Therapy for Chronic Pain, Illness & Medical Trauma

Specialized support for medical trauma recovery, navigating life with chronic pain, adjusting to disability identity, and survivors of iatrogenic harm in Tacoma, the surrounding Puget Sound Corridor, and across Washington State.

Finding Relief, Resilience, and Meaning When Your Body is Hurting

Living with chronic pain or a long-term illness is rarely just about physical symptoms. It is an emotional journey that can feel profoundly isolating. You may be navigating the grief of losing your previous level of health, the constant anxiety of unpredictable flare-ups, or the exhaustion of fighting to function in a world built for people who don't have to think twice about their bodies.

It is common to feel frustrated when medical tests come back "normal" despite feeling terrible, or to struggle with the identity shift that comes from becoming a patient in your own life. You deserve a space where your pain is taken seriously, and where we can work together to reduce the suffering that often accompanies the pain itself.

How We Work Together:

Pacific Pines Counseling specializes in an integrative framework that blends evidence-based protocols with humanistic depth, tailored for those managing medical challenges.

We know that clinical mental health counseling cannot always cure the physical condition. However, it is highly effective at changing how you experience pain or illness. The quality of your life can improve, even with persistent symptoms, when we address the emotional and psychological impact of your chronic conditions.

Every client's health journey is unique, which is why Pacific Pines Counseling co-creates a treatment plan for your mental health that honors your specific symptoms, goals, and lived experience. The following modalities provide our clients a robust toolkit for mental health.

  • We collaborate to identify and reframe negative thought patterns that amplify pain signals. By challenging catastrophic thinking, we reduce the distress associated with flare-ups and equip you with practical coping strategies to navigate daily life.

  • Moving beyond "fixing" the sensation, we focus on building psychological flexibility. We explore your core values and meaning (Logotherapy), helping you make room for difficult sensations without letting them dictate your life. This approach empowers you to move toward a life filled with purpose, even amidst uncertainty.

  • Chronic illness often tries to define who we are ("I am a patient," "I am broken"). In this space, we separate you from the problem. We will write and rewrite your story, reclaiming your identity as someone who is resilient, capable, and more than their diagnosis.

  • We explore how past experiences, attachment styles, or unresolved emotional conflicts might be influencing your current relationship with pain and healthcare providers. By understanding these deeper patterns, we can heal old wounds that may be compounding your physical suffering.

  • Many medical traumas leave the nervous system stuck in a state of high alert (fight/flight) or shutdown (freeze). We use body-awareness techniques to help you regulate your autonomic nervous system, moving from survival mode toward safety and connection.

  • Instead of focusing solely on what is wrong, we focus on "what keeps us well." We identify your unique strengths, resources, and sense of coherence (SOC) that allow you to manage stress and maintain health, fostering a mindset of resilience rather than just recovery.

  • For those who need tangible data to regain control, we may utilize biofeedback technology. This allows you to see your physiological responses in real-time (such as heart rate variability or muscle tension) and learn how to consciously regulate them, providing a direct bridge between mind and body healing.

Privacy & Discretion:
A Sanctuary for Your Story

If fear of disclosure presents a barrier to your mental health & quality of life...

Please know that your story belongs entirely to you. Pacific Pines Counseling aims to provide a secure space for your healing without fear of judgment or unintended exposure.

For those navigating chronic illness or medical trauma, privacy is about more than compliance. It’s is about your dignity, control, and autonomy.

  • Separate Medical Records: As a private-pay practice, your therapy records are legally distinct from your medical files. We will never share session details with insurance companies, doctors, or caregivers without your explicit written permission; you remain the sole gatekeeper of your story.

  • Insurance Flexibility: For those concerned about sensitive diagnoses appearing on insurance claims, we offer private-pay options and out-of-network superbills. This can allow for reimbursement while keeping specific clinical details off your permanent medical record.

  • Secure Digital Space: Our telehealth platform is fully encrypted, and we will work with you to ensure a private, interruption-free environment for every session.

Research & Evidence-Based Care

If you’re interested in the scientific backing of our approach, here are a few key studies and guidelines that inform our interventions for your chronic pain and illness:

  • A landmark Cochrane Review (2023) confirms that Cognitive Behavioral Therapy (CBT) is an effective intervention for reducing the impact of chronic pain on daily functioning and improving quality of life, with moderate effect sizes observed across diverse populations. (Ref: Chou et al., 2023; Cochrane Database Syst Rev)

  • Research indicates that Acceptance and Commitment Therapy (ACT) helps patients reduce pain-related distress by shifting focus from "pain reduction" to "value-based living," leading to better functional outcomes even when pain intensity remains stable (Vowles et al., 2019).

