
Specialized Virtual Therapy for Chronic Pain, Fatigue, and Burnout
Evidence-Based, Mind-Body Care Tailored to Your Healing Journey
It’s Not Just About Coping…
It’s About Taking Back Your Life
Therapy for pain management is about learning to work with your body rather than feeling trapped by it. It’s about having tools you can actually use when pain feels overwhelming. And it’s about shifting from a place of constant frustration to a place of more ease, more control, and more confidence in how you handle pain.
Overview
Who I Work With
I work with adults navigating complex or chronic health conditions — including pain, illness, fatigue, and stress-related burnout.
Many of my clients feel like they’ve “tried everything,” or have been dismissed, minimized, or misunderstood in traditional medical settings.
If you’re living with an invisible condition, struggling to stay connected to your body, or just emotionally exhausted from pushing through… this work is for you.
This work might be a good fit for you if…
→ You want more than just symptom management
→ You’re managing pain or illness that isn’t responding well to typical medical treatments
→ You’re been told “it’s just stress” — but never given the tools and support to do anything about it
→ You’re burned out from holding it all together
→ You’re curious about working with your mind and body together
Therapy for Chronic Pain Can Help You…
You don’t have to do this alone.
Dr. Kalianivala provides psychological evaluations and online therapy for chronic pain, health-related stress and individuals coping with complex medical conditions in over 40 states, via PSYPACT. Read more about our locations served here.

Services for Chronic Pain, Fatigue, & Burnout
Individual Therapy for Chronic Pain, Illness, and Emotional Burnout
One-on-one online therapy that addresses both the physical and emotional toll of chronic pain.
This is for you if: You want personalized guidance, flexible sessions, and deeper exploration of your experiences with chronic pain, fatigue, illness or stress-related burnout.
Pain isn’t just something you feel—it affects how you think, how you move, and how you interact with the world. In individual therapy, we work together to:
Identify and shift unhelpful thought patterns that amplify pain with CBT for chronic pain.
Learn coping skills to regulate your nervous system and reduce stress responses with mindfulness techniques.
Explore the emotional impact of pain—grief, frustration, isolation—and build strategies to navigate it.
Build a plan for flare-ups so you don’t feel helpless when pain spikes.
This is a highly personalized approach tailored to your unique experience with pain. Some days, it may be about learning a skill. Other days, it may be about processing the emotions that come with living in a body that doesn’t always cooperate. Whatever it is, I’ll meet you where you are.
Pre-Surgical Psychological Evaluations
A thorough assessment to help you prepare mentally and emotionally for pain-related procedures.
This is for you if: You’re preparing for an advanced medical intervention for chronic pain, and your doctor is requesting that you complete a psychological evaluation before surgery.
Some medical interventions and procedures require you to complete a psychological evaluation to help ensure a successful recovery.
In this evaluation, we’ll discuss:
Your expectations and concerns about the procedure—so you feel prepared.
Your coping strategies and emotional well-being—and ways to strengthen them if needed.
Post-surgical adjustment—because recovering from a major procedure is about more than just the body.
BONUS: You’ll also receive one FREE Empowered Relief® Class session with your evaluation.
Empowered Relief® Class
A fast and effective introduction to CBT-based pain management strategies.
This is for you if: You want an effective way to jumpstart your pain management strategies with limited commitment.
Not ready for ongoing therapy? Empowered Relief is one 2-hour session designed to teach you proven pain management skills in one sitting.
In this group session, you’ll:
Learn the basics of the “mind-body” connection when it comes to pain.
Gain evidence-based strategies to reduce pain intensity and improve function.
Experience the strategies first-hand so they’re familiar before you depart from class.
Leave with a concrete action plan that you can start using immediately.
CBT for Chronic Pain Group
A structured, science-backed group therapy program designed to help you manage pain differently.
This is for you if: You want practical tools, group support, and a guided plan to manage pain more effectively.
Cognitive Behavioral Therapy (CBT) is one of the most well-researched and effective approaches for chronic pain. This 10-week group program gives you a structured way to:
Rewire unhelpful thought patterns that contribute to suffering.
Learn strategic pain management techniques that go beyond medication.
Connect with others who understand what it’s like to live with chronic pain.
Build a sustainable plan for managing pain long-term.
Each session focuses on a specific skill or concept that helps you gain more control over pain’s impact on your life.
Ready to get started?
If you’re interested in any of the services above or have questions, you can schedule a free 15-minute consultation. In your consultation, we’ll have time to discuss which type of service is the best fit for you, and I’ll answer any questions you may have.
All services are available online in Nevada and to residents of PSYPACT states.
Still exploring?
That’s just fine, too! Keep reading to get a better sense of our services, our approach—and how Dr. Kalianivala can help.
You can also explore related blog posts below.
Pain is more than physical—and so is relief
Living with chronic pain isn’t just about the pain itself. It’s the ripple effects that impact your sleep, mood, relationships—heck, even your sense of who you are. Maybe you’ve been told to “just think positive” or that it’s “all in your head”? You know that’s not true—but that doesn’t make it easier.
You feel like pain has taken over the narrative, like you’re stuck in a story you didn’t write.
Here’s the thing:
your story isn’t finished.
Therapy for pain management isn’t about ignoring the physical reality of pain—it’s about helping you reclaim the pen to write your own story. One where you feel more control, more relief, and more of you back on the page. Whether you need practical strategies, emotional support, or just a place where you don’t have to explain yourself, we’ll figure it out together. Learn more about the modalities I use.
About Dr. Anahita Kalianivala—that’s me!
Therapy for Pain Management That’s Science-Driven, Practical, and Compassionate
I’ve worked with countless people who’ve been dismissed, misunderstood, or told their pain isn’t “that bad.” I’m here to offer something different—a space where you can be heard, where your experience is valid, and where we focus on real, actionable strategies to help you regain control and make life easier.
Learn more about Dr. Kalianivala and her therapeutic approach.

I’ve coached folks through…
Therapy with me isn’t about toxic positivity or pretending that everything’s all puppies and rainbows.
Some days, it’s about learning new skills… other days, it’s about having a space where you don’t have to pretend you’re okay. Either way, we’ll find the path that works for you.
Take the first step towards pain relief
I’ll meet you where you are, and we’ll go from there.
You’ve already been through enough. Now, it’s time for support that actually helps. Whether you’re looking for a structured approach, a supportive group, or one-on-one therapy, we’ll find the best path forward—together.