Online Pain Reprocessing Therapy with a PSYPACT-Licensed Psychologist

Science-Based, Mind-Body Healing — Without the Hype

Maybe no one has ever explained your pain in a way that actually made sense — until now.

If you’ve been living with chronic pain that doesn’t seem to respond to treatment, flares with stress or emotion, or just doesn’t add up, you’re not alone — and you’re not imagining things.

Pain Reprocessing Therapy (PRT) is a science-based, brain-focused approach that helps people retrain their nervous systems, reduce fear, and reconnect with their lives.
And yes — it’s possible to do this work online, from the comfort of your own space.

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Soft sunlight streaming through a forest canopy — symbolizing the brain’s natural ability to change, heal, and relearn its responses to pain.

Understanding Pain Reprocessing Therapy

Pain is real — and so is healing.

PRT is based on the neuroscience of neuroplastic pain: pain that’s caused by the brain and nervous system becoming sensitized over time. This doesn’t mean your pain is “all in your head” — it means your system may still be sending danger signals, even when there’s no longer a physical threat.

This can happen after an injury, illness, medical trauma, or even chronic stress. Over time, the brain learns to expect pain — and keeps sounding the alarm.

PRT helps you retrain that response through:

  • Curiosity, not fear

  • Safety, not control

  • Connection to your body, not avoidance of it

Originally developed by Alan Gordon, LCSW and outlined in The Way Out, PRT has helped thousands of people reduce pain, reclaim movement, and feel more like themselves again.

What Pain Reprocessing Therapy Looks Like in My Practice

I integrate PRT pricniples into a broader therapeutic approach that includes:

  • Nervous system education and gentle somatic work

  • Cognitive-behavioral tools to address fear, perfectionism, or shame

  • Mindfulness and values-based reflection

  • Collaborative space for grief, frustration, and change

Sessions are never one-size-fits-all — we’ll go at a pace that feels safe and grounding. PRT is one lens we’ll use, but your whole story gets to come into the room. Learn more about the modalities I use.

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You Might Relate If…

  • Your pain started “out of the blue” — or doesn’t match the scans

  • You’ve noticed your symptoms worsen with stress, fear, or social pressure

  • You feel stuck between “pushing through” and “shutting down”

  • You’ve been told it's “just stress” — and felt dismissed

  • You're tired of trying new providers only to hear the same answers

  • You’re curious about the mind-body connection, but want more than a wellness trend

PRT doesn’t promise a miracle cure. But it can offer relief, clarity, and a path forward that finally makes sense — in both your brain and your body.

Try a One-Session Class — Empowered Relief®

If you’re not ready to dive into therapy just yet, Empowered Relief® is a 90-minute, one-time class that teaches practical pain management skills grounded in CBT and neuroscience.

While it’s not the same as Pain Reprocessing Therapy, it’s a great way to:

  • Understand the pain–brain connection

  • Learn mind-body tools in a structured setting

  • Take action without a long-term commitment

✨ And it's pay-what-you-can, ranging from $0–$99 — no questions asked.

Explore Empowered Relief.

Learn More About My Mind-Body Approach

Want to ease in with some content and reflection first?

Start Here

Frequently Asked Questions

  • Is pain reprocessing therapy just “thinking differently” about pain?

    Not quite. PRT helps your brain learn a new response to pain signals — by shifting attention, reducing fear, and building safety. It’s neuroscience-based, not mindset-based.

  • Can PRT help even with a real diagnosis (like fibromyalgia or CRPS)?

    Yes. Many people with legitimate diagnoses experience neuroplastic pain layered on top of structural issues. This work helps reduce the brain’s overactive danger response.

  • Do you use PRT on its own, or with other approaches?

    I blend it with other mind-body and evidence-based tools — like ACT, somatic work, and nervous system regulation — to meet your needs.

  • Is this about pretending pain isn’t there?

    Never. We acknowledge pain fully — and then work gently to change how your system interprets and reacts to it.

  • How long does it take to work?

    Every client is different. Some people feel shifts early on; others need more time. What matters most is a safe, collaborative space to do the work at your own pace.

Online Support That’s Tailored to You

I work with clients across PSYPACT states, offering flexible, trauma-informed therapy for chronic pain, burnout, and complex healing.

My approach blends evidence-based therapies (like CBT and ACT) with mind-body practices that support nervous system regulation, emotional resilience, and identity healing.

You’ll never be handed a script.

We’ll build something that works for your brain, your body, and your goals.

Our sessions may include:

  • Somatic tracking + nervous system pacing

  • Fear reappraisal using CBT/ACT principles

  • Support for identity shifts, grief, or medical trauma

  • A flexible pace that meets you where you are

Many of my clients are thoughtful, high-functioning people who’ve done everything “right” — and still feel unseen, discouraged, or unsure where to go next. And yet… they show up. Because something in them still hopes for change.

I believe you deserve support that meets you where you are — even if your body isn’t where you want it to be yet.

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Ready to Explore What’s Possible?

  • seated stairs with shoes — symbolizing the first step toward supported, science-based healing.

    Start with a Free Consult

    Let’s talk about what’s been hard, what you’ve tried, and what you’re hoping for. This no-pressure, 15-minute consult is a chance to ask questions and see if this kind of care feels like a fit.

    schedule now
  • computer coffee and paper ready to learn powerful pain coping tools for chronic pain relief - symbolizing a low pressure class for mind-body healing

    Try a One-Session Class

    Empowered Relief® is a 90-minute, pay-what-you-can class that teaches practical pain management skills grounded in neuroscience and CBT. No long-term commitment required.

    sign up
  • peaceful reading space with natural light - offering space to reflect on the emotional and nervous system dimensions of chronic pain

    Learn More About Mind-Body Care

    Not quite ready to reach out? That’s okay. My blog explores how therapy, neuroscience, and nervous system care can work together to support pain relief and emotional healing.

    explore the blog

Like a healthy nervous system, healing begins with curiosity and safety

You’re not too much. You’re not too late. And you’re definitely not broken.

You don’t have to be sure this will work—you just have to be open to something different.

Either way, I’m glad you landed here.

Dr. Kalianivala