  • Studies show that a significant portion of patients with chronic illness experience symptoms meeting the criteria for Post-Traumatic Stress Disorder (PTSD) related to their medical experiences, and trauma-informed care significantly reduces these symptoms (Asmundson et al., 2018).

  • Given the high comorbidity between chronic pain and depression, integrated treatment approaches that address both simultaneously have been shown to yield superior outcomes compared to treating either condition in isolation (ASCO Guidelines for Supportive Care in Cancer Survivors, 2023).

Note: While these studies provide a strong foundation for our work, every client's experience is unique. We will tailor these evidence-based strategies to fit your specific needs and goals.

Who This Work Is For

This specialized support is ideal for individuals who:

  • Feel overwhelmed by the constant presence of pain, fatigue, or brain fog.

  • Experience high anxiety regarding their health prognosis or medical appointments.

  • Are struggling with body image changes due to illness, surgery, or treatment side effects.

  • Feel isolated because friends and family "don't get it" or minimize their experience.

  • Need support navigating complex healthcare systems or communicating needs effectively to providers.

About The Therapist

I understand that finding a therapist who truly "gets it" when you are living with chronic illness can be difficult. Many people feel gaslit or unheard by providers who focus only on the physical metrics. This ultimately leaves their emotional pain in the shadows.

My approach is rooted in empathy and evidence. My practice is grounded in the belief that your psychological distress is a valid response to a difficult situation, not a character flaw or "weakness."

I am trained in specialized modalities, but more importantly, I bring a trauma-informed lens to our work. Whether you are dealing with medical PTSD from past procedures, the grief of chronic illness, or the burnout of being your own full-time caregiver, I offer a non-judgmental space where we can move at your pace.

My Commitment to You:

  • Validation: Your pain is real, even if medical tests don't show it.

  • Collaboration: We will build a treatment plan that fits your energy levels and medical reality.

  • Expertise: I do my best to stay current on the latest research regarding psychological interventions for chronic conditions to ensure you receive the most effective care possible.

Ready to Take Your Next Step in Healing?

You deserve a safe space where your pain is taken seriously, and your emotional well-being is prioritized alongside your physical health. Let's work together to build resilience, reduce suffering, and help you reclaim parts of your life that matter most to you.

We serve clients in Tacoma, Bellevue, Gig Harbor, Bellingham, Olympia, and throughout Washington State (virtual options available). All consultations are confidential.

  • Aaron, R. V., Ravyts, S. G., Carnahan, N. D., Bhattiprolu, K., Harte, N., McCaulley, C. C., Vitalicia, L., Rogers, A. B., Wegener, S. T., & Dudeney, J. (2025). Prevalence of Depression and Anxiety Among Adults With Chronic Pain. JAMA Network Open, 3, e250268. https://doi.org/10.1001/jamanetworkopen.2025.0268

    Abbas, U., Hussain, N., Tanveer, M., Laghari, R. N., Ahmed, I., & Rajper, A. B. (2025). Frequency and predictors of depression and anxiety in chronic illnesses: A multi disease study across non-communicable and communicable diseases. PLOS One, 5, e0323126. https://doi.org/10.1371/journal.pone.0323126

    Akif, A., Qusar, M. M. A. S., & Islam, Md. R. (2024). The Impact of Chronic Diseases on Mental Health: An Overview and Recommendations for Care Programs. Current Psychiatry Reports, 7, 394–404. https://doi.org/10.1007/s11920-024-01510-7

    Andersen, B. L., Lacchetti, C., Ashing, K., Berek, J. S., Berman, B. S., Bolte, S., Dizon, D. S., Given, B., Nekhlyudov, L., Pirl, W., Stanton, A. L., & Rowland, J. H. (2023). Management of Anxiety and Depression in Adult Survivors of Cancer: ASCO Guideline Update. Journal of Clinical Oncology, 18, 3426–3453. https://doi.org/10.1200/jco.23.00293

    Burns, J. W., Jensen, M. P., Thorn, B., Lillis, T. A., Carmody, J., Newman, A. K., & Keefe, F. (2021). Cognitive therapy, mindfulness-based stress reduction, and behavior therapy for the treatment of chronic pain: randomized controlled trial. Pain, 2, 376–389. https://doi.org/10.1097/j.pain.0000000000002357

    Capobianco, L., Faija, C., Husain, Z., & Wells, A. (2020). Metacognitive beliefs and their relationship with anxiety and depression in physical illnesses: A systematic review. PLOS ONE, 9, e0238457. https://doi.org/10.1371/journal.pone.0238457

    de Ridder, D., Geenen, R., Kuijer, R., & van Middendorp, H. (2008). Psychological adjustment to chronic disease. The Lancet, 9634, 246–255. https://doi.org/10.1016/s0140-6736(08)61078-8

