Real Relief — for When You’re Running on Empty

If you've hit a wall with chronic pain, fatigue, or burnout — and your usual strategies aren't cutting it — you're in the right place.
This isn’t about pushing harder. It’s about building tools that actually fit your life and deliver real, sustainable relief.

Middle-aged woman with chronic pain working on a laptop from bed, appearing fatigued but focused — representing burnout, high-functioning stress, and online therapy for professionals.

You’ve Been Managing So Much for So Long

It’s no wonder you’re worn thin. Maybe pain is flaring more often. Or your patience is running low. Or your focus is gone — and you’re not feeling like yourself.

You've probably already tried:

The latest pain intervention
Stress reduction apps
“Just resting more” (which never lasts)
Or therapy that didn’t quite land

If those strategies didn’t cut it, it doesn’t mean you’re broken — or that your situation is hopeless. It just means you need a more strategic approach: one grounded in science and tailored to your day-to-day reality.

Why This Approach Works
(Even If Others Haven’t)

Person writing in a journal on a wooden desk, representing structured support, behavior tracking, and evidence-based therapy tools for chronic pain and burnout.

We use evidence-based tools from behavioral medicine and pain psychology to help you:

Understand what’s really driving your symptoms
Stop the boom-bust cycle
Rebuild energy, focus, and resilience — with measurable steps

You won’t get:

Fluffy advice
Endless talk with no traction
One-size-fits-all protocols

You will get:

A structured plan
Skills you can track
Someone who gets the pressure you’re under — and helps you meet it differently

What Working Together Looks Like

Two professionals collaborating and pointing at a laptop screen, representing structured telehealth therapy, practical pain management tools, and evidence-based support for chronic illness and burnout.

I specialize in helping people living with chronic pain or illness reclaim a sense of momentum, clarity, and function. My approach blends medical psychology with practical tools to create real, meaningful change.

Here’s what to expect:

Short-term or ongoing therapy, depending on your goals
Evidence-based care using CBT, ACT, mind-body strategies, and more
100% telehealth — flexible, secure, and designed for busy lives
Optional progress tracking if you like structure and feedback
Free 15-minute consult to explore fit — no pressure to commit

Practical Tools You Can Actually Use

What it helps: Prevent crashes and manage energy throughout the day so you're not wiped out by bedtime.
What it helps: Break the cycle of stress, thoughts, and physical tension that make pain worse.
What it helps: Get out of fight-or-flight mode and into a state where healing and focus are possible.
What it helps: Boost clarity, spot patterns, and take back control from spirals or shutdowns.
What it helps: Bring these tools into your workday, parenting, caregiving, and the rest of your full life — without needing extra hours.

You won’t have to figure it out alone — we’ll build a plan for your real life that fits your needs, routines, and goals.

Want a closer look at what this actually looks like in session? Explore my therapy approach.

Start Getting Real Relief — Your Way

You don’t have to dive into a full therapy process to start feeling better. Below are three ways to take a first step that fits your bandwidth, goals, and comfort level:

Book a Free 15-Min Consult

Get a clear sense of how this approach works — and whether it’s the right fit for your needs.

No pressure, just a chance to talk.

Book a Consult

Try a One-Time Pain Skills Class

Empowered Relief is a science-backed, 2-hour class designed to give you actionable tools for managing pain and stress.

One session. Low commitment. Real impact.

Take the Class

Read More on What Works (and Why)

Not ready to connect yet? Start with a practical blog post:
What to Do When Pushing Through the Pain Stops Working

FAQs

Is this therapy or coaching?

This is clinical therapy, grounded in pain psychology and behavioral medicine. That said, many clients find the work feels more like a partnership — with clear goals, actionable tools, and accountability, much like coaching. The difference is: I bring clinical training, research-backed methods, and psychological insight to support your full picture.
Can therapy help even if I have a physical diagnosis?

Yes — and especially so.
Pain is both physical and processed through the nervous system and brain. Therapy can support you in understanding pain patterns, calming the stress response, and building practical strategies for relief — even when your pain has a clear medical cause.
What if I’ve already tried therapy?

You’re not alone. Many clients come to me after trying other approaches. This work is different: it’s practical, structured, and tailored to your health needs.
Do I need to commit long-term?

Not at all. Some clients come for just a few sessions or a one-time skills class. We’ll define goals early, so you know what to expect — and you can pause anytime.
Will I get tools or just space to talk?

You’ll get both — but always with your goals in mind. Some sessions are more strategy-focused, others are about processing what’s coming up. We’ll work at a pace that matches your needs while making sure you’re building skills that support relief, energy, and confidence outside of session.
Can this work alongside medical care?

Yes. I often collaborate with physicians, pain specialists, and physical therapists. My approach is designed to complement — not replace — your medical plan.

dr anahita kalianivala, psychologist specializing in chronic pain management, is confident and ready to help you meet your goals for pain relief

Dr. Anahita Kalianivala, PhD

✔ Over five years of specialized experience in pain psychology
✔ Fellowship-trained at Stanford School of Medicine’s Pain Clinic
✔ Former VA staff psychologist with expertise in complex pain care
✔ Licensed in Nevada and serving 40+ PSYPACT states via secure telehealth

I’m Dr. Anahita Kalianivala, a licensed clinical psychologist with over five years of focused experience in pain psychology — including specialized fellowship training at Stanford School of Medicine’s Pain Clinic and several years serving veterans with complex pain conditions through the VA system.
I’ve worked in high-performing, interdisciplinary teams, and my care is grounded in science, collaboration, and whole-person healing — especially for people who are used to powering through.

Get more on my background here.