Neuroplastic pain is real physical pain that develops when the brain and nervous system interpret safe sensations as dangerous, even when there is no ongoing tissue damage causing the pain.

Pain is designed to protect us, but sometimes the brain’s protective system becomes overactive. It can learn to produce pain in response to sensations, movements, or situations that aren’t actually harmful. The encouraging news is that the brain is capable of learning new patterns, too.

Learn more: What Is Neuroplastic Pain?

Pain Reprocessing Therapy (PRT) is an evidence-based approach designed to retrain these misfiring neural pathways. By teaching the brain to correctly interpret bodily sensations and shift out of protection mode, PRT helps interrupt the pain-fear cycle and supports long-term relief. While many treatments focus on managing symptoms, PRT directly targets the brain-based patterns that can maintain chronic pain.

A randomized controlled trial published in JAMA Psychiatry found that 98% of participants improved with Pain Reprocessing Therapy, and 66% were pain-free or nearly pain-free by the end of treatment. Most of these benefits were still present one year later.¹

Learn more: What Is Pain Reprocessing Therapy (PRT)? How It Works

What Does a PRT Session Look Like?

PRT sessions are collaborative and tailored to you. We may explore how your brain is interpreting symptoms, practice responding to sensations with less fear, work with patterns of attention or avoidance, and find practical ways to apply what you’re learning in your everyday life.

Curious what working together might actually look like?

Read: What Happens in a Pain Reprocessing Therapy Session?

Yes! Pain Reprocessing Therapy (PRT) is designed to treat neuroplastic pain, but it can also be helpful for people who have both structural conditions and a mind-body component to their symptoms. In situations where a medical condition exists (such as MS, arthritis, or cancer), PRT does not remove the structural source of pain — but it can reduce the additional distress created by fear, tension, overprotection, and the brain’s amplified danger response.

Because PRT focuses on calming the nervous system and changing the brain’s interpretation of signals, many people with “mixed pain” notice meaningful relief. You can safely use PRT alongside the medical treatments recommended by your healthcare providers.

Learn more: Does Structural Damage Rule Out Neuroplastic Pain?

Absolutely. Many chronic symptoms — such as fatigue, headaches or migraines, dizziness, nausea, IBS and other gastrointestinal issues, tinnitus, neuropathy, insomnia or other sleep difficulties, vertigo, POTS-like symptoms, skin changes, and other persistent medically unexplained sensations— share the same brain-based mechanisms that maintain chronic pain. PRT helps retrain the nervous system’s response to these sensations, often leading to noticeable improvement.

There’s no set timeline for Pain Reprocessing Therapy. Some people begin noticing changes within their first few sessions, while others benefit from working together over a longer period.

We typically begin with weekly sessions, but the frequency and duration of our work are flexible. We’ll regularly check in about your progress and what feels most helpful, rather than working toward a predetermined number of sessions.