    Garland, E. L., Froeliger, B., Zeidan, F., Partin, K., & Howard, M. O. (2013). The downward spiral of chronic pain, prescription opioid misuse, and addiction: Cognitive, affective, and neuropsychopharmacologic pathways. Neuroscience & Biobehavioral Reviews, 10, 2597–2607. https://doi.org/10.1016/j.neubiorev.2013.08.006

    Greenberg, J., Bakhshaie, J., Lovette, B. C., & Vranceanu, A.-M. (2022). Association Between Coping Strategies and Pain-Related Outcomes Among Individuals with Chronic Orofacial Pain. Journal of Pain Research, 431–442. https://doi.org/10.2147/jpr.s350024

    Hooten, W. M. (2016). Chronic Pain and Mental Health Disorders. Mayo Clinic Proceedings, 7, 955–970. https://doi.org/10.1016/j.mayocp.2016.04.029

    Kardash, L., Wall, C. L., Flack, M., & Searle, A. (2024). The role of pain self-efficacy and pain catastrophising in the relationship between chronic pain and depression: A moderated mediation model. PLOS ONE, 5, e0303775. https://doi.org/10.1371/journal.pone.0303775

    Köhler-Forsberg, O., Stiglbauer, V., Brasanac, J., Chae, W. R., Wagener, F., Zimbalski, K., Jefsen, O. H., Liu, S., Seals, M. R., Gamradt, S., Correll, C. U., Gold, S. M., & Otte, C. (2023). Efficacy and Safety of Antidepressants in Patients With Comorbid Depression and Medical Diseases. JAMA Psychiatry, 12, 1196. https://doi.org/10.1001/jamapsychiatry.2023.2983

    Lau, B. H. P., Cheung, M. K. T., Chan, L. T. H., Chan, C. L. W., & Leung, P. P. Y. (2021). Resilience in the Storm: Impacts of Changed Daily Lifestyles on Mental Health in Persons with Chronic Illnesses under the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 11, 5875. https://doi.org/10.3390/ijerph18115875

    McCracken, L. M., Yu, L., & Vowles, K. E. (2022). New generation psychological treatments in chronic pain. BMJ, e057212. https://doi.org/10.1136/bmj-2021-057212

    Nasika, I.-N., Wiart, C., Bonvarlet, A.-S., Guillaume, J., Yavchitz, A., & Tereno, S. (2023). Attachment patterns, self-compassion, and coping strategies in patients with chronic pain. PAIN Reports, 5, e1087. https://doi.org/10.1097/pr9.0000000000001087

    Norman-Nott, N., Briggs, N. E., Hesam-Shariati, N., Wilks, C. R., Schroeder, J., Diwan, A. D., Suh, J., Newby, J. M., Newton-John, T., Quidé, Y., McAuley, J. H., & Gustin, S. M. (2025). Online Dialectical Behavioral Therapy for Emotion Dysregulation in People With Chronic Pain. JAMA Network Open, 5, e256908. https://doi.org/10.1001/jamanetworkopen.2025.6908

    Noyman-Veksler, G., Lerman, S. F., Joiner, T. E., Brill, S., Rudich, Z., Shalev, H., & Shahar, G. (2017). Role of Pain-Based Catastrophizing in Pain, Disability, Distress, and Suicidal Ideation. Psychiatry, 2, 155–170. https://doi.org/10.1080/00332747.2016.1230984

    Rosser, B. A., Fisher, E., Janjua, S., Eccleston, C., Keogh, E., & Duggan, G. (2023). Psychological therapies delivered remotely for the management of chronic pain (excluding headache) in adults. Cochrane Database of Systematic Reviews, 6. https://doi.org/10.1002/14651858.cd013863.pub2

    Rusu, A. C., Gajsar, H., Schlüter, M.-C., & Bremer, Y.-I. (2019). Cognitive Biases Toward Pain. The Clinical Journal of Pain, 3, 252–260. https://doi.org/10.1097/ajp.0000000000000674

    Tan, G., Teo, I., Anderson, K. O., & Jensen, M. P. (2011). Adaptive Versus Maladaptive Coping and Beliefs and Their Relation to Chronic Pain Adjustment. The Clinical Journal of Pain, 9, 769–774. https://doi.org/10.1097/ajp.0b013e31821d8f5a

    Vase, L., Wager, T. D., & Eccleston, C. (2025). Opportunities for chronic pain self-management: core psychological principles and neurobiological underpinnings. The Lancet, 10491, 1781–1790. https://doi.org/10.1016/s0140-6736(25)00404-0

    Williams, A. C. de C., Fisher, E., Hearn, L., & Eccleston, C. (2020). Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database of Systematic Reviews, 11. https://doi.org/10.1002/14651858.cd007407.pub4