In this episode of the PRT Podcast, host John Gasienica, LCSW, is joined by Dr. David Clarke, a board-certified physician in internal medicine and gastroenterology and co-founder of the Association for the Treatment of Neuroplastic Symptoms.

John and Dr. Clarke discuss how trauma and adverse childhood experiences (ACEs) can shape chronic pain and stress, and why traditional tools don’t always work for those with PTSD. Together, they guide patient Rachel through techniques to face emotions of grief, fear, and anger, while learning to see physical symptoms as expressions of emotions rather than signs of damage.

Key topics include:

Understanding trauma as a driver of chronic pain

The three major consequences of childhood trauma (triggers, suppressed emotions, and people-pleasing)

Why stillness and compassion can feel unsafe for trauma survivors

How to use the physiological sigh and mindfulness tools for regulation

Steps to build self-esteem, self-compassion, and sustainable healing

Featured Guests:

Dr. David Clarke – Physician, author of They Can’t Find Anything Wrong, expert in neuroplastic pain, co-author of Psychophysiological Disorders

Rachel – Patient guest sharing her journey with trauma, PTSD, and recovery

Click here to access the free meditations mentioned by John in the podcast!

Resources and Additional Links

• Learn More About Pain Reprocessing Therapy (PRT)
• Subscribe for updates, resources, and insights in the world of chronic pain and Pain Reprocessing Therapy.
• Patient Hub
• Practitioner Hub
• Learn about WellBody Psychotherapy and how our certified therapists and coaches can support your healing journey: Visit WellBody
• Email Us: [email protected]

Perfectionism, pressure, and the belief that we’re never “enough” are some of the most overlooked drivers of chronic pain and today’s episode digs deep into how to break that cycle.

Therapist John Gasienica and special guest Vanessa Blackstone explore the emotional patterns behind nervous system dysregulation through the story of Jaycie, a nurse and mom dealing with chronic pain and burnout. They uncover how early life messages, people-pleasing, and emotional suppression (especially around anger and rest) keep us stuck and how to begin softening those patterns with real, grounded self-compassion.

Vanessa also shares personal reflections on grief and healing, and the episode walks listeners through somatic and visualization tools to begin shifting pain from the inside out.

Resources and Additional Links

• Learn More About Pain Reprocessing Therapy (PRT)
• Subscribe for updates, resources, and insights in the world of chronic pain and Pain Reprocessing Therapy.
• Patient Hub
• Practitioner Hub
• Learn about WellBody Psychotherapy and how our certified therapists and coaches can support your healing journey: Visit WellBody
• Email Us: [email protected]

In this episode, we continue our deep dive with Daniel Lyman as we analyze a session with June, a filmmaker who’s made major strides in her chronic pain recovery but finds herself stuck. Together, we unpack the fear, anger, and sadness that have been underlying her migraines—and how reframing these emotions as protective allies can create powerful breakthroughs.

Daniel shares insights from his OCD and pain reprocessing background, and John uses emotional exposure and paradoxical agenda setting to help June see emotions as mature, trustworthy parts of herself.

🔹 How to make journaling more effective
🔹 What to do when recovery plateaus
🔹 Why fear of emotions keeps the nervous system stuck
🔹 How to turn fear and anger into strengths
🔹 Why feeling emotions in the moment creates change

Resources and Additional Links

• Learn More About Pain Reprocessing Therapy (PRT)
• Subscribe for updates, resources, and insights in the world of chronic pain and Pain Reprocessing Therapy.
• Patient Hub
• Practitioner Hub
• Learn about WellBody Psychotherapy and how our certified therapists and coaches can support your healing journey: Visit WellBody
• Email Us: [email protected]

This is part two of our experimental two-part series following David, a patient living with chronic foot pain. In Episode 4, David received a neuroplastic pain diagnosis. In Episode 5, we go a step further—showing what happens when that diagnosis is explored through therapy.

What you’ll hear in this episode:
– A live, unscripted therapy session combining Pain Reprocessing Therapy (PRT), somatic tracking, and Emotional Awareness and Expression Therapy (EAET)
– Real-time reduction in pain as David rewires his brain’s fear response
– Exploration of childhood emotional patterns, perfectionism, and self-directed anger
– A somatic shift that helps David reclaim movement, safety, and strength
– Dr. Howard Schubiner’s expert commentary on the science behind each moment

This episode is about more than pain—it’s about the emotional undercurrents that shape how we experience our bodies, and the incredible transformation that can occur when we meet our pain with curiosity, compassion, and courage.

Bonus: Stay tuned to the end to hear Dr. Schubiner’s reflections on the future of healing—blending neuroscience, trauma-informed care, and emotional expression into one powerful therapeutic approach.

Resources and Additional Links

• Learn More About Pain Reprocessing Therapy (PRT)
• Subscribe for updates, resources, and insights in the world of chronic pain and Pain Reprocessing Therapy.
• Patient Hub
• Practitioner Hub
• Learn about WellBody Psychotherapy and how our certified therapists and coaches can support your healing journey: Visit WellBody
• Email Us: [email protected]

This special episode captures part one of an innovative two-part series, following a patient's full neuroplastic pain journey — from diagnosis to treatment.

What you'll hear in this episode:
– A live neuroplastic pain assessment from Dr. Matt McClanahan, DO
– Discussion of "FIT criteria" (Functional, Inconsistent, Triggered symptoms)
– The impact of trauma and historical context on pain
– David’s candid account of how conflicting diagnoses made recovery harder
– A breakdown of why nervous system safety is essential for healing

Part two of this series will feature a treatment session with David and legendary insights on how to begin retraining the brain.

Resources and Additional Links

• Learn More About Pain Reprocessing Therapy (PRT)
• Subscribe for updates, resources, and insights in the world of chronic pain and Pain Reprocessing Therapy.
• Patient Hub
• Practitioner Hub
• Learn about WellBody Psychotherapy and how our certified therapists and coaches can support your healing journey: Visit WellBody
• Email Us: [email protected]

Rumination—constantly monitoring symptoms, worrying about pain, and overanalyzing every sensation—can make chronic pain worse by keeping the nervous system in a state of high alert. In this episode, therapist John Gasienica works with Leslie, a new mom struggling with chronic pelvic pain and obsessive symptom fixation. Alongside expert therapist Callie Klebanoff, they break down the Pain Reprocessing Therapy (PRT) blueprint for stopping rumination and retraining the brain to feel safe.

What You’ll Learn in This Episode:

• Why fixating on symptoms reinforces pain pathways in the brain.
• How symptom monitoring can do more harm than good.
• Practical strategies to break the cycle of overthinking pain.
• A real-time therapy session where Leslie learns to calm her nervous system.

Key Topics & Timestamps:
00:00:00 – Introduction: Why rumination fuels chronic pain
00:01:00 – The cycle of symptom fixation and its impact on daily life
00:02:00 – Meet Callie Klebanoff: Breaking the cycle of rumination
00:03:00 – The mental load of symptom monitoring and anxiety
00:04:00 – How overthinking affects the nervous system
00:06:00 – Leslie’s experience: A new mom stuck in the pain-rumination loop
00:07:00 – Constant symptom monitoring: How it worsens chronic pain
00:09:00 – Why the brain fixates on pain and discomfort
00:12:00 – Understanding intolerance of uncertainty and symptom anxiety
00:18:00 – The PRT approach: Moving from overthinking to feeling safe
00:23:00 – Emotional work: Addressing fear, grief, and self-doubt
00:31:00 – Practical strategies to stop overthinking and retrain the brain
00:39:00 – Final thoughts & next steps for listeners

Resources and Additional Links

• Learn More About Pain Reprocessing Therapy (PRT)
• Subscribe for updates, resources, and insights in the world of chronic pain and Pain Reprocessing Therapy.
• Patient Hub
• Practitioner Hub
• Learn about WellBody Psychotherapy and how our certified therapists and coaches can support your healing journey: Visit WellBody
• Email Us: [email protected]

This episode of the PRT podcast, hosted by John Gasienica, focuses on identifying and addressing hidden emotions that hinder recovery from chronic conditions. Special guest Christie Uipi, an expert clinician and founder of the Better Mind Center, joins John to discuss the importance of emotional awareness in pain reprocessing therapy. The episode features a live session with Ben, a patient who experiences a significant breakthrough in his recovery journey. Listeners will learn about the impact of stress, fear, and self-criticism on chronic pain and explore effective tools to foster emotional healing and achieve sustainable relief.

00:00 Introduction to the PRT Podcast

01:41 Meet the Expert: Christie Uipi

02:40 Christie's Journey and Innovations

03:56 Understanding Pain and Emotions

05:43 Client Session: Ben's Story

10:29 Exploring Stress and Pain Connection

17:17 Emotional Processing Techniques

25:29 Inner Nurturing

28:15 Messages of Safety

29:04 The Complexity of Safety

34:43 The Role of Self-Criticism

36:18 Somatic Tracking and Self-Compassion

43:43 Final Thoughts and Reflections

Transcript

Resources and Additional Links

• Learn More About Pain Reprocessing Therapy (PRT)
• Subscribe for updates, resources, and insights in the world of chronic pain and Pain Reprocessing Therapy.
• Patient Hub
• Practitioner Hub
• Learn about WellBody Psychotherapy and how our certified therapists and coaches can support your healing journey: Visit WellBody
• Email Us: [email protected]

In this episode, we dive into Pain Reprocessing Therapy (PRT) and how it helps break the cycle of chronic pain. Anna, a patient who has struggled with chronic pain for years, shares her experience of healing through techniