Dr. Matthew Paldy, PhD, LP

Psychotherapy, Psychoanalysis, Counseling

NYC Therapy for Chronic Pain & Trauma

Chronic pain is rarely purely physical; it reverberates through the mind, emotions, and one’s sense of self. In my Manhattan practice, I help individuals understand the complex interplay between physiological discomfort and psychological distress. Therapy for chronic pain addresses emotional and cognitive factors that can amplify physical suffering and disrupt daily life. The American Psychiatric Association notes the strong connection between chronic pain and mental health, highlighting why addressing both mind and body is essential.

Understanding the Mind-Body Connection

Pain often acts as a somatic signal for unresolved emotional distress, historical trauma, or internal conflict. When the mind cannot process certain experiences, the body often "speaks" through tension and chronic discomfort. By exploring both early experiences and current emotional habits, we differentiate structural injury from the psychological "volume" that intensifies it. Integrating mindfulness exercises can help patients stay present, reduce emotional reactivity, and decrease the amplification of physical pain.

The Psychological Effects of Persistent Pain

Living with long-term pain can create fragmentation of identity and well-being. Clients often seek support for the emotional consequences of chronic conditions, including:

Somatic Awareness & Self-Cohesion

As trauma researchers like Bessel van der Kolk note, the body stores our experiences. Disconnection from emotions can exacerbate physical symptoms. Our holistic approach fosters self-cohesion—a unified sense of being where mind and body work in harmony rather than at odds.

A Reflection on the Inexpressibility of Pain

"Physical pain does not simply resist language but actively destroys it, bringing about a reversion to a state prior to language, to the sounds and cries a human being makes before language is learned."
— Elaine Scarry, The Body in Pain

The Path to Relief: Our Therapeutic Approach

Using a depth-oriented, holistic framework, we help you regain agency over your well-being and reduce the intensity of physical and emotional pain:

1. Identifying Emotional Triggers

We explore the specific stressors, unresolved experiences, or empathic gaps that may exacerbate physical symptoms, helping you regain predictability and control.

2. Challenging Catastrophic Thought Patterns

Chronic pain often leads to "catastrophizing." Therapy helps reframe these beliefs, reducing physiological arousal and calming the brain’s alarm response.

3. Restoring Agency & Resilience

Strengthening emotional resilience shifts the focus from merely "managing" pain to reclaiming an active, meaningful life aligned with your values.

4. Integrating Mind-Body Habits

Through mindfulness, somatic awareness, and reflective practices, we cultivate habits that support long-term healing, self-regulation, and physiological balance.