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Chronic Pain Therapy Ottawa | Trauma & Grief Institute

Life can become larger than the pain.

Compassionate therapy can help you navigate the emotional, relational and nervous-system impact of persistent pain—while making room for meaning, connection and the parts of life that matter to you.

Chronic pain affects more than the body.

Pain is real, personal and shaped by interconnected biological, psychological and social factors. Living with it can change routines, relationships, work, sleep, confidence and the way you imagine the future.

Therapy offers a place to be understood without being reduced to a diagnosis. Together, you can build ways to respond to difficult days and reconnect with a life that still holds choice, pleasure and purpose.

Sleep and energy

Pain and disrupted rest can create a tiring cycle that affects concentration, patience and capacity.

Mood and stress

Uncertainty, frustration, anxiety or low mood can grow when symptoms are persistent or unpredictable.

Identity and loss

Changes in ability, roles or independence can bring real grief and questions about who you are now.

Relationships and daily life

Plans, intimacy, parenting, work and social connection may all require new communication and flexibility.

A person moving gently in a bright, calm space

Your pain is not “all in your head.”

The brain, body and environment continually work together in the experience of pain. Stress, fear and earlier trauma may amplify the nervous system’s alarm response, but this does not make pain imaginary.

Therapy may help you notice patterns, reduce shame and respond to your nervous system with more steadiness. The aim is not to argue with your body—it is to increase safety, flexibility and choice around a very real experience.

Psychotherapy is one part of whole-person care. It can work alongside medical assessment, medication, physiotherapy, occupational therapy and other supports recommended by your health-care team.

Understanding the pain–stress cycle can create new options.

There is no single pathway through chronic pain. For some people, noticing this common cycle helps identify small places where support, pacing and regulation can make daily life more manageable.

Pain or a flare begins

Sensations, uncertainty or a reminder of a difficult experience activate the body’s alarm system.

Protection increases

Tension, worry, scanning for danger or bracing may appear as the nervous system tries to keep you safe.

Life becomes narrower

Avoiding everything or pushing through until exhaustion can make activity feel increasingly unpredictable.

Capacity is rebuilt gently

Flexible pacing, regulation and values-based choices can support participation without blame or pressure.

Progress can be quiet, practical and deeply meaningful.

It may look like asking for what you need, resting without guilt, returning to a valued activity in a sustainable way or feeling more present with someone you love.

Therapy is not about forcing positivity. It makes room for grief and hard days while supporting a fuller identity—one that includes pain without being entirely defined by it.

A person resting outdoors in a peaceful setting
A supportive therapy conversation
Friends enjoying time together outdoors

Therapeutic approaches for whole-person support.

Your clinician may integrate several approaches based on your goals, history, health context and their professional scope. No single method is right for everyone.

Acceptance & Commitment Therapy

Build psychological flexibility and take meaningful steps toward your values, even when symptoms are present.

Explore ACT →

Cognitive Behavioural Therapy

Notice pain-related thoughts and behaviours, develop coping skills and create more workable daily patterns.

Explore CBT →

EMDR

May support distress connected with injury, medical trauma, loss of function or other experiences linked with pain.

Explore EMDR →

IFS & Parts Work

Approach protective, fearful or frustrated parts of yourself with curiosity rather than criticism.

Explore Parts Work →

Mindfulness & Regulation

Practise attention, grounding and nervous-system skills without suggesting that symptoms should simply be ignored.

View Approaches →

Grief-Informed Therapy

Make space for losses related to health, identity, relationships, work and the future you expected.

Explore Grief Support →

What chronic pain therapy may look like.

The process is collaborative, paced with care and adapted around your energy, access needs and current medical supports.

01

Understand your whole experience

Explore symptoms, stressors, strengths, losses, relationships, daily demands and what you most want support with.

02

Create a steadier foundation

Develop regulation, self-compassion, communication and pacing practices that fit your real life.

03

Work with what keeps life restricted

Gently address fear, avoidance, overexertion, medical trauma, grief or beliefs that have grown around pain.

04

Reconnect with what matters

Build sustainable ways to participate in relationships, activities and roles that support meaning and quality of life.

Questions about therapy and chronic pain.

No. Pain is a real sensory and emotional experience influenced by biological, psychological and social factors. Therapy addresses the ways pain affects your nervous system, emotions, relationships and daily life; it does not dismiss your physical experience.

No. Psychotherapy can complement care from physicians, physiotherapists, occupational therapists and other providers. New, severe or changing symptoms should be assessed by an appropriate medical professional.

Therapy should not pressure you to push through symptoms. Your clinician can help you explore flexible pacing, fear and frustration while you follow activity guidance from qualified medical or rehabilitation providers.

Yes. Therapy can support distress related to procedures, injuries, invalidating care experiences and grief connected with health, ability, identity or changed plans.

Use the therapist matching experience to explore clinicians by concern, approach, age range, format and professional designation. You can also review the full team before deciding.

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