowing the person to live a healthy, productive life.

If you need a counsellor or psychologist to help you address the effects of substance addiction, you can search the directory below to find a professional with the approach best suited to your situation.

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

Doug Elliott

M.A., RCC
What I do: rethink is a professional counselling service run by Doug Elliott, with offices in Vancouver's West End and on Bowen Island.  I hold a Masters Degree in counselling psychology and have extensive... Read more

Geoff Thompson

Ph.D., CCC
Geoff has demonstrated an exemplary ability to connect with clients while working with the Sunshine Coast Health Centre. An extensive background in both residential and outpatient addiction treatment has helped Geoff... Read more

Scott Harrison

M.A., RCC
Scott is a Registered Clinical Counsellor with the BC Association of Clinical Counsellors. Scott weaves the science and art of clinical counselling into therapeutic conversations that focus on solutions and strengths... 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

Carol Whaley

M.S.W., RSW
We are all on our own individual, unique personal journey through life. There is no one right way to heal or one single approach to therapy. There are various issues that come up in life, from every day life... Read more

Krista Blakelock

M.A., RCC
    • Online booking
We wake up each day, perhaps with the hope that today will be easier than yesterday, that stressors won't cause outbursts, that conversations won't be agonizing. You try to handle a variety of issues, challenges... Read more

Denise Carter

M.S.W., RSW
    • Online booking
Life can be complicated no matter what your age is. Managing life transitions such as becoming a teenager or young adult, a parent, or change in any life routine can be difficult. You may be experiencing stress, anxiety... Read more

Larissa Szlavik

M.S.W., RSW
    • Online booking
Humans are amazing, complex beings. Life is messy. I am prepared to talk about all of it. Often the conversations I am engaged in with folks include topics of trauma, abuse, colonial violence, sexual assault, and... Read more

Naoko Sasaki

M.A., RCC
    • In-Person Sessions
Are you struggling with high stress, anxiety, depression, substance use, relationship difficulties, low self-esteem, or trauma and PTSD? Would you like to ease your emotional pain by gaining tools to self-regulate and... Read more

Pam Vickram

M.S.W., RSW
If you are struggling with mental health, family issues, trauma, self-esteem or simply wanting to engage in the therapeutic process, I look forward to working with you. I support individuals and couples to navigate a... Read more

Mary Longworth

M.Sc., RCC
Mary Longworth is in private practice (Delta Counselling) in the South Delta, Tsawwassen, Ladner and New Westminster regions since receiving her M.Sc. in marital, family and child counselling in 1995. Mary is a... Read more

Nicklas Ehrlich

M.S.W., RCC
I help you get to the root of your problems, train your brain to be more resilient, overwrite unwanted default programming, and finally feel equipped to live a balanced and optimal life. 95% of your thoughts and... Read more

Carly Degenstein

M.A., RCC
    • Online booking
Welcome! And Hello :) I'm Carly - an RCC (Registered Clinical Counsellor) that's had the honor of working as a therapist for over 5 years now. I run a private practice that... Read more

Martine Charles

Ph.D., RCC
I have over 25 years experience in providing individual counselling to adult women and men. I offer counselling for a wide variety of difficulties including trauma (recent and past), anxiety, depression, addictions... Read more

Shelley Foster

M.A., RCC
Unique Family Coaching, Customized Individual Counselling and Online Consultation. Are you a family with teenagers looking for help?  Need something to change. Feel like you can no longer communicate or trust... 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

Megan Sutherland

M.S.W., RCSW
Warm, accepting, inclusive and practical best describes my personal therapeutic style. I also place a high value on careful listening, empathy, professional ethics and accountability.  I believe that all people... Read more

Shelley Ugyan

M.Couns., CCC
I specialize in individual counselling for anxiety, stress, depression, trauma or loss, anger and interpersonal issues. I also have extensive expertise in working with eating disorders,  relationship dynamics, pain... Read more

Sebastian Di Cesare

Ph.D., RCC
    • Online booking
Welcome, and thank you for visiting my profile. To describe my counselling approach succinctly, I would say I place a strong emphasis on the working alliance. I prioritize active listening and keep your immediate needs... Read more

Neelam Olk

M.C., RCC
    • Online booking
Neelam Olk holds the designation of a Registered Clinical Counsellor with the BC Association of Clinical Counsellors. In addition to her private practice, she has worked in outpatient mental health clinics with the... Read more

Heather Deans

MCP, RCC
    • Online booking
Hi, I’m Heather and I bring many years of experience with me as both a counsellor and clinical supervisor for other mental health professionals. I work with people to help figure out what is at the root of their... Read more

Ava Outadi

M.A., RCC
I'm passionate about supporting young adults and adults experiencing anxiety, depression, trauma, substance misuse, and life transitions. I will work alongside you by helping you recognize your inner strengths and... Read more

Cory Arthurs

M.Couns., RCC
We all face challenges, obstacles, and the pain of our inner wounds- and you deserve a safe space to explore and heal from these experiences. I am here to support you in discovering what 'safe' means for you,... Read more

Mark Holland

M.A., RCC
    • Online booking
A Registered Clinical Counsellor serving Vancouver since 2015, Mark helps clients uncover realistic, pragmatic solutions to their problems. Identified as a leader in his field, Mark works with clients to leverage... Read more
As a Psychotherapist, Leadership / Peak Performance Coach, and Facilitator, I’m here to support you.   I have a Master’s Certificate in Values-Based Leadership from Royal Roads University and a... Read more

John Zak

M.A., RCC
    • Online booking
Let me guess, there's a part of you that wants to try out counselling and another that is skeptical of whether it will work. Perhaps you tried it before and it seemed like a waste of time and money. As a skeptic... 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

Colter Long

M.Ed., RCC
    • Video on profile
    • Online booking
“Only in the darkness can you see the stars.” – Martin Luther King JR. Are you looking for an alternative to traditional talk therapy?  If you are interested in learning psychological tools or... Read more

Lola OpacicLunot

M.S.W., RSW
If you're contemplating counselling, see it  a positive step towards addressing any challenges or issues you might be facing. Counselling can offer numerous benefits, regardless of whether you're dealing... Read more

Lisa Robic

M.S.W., RSW
    • Online booking
Hello, I'm Lisa and I'm a Registered Social Work Therapist in Princeton, Tulameen, and the surrounding rural areas. My goal is to contribute to my local communities by providing flexible and low-barrier... Read more