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How Therapy Can Help with Chronic Pain Management

Did you know that over 50 million Americans and 8 million Canadians live with chronic pain daily? Are you one of them?¹

Sometimes, it feels like you are not being heard as you search for a diagnosis for recurring health issues. Other times, the constant pain you are wrestling with will not leave you alone, no matter what medications you use. And you are wondering, “What do I try next?”

Therapy is unique in that it is tailored to you, the client, as there is no one-treatment-fits-all solution. So, when you bring your unique experience of chronic pain, we at Therapevo strive to help you where you are. Living with chronic pain is a massive undertaking all on its own. But we want to hear your experience and walk with you through it to live a healthier, restored life.

Read more: How Therapy Can Help with Chronic Pain Management

What Happens When I Experience Chronic Pain?

Does your chronic pain stem from a traumatic experience? You might find working with a counselor who specializes in trauma helpful. Almost 1 in 5 people with chronic pain meet the criteria for Posttraumatic stress disorder (PTSD)². PSTD is a known risk factor for the development of chronic pain conditions, making therapy for trauma and pain management helpful. Therapevo has counselors who specialize in online trauma counseling and would love to walk with you through this.

When you experience physical pain, there is a lot going on in your brain. And a lot of that has to do with your emotions. 

Experiencing physical pain alerts other areas, including those that are sensory, emotional, cognitive, and behavioral³. When pain becomes chronic, it impacts more than just one area in your brain. All of these areas of your brain are connected, which is why experiencing long-term pain also impacts other areas.

Sensory Impact

• Sensory overload
• Hypersensitivity to pain
• Pain is no longer in one central location as it has diffused

Sensory effects relate to how your body perceives pain signals. For example, if you have chronic neck pain, the sensory regions of your brain become even more alert to pain signals from your back. If someone were to pat you on the shoulder, the pain can be felt in the lower back as the pain is no longer in just one location⁴. It’s as if the volume of your pain sensors has been turned up higher than usual.

Emotional Impact

• Depression or anxiety
• Frustration and anger
• Hopelessness

Emotional effects are about how pain influences your feelings. Chronic pain often contributes to emotional changes like increased irritability or frustration, even depression, anxiety, and substance use disorders⁵. You might find yourself feeling unusually sad or down because the pain makes it hard to enjoy activities you used to love. For instance, someone who enjoyed hiking might become discouraged and sad because the pain now makes it too difficult to go on trails.

Cognitive Impact

• Struggles to remember information
• Lowered attention span
• Difficulty focusing

Cognitive effects deal with how pain affects your thinking. Chronic pain can make it hard to concentrate or focus, often referred to as “brain fog.” You might find it difficult to remember things, make decisions, or focus your attention⁶. If you’re dealing with constant pain, your brain is so busy processing the pain signals that it has less energy for other tasks. For example, you might go to the grocery store and forget what you came to buy or find it hard to follow along with a movie.

Behavioral Impact

• Social withdrawal
• Reduced physical activity
• Sleep disturbances

Behavioral effects refer to how pain changes your actions or behavior. Chronic pain might make you avoid activities that you think will worsen your pain, leading to a decrease in physical activity. This can create a cycle where less activity leads to more pain and stiffness. For instance, someone with knee pain might stop taking stairs to avoid the pain, which may lead to less overall movement. Additionally, you might develop sleep problems because the pain keeps you or your spouse awake at night. In turn, this can make the pain feel even worse the next day⁷.

This is why chronic pain can be helped by therapy! Often, emotional disorders simultaneously occur with chronic pain because the brain regions where pain is experienced are so interconnected with emotions⁸. This means dealing with pain can be worsened by struggling with depression, insomnia, or anxiety.

Wondering if online therapy will be a good fit for you as you seek healing from chronic pain? Read through the benefits of online therapy and learn how we can help you.

When Should I Seek Therapy for Chronic Pain Management?

While therapy at any point in time is good for someone who might be struggling with pain chronically, you might be wondering if therapy will be effective in helping you. Why try something else when nothing has worked so far for managing your chronic pain?

You might benefit from therapy: 

• If you are on the waiting list for treatment 
• If you have upcoming surgery with an added painful recovery
• If you cannot sleep
• If you have begun fearing the pain
• If you have begun feeling isolated as the pain restricts your actions 
• If you are beginning to experience a chronic low mood or depression 
• If you are dealing with the challenges of an invisible illness
• If your daily functioning is compromised
• If you are experiencing guilt or self-blame about your condition
• If you need support adjusting to a new diagnosis

If you are on the waiting list for treatment, that probably means you are waiting for health care to help you figure out pain management. In that time of waiting, fear and anxiety levels can be high as you have to live your normal life while balancing constant pain and discomfort. Therapy can you learn to think and cope with pain differently. For example, kids who have learned to manage and cope with chronic pain through therapy spend less time in the hospital⁹. Learning how to think about and cope with your pain differently helps!

If you have upcoming surgery with an added painful recovery, learning how to manage the pain ahead of time helps make the recovery easier. Therapy can help you focus on positive expectations, and remind you that you are ultimately in control. This creates high self-efficacy, meaning that you believe you can do it. Your therapist can also help you avoid catastrophizing about the pain¹⁰. These things all help to lower pain in recovery and enable you to take care of yourself post-operation in the way you need.

If you cannot sleep, seeing a therapist can help you. Often, sleep is affected by both pain and pain medication. At times, bad sleep can enable the chronic piece of the pain. Learning mindful habits about being present and learning to let go of stress can help with sleep and the chronic pain itself¹¹.

If you have begun fearing the pain, the anxiety and pain may fall into a bit of a cycle. Pain can be a symptom of anxiety, and pain can cause anxiety about the health condition¹². Seeing a therapist can help you break the pattern of avoiding the pain. You have the opportunity to face the pain and deal with it, so that it can finally go away. By managing your perception of the pain through thought restructuring, the stress, anxiety, and social isolation will decrease¹³.

If you have begun feeling isolated as the pain restricts your actions, you may find that seeing a therapist helps you get out more and receive the social support you need¹⁴. Maybe you have found yourself fearing the pain and so have limited your activities. Then your withdrawal led to isolation, and now you are struggling with the depression that often stems from loneliness and inactivity. Our therapists at Therapevo want to come alongside you and help you live a fuller life once again.

If you are beginning to experience a chronic low mood or depression, it may be stemming from your constant experience of pain¹⁵. A therapist can help you manage your perception of pain so that you can return to living a full life. When pain is more manageable and less scary, going out with friends and family is easier. And being social is a huge help for managing depression and keeping it at bay.

If you are dealing with the challenges of an invisible illness, you may feel isolated and want help navigating the unseen effect it is having on you. It is difficult to know when to disclose and what reactions you might receive¹⁶. Therapy offers a space to validate your experiences and cope with the misunderstandings or stigma associated with conditions that aren’t visibly apparent.

If your daily functioning is compromised, you probably want to no longer feel imprisoned by your chronic pain. When pain affects your ability to perform everyday tasks, therapy can help you modify your activities and set realistic goals to maintain independence¹⁷. You do not have to give up your work, family time, or social life.

If you’re experiencing guilt or self-blame about your condition, you may be wondering why you are experiencing chronic pain¹⁸. Therapy can help you work through feelings of guilt associated with not being able to engage in activities like you used to, helping to reframe self-perceptions and enhance self-compassion. You are doing the best that you can with what you have, and at Therapevo, we want to encourage you while helping you set yourself free from guilt.

If you need support adjusting to a new diagnosis, your therapist is here for you throughout the ups and downs. Coming to terms with a chronic condition can be challenging; therapy can guide you through accepting your diagnosis and planning for the future with optimism and practicality.

If you are married, as you navigate this struggle with chronic pain, you may not be sure how to navigate it together. Chronic health problems in marriage are better dealt with together, so at Therapevo, we work with couples as they navigate this struggle.

Areas you might want to work on in counseling:

• Negative attitude that pain is harmful and disabling
• Fear, avoidance, and reduced activity due to pain
• Expectations of passive treatments
• Tendency for depression and social withdrawal
• Social/financial problems

Therapy is helpful for chronic pain management because it helps to reduce it. By focusing on your fear of making the pain worse and learning to hold less stress and tension, you can reduce pain. Dealing with the pain is so important, and we are here to walk with you through the process.

What are the Benefits of Therapy for Chronic Pain Management?

You can bring any area of struggle with pain to therapy and receive effective help because of our multi-faceted approach. Whether it is fear of pain, exhaustion from pain, or grief over the life you wish you still had, counseling can help. In therapy, the core of chronic pain management is identifying what alleviates your pain and integrating those strategies into your daily life.

Here’s how therapy can help:

• Increasing mindfulness
• Lowering your fear of pain
• Helping you sleep better
• Preventing social withdrawal through pain management

Therapy encourages the practice of mindfulness, which involves being present in the moment and aware of our bodies and minds without judgment. This can help reduce the intensity of pain by shifting your focus away from distressing thoughts and sensations. Learning to relax and let go of stress by being present in the moment is one way that self-awareness can lower pain, as your future concerns no longer exacerbate the pain¹⁹.

Fear of pain can lead to a vicious cycle where the anticipation of pain increases stress and, ultimately, the pain itself. Learning to reframe negative thoughts and develop a healthier perspective towards your pain experience helps lower the pain you feel. By having a sense of control over your pain, it helps your brain manage the pain better²⁰.

Poor sleep can exacerbate chronic pain. Therapists can help you improve sleep hygiene through routines that promote restfulness, such as establishing a regular sleep schedule, creating a calming bedtime ritual, and teaching relaxation techniques to reduce nighttime pain flare-ups. You will be able to work through the stress and anxiety that stops you from falling asleep, enabling you to begin restoring yourself to whole again.

Chronic pain can isolate you from social activities and personal relationships. Therapy helps by providing strategies to maintain social connections and stay active, which are crucial for mental health. At Therapevo, we can help you work through your fear of pain, which is limiting your activities²¹. We value relationships, and we know you do, too.

We can help you recognize your beliefs and attitudes about pain. In recognizing them, you can set goals for pain reduction and living life more fully. Pain does not have to rule your life, and with the help of a therapist you can learn to take back control of the pain through chronic pain management.

References

1. Health Canada, “Canadian Pain Task Force Report: March 2021,” transparency – other, May 5, 2021, https://www.canada.ca/en/health-canada/corporate/about-health-canada/public-engagement/external-advisory-bodies/canadian-pain-task-force/report-2021.html; S. Michaela Rikard, “Chronic Pain Among Adults — United States, 2019–2021,” MMWR. Morbidity and Mortality Weekly Report 72 (2023), https://doi.org/10.15585/mmwr.mm7215a1. ↩︎
2. Jonas Tesarz et al., “Pain Perception and Processing in Individuals with Posttraumatic Stress Disorder: A Systematic Review with Meta-Analysis,” Pain Reports 5, no. 5 (September 17, 2020): e849, https://doi.org/10.1097/PR9.0000000000000849. ↩︎
3. Seoyon Yang and Min Cheol Chang, “Chronic Pain: Structural and Functional Changes in Brain Structures and Associated Negative Affective States,” International Journal of Molecular Sciences 20, no. 13 (January 2019): 3130, https://doi.org/10.3390/ijms20133130. ↩︎
4. Mary M. Volcheck et al., “Central Sensitization, Chronic Pain, and Other Symptoms: Better Understanding, Better Management,” Cleveland Clinic Journal of Medicine 90, no. 4 (April 1, 2023): 245–54, https://doi.org/10.3949/ccjm.90a.22019. ↩︎
5. “Chronic Pain and Mental Health Often Interconnected,” https://www.psychiatry.org:443/news-room/apa-blogs/chronic-pain-and-mental-health-interconnected. ↩︎
6. Jintao Chen, Xinyi Wang, and Zherong Xu, “The Relationship Between Chronic Pain and Cognitive Impairment in the Elderly: A Review of Current Evidence,” Journal of Pain Research 16 (July 7, 2023): 2309–19, https://doi.org/10.2147/JPR.S416253. ↩︎
7. Johan W. S. Vlaeyen et al., “Dimensions and Components of Observed Chronic Pain Behavior,” Pain 31, no. 1 (October 1987): 65–75, https://doi.org/10.1016/0304-3959(87)90007-8. ↩︎
8. Yang and Chang, “Chronic Pain.” ↩︎
9. Soumitri Sil et al., “Preliminary Evaluation of the Clinical Implementation of Cognitive-Behavioral Therapy for Chronic Pain Management in Pediatric Sickle Cell Disease,” Complementary Therapies in Medicine 49 (March 2020): 102348, https://doi.org/10.1016/j.ctim.2020.102348. ↩︎
10. Lydia V. Tidmarsh, Richard Harrison, and Katherine A. Finlay, “Prehabilitation: The Underutilised Weapon for Chronic Pain Management,” British Journal of Pain 18, no. 4 (August 1, 2024): 354–64, https://doi.org/10.1177/20494637241250239. ↩︎
11. Thanthullu Vasu et al., Chronic Pain Management ([S.l.]: tfm Publishing Ltd, 2021), https://twu.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=2916868&site=eds-live&scope=site. ↩︎
12. Vasu et al. ↩︎
13. K Ihns et al., “Evidence of Commonly Used Integrative Approaches with Pharmacotherapy for Chronic Pain Management,” Journal of Pain & Palliative Care Pharmacotherapy 38, no. 3 (September 2024): 302–17, https://doi.org/10.1080/15360288.2024.2390999. ↩︎
14. Vasu et al., Chronic Pain Management. ↩︎
15. Vasu et al. ↩︎
16. Maureen Salamon, “Invisible Illness: More than Meets the Eye,” Harvard Health, May 1, 2023, https://www.health.harvard.edu/diseases-and-conditions/invisible-illness-more-than-meets-the-eye. ↩︎
17. María Dueñas et al., “A Review of Chronic Pain Impact on Patients, Their Social Environment and the Health Care System,” Journal of Pain Research 9 (June 28, 2016): 457–67, https://doi.org/10.2147/JPR.S105892. ↩︎
18. “Self-Blame and Chronic Illness | Psychology Today Canada,” https://www.psychologytoday.com/ca/blog/chronically-me/202111/self-blame-and-chronic-illness. ↩︎
19. Vasu et al., Chronic Pain Management. ↩︎
20. Sil et al., “Preliminary Evaluation of the Clinical Implementation of Cognitive-Behavioral Therapy for Chronic Pain Management in Pediatric Sickle Cell Disease.” ↩︎
21. Vasu et al., Chronic Pain Management. ↩︎

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Online Therapy at Therapevo: Effective, Convenient, and Personalized Support

Can online therapy be equally as effective and beneficial as attending in-person counseling? 

It is hard to imagine that an online relationship could be as good as an in-person one. And yet, research shows that online therapy produces the same results as in-person counseling¹. Therapists working online can form the same close relationships from which in-person therapy benefits. The modalities that they use are just as effective, and the therapists attend each session ready to walk alongside you in this process. 

Read more: Online Therapy at Therapevo: Effective, Convenient, and Personalized Support

Our online therapists at Therapevo are intentional about their skills, ensuring they offer you their full attention. By offering counseling online, we provide you with specialists who may not be available in your area, convenient meeting times, and the ease of doing therapy wherever you are comfortable. Online therapy is accessible and convenient for you, but what does online therapy entail?

What is online therapy like?

When life feels like it is falling apart, you need a good relationship with your therapist from the start. Online therapy at Therapevo does precisely that. Research shows that people who participate in online therapy initially report a stronger therapeutic alliance with their therapist than in-person therapy does². In the end, the satisfaction with the therapeutic relationship evens out. But in a crisis, ensuring you are starting well is essential. 

And start well, you will. Therapevo has been offering online therapy since 2010, so we have had practice streamlining the process before online therapy became more regular. They have figured out what works well and what does not, leading to a professional counseling experience from the comfort of your home, office, school, etc. 

To begin with, the critical first step in finding a therapist who fits you well is a consultation, where we talk to you and help you find a therapist who we think would be a good fit. It is vital in therapy, and even more so online therapy, that you connect well with your therapist. Check out our therapists at OYF to learn about their skill sets and the issues they work with.

After your personal consultation, you would book a session with your therapist. You can find a comfortable spot in the convenience of your home or office, click a link, and join your first session. You will be greeted by a warm and genuine therapist who wants to connect and understand your story. From there, you and your therapist will work together to define the therapy process for you. 

What is the Online Therapy Process at Therapevo?

1. Book a consultation and get matched with a therapist.
2. Sign up for your first session.
3. Feel welcomed, comfortable, and safe as you share your story. 
4. Grow and heal at the pace you are comfortable with.

Want to experience for yourself what online therapy is like at Therapevo? Book a consult today to get started.

Now that the process of online therapy is a little less unknown, why people choose online therapy over in-person options may be more evident. However, there is still the question of effectiveness.

Does online therapy work as well as in-person therapy?

Yes, it does! Multiple researchers have found that online counseling works as well as in-person³. If you are coming to counseling, it may be because you are searching for something different.

Whether it is healing trauma responses, breaking habits formed by addiction, or personal growth, online therapy will provide support and outcomes for you.

While working online, therapists at Therapevo work much the same as in person. They are still able to connect with you in individual counseling or balance family dynamics in family therapy⁴. In addition, the outcomes are comparable to those of in-person counseling but without the effort of physically getting there each week.

Most importantly, therapists do not have to sacrifice their presence, modalities, or effectiveness when working online⁵. The therapeutic relationship is still invested in and as crucial to online therapy as in-person. There may be a screen between you, but that does not make therapy less effective. Plus, there are other benefits to therapy online rather than in-person.

What are the benefits of online therapy?

• Convenience
• Accessibility
• Location
• Flexibility
• Privacy 
• Effectiveness 

There is the convenience of attending online therapy. You can attend sessions from the comfort of your home, office, or anywhere you feel safe and focused. Therapy should be accessible since your mental health deserves priority. If you are traveling or have to move, you can take your therapist with you, as your location does not have to get in the way of personal growth. 

Online therapy is very flexible. You can take it with you wherever you are. As well, you do not have to worry about calculating the time and avoid the stress of commuting to a therapist’s office. You can enjoy privacy when you are in a secure environment that works for you. Confidentiality is a big part of therapy and is of utmost importance for our therapists. When they meet with you, they are in a secure office, so you can trust they protect your story as you share.

Ultimately, online therapy is just as effective as in-person therapy. One study examined existing research, collecting data from over four thousand clients. The research showed that the services provided and the outcomes achieved were just as effective online as in-person⁶.

But why should I choose Therapevo?

Therapevo is a purely online counseling agency, so we hire therapists who work well online. They have developed a specific skill set, ensuring their skills and modalities are effective. We are committed to providing you warmth and connection no matter your crisis or desire for support.

At Therapevo, we have been offering online counseling since before it was the norm. Due to our experience, we have discovered many benefits of attending counseling virtually. 

Benefits of online therapy at Therapevo:

• Access to specialists not in your area
• Therapy from anywhere
• Self-schedule at a time that is convenient for you
• No parking fees or driving to a clinic
• Skip awkward waiting room encounters
• And many more!

Therapy at Therapevo and You

Online counseling at Therapevo is helpful for all types of concerns that you may bring to therapy, as your therapist is here to walk alongside you and help you with what you need. But you may wonder what online therapy looks like in a specific area. Here are some examples of types of therapy that work well online and why.

In marriage counseling, your relationship is the most important, but one of the more critical factors that makes therapy so effective is your relationship with your therapist⁷. When working with a couple online, the therapist works hard to engage and understand both parties. This means that the effectiveness of couples therapy is not impacted even though you are online because the unbiased mediation stays the same. 

Another reason you may be considering counseling is because your relationship and/or sexual satisfaction has diminished from when you were first married. Online therapy will produce the same growth and results as in-person therapy, showing its effectiveness. However, Therapevo has an advantage as people who see therapists at private practices (such as Therapevo) often report increases in sexual satisfaction from therapy. If sexual satisfaction and connection are areas that you want to develop further, online therapy at Therapevo would be a good fit for you.

Maybe there has been a betrayal in your marriage. The trauma from that can make new experiences even more stressful and scary. Trusting someone is a lot harder when your trust has been broken by someone you love. Online therapy creates safety as there is space built into the environment, and you do not have to leave your safe spaces. Therapevo allows you to meet online in an environment where you already feel safe and comfortable.

Want to learn more about online marriage counseling at Therapevo?

As well, the benefits of online therapy mentioned throughout this article are still applicable when your therapist is helping you understand and break your addiction to pornography. On top of that, many of the therapists at Therapevo are trained to work effectively with anyone struggling with pornography in an online setting. Whether married or single, your therapist will journey with you through your history and habits, helping you put up a safety net as you examine your fantasies and relearn healthy intimacy.

Is it time to break your addiction to pornography and attend porn addiction counseling?

Going to online therapy through Therapevo can also be beneficial for working through trauma since trauma changes the way you experience life – which you already know. When life feels like nothing is right, keeping the environment the same when meeting with your online therapist can feel safer. At Therapevo, we want to help you understand and heal from your trauma.

Want help learning how to live free from trauma again through online trauma counseling?

Therapevo’s online counseling works well with today’s teenagers, who are more than adept at navigating the online world. They grew up with it and are comfortable navigating and connecting online. Therefore, online family counseling or individual teen therapy can be a valuable and normal-feeling experience for them. 

They have a safe space to explore their emotions and learn conflict resolution skills and emotional intelligence. Working with a therapist from Therapevo helps them identify emotions, heal from trauma, and grow into themselves as an individual. And since your teen may not have their license yet, they can do it all from the comfort of your house to avoid the hassle of arranging transportation each week. 

Want to help your teen start therapy through online teen counseling?

Did not find what you were looking for? Schedule a consultation today to see how Therapevo can help you meet your needs.

References

1. Davis et al., “Therapeutic Alliance and Clinical Outcomes in Teletherapy and In-Person Psychotherapy.” ↩︎
2. Bradford et al., “Call Me Maybe?” ↩︎
3. Batastini et al., “Are Videoconferenced Mental and Behavioral Health Services Just as Good as In-Person?”; Davis et al., “Therapeutic Alliance and Clinical Outcomes in Teletherapy and In-Person Psychotherapy”; Lange, Humayun, and Jefford, “The Feasibility of Providing Remote Functional Family Therapy with Adolescents during the COVID-19 Pandemic.” ↩︎
4. Lange, Humayun, and Jefford, “The Feasibility of Providing Remote Functional Family Therapy with Adolescents during the COVID-19 Pandemic.” ↩︎
5. Davis et al., “Therapeutic Alliance and Clinical Outcomes in Teletherapy and In-Person Psychotherapy.” ↩︎
6. Batastini et al., “Are Videoconferenced Mental and Behavioral Health Services Just as Good as In-Person?” ↩︎
7. Bradford et al., “Lost in Translation.” ↩︎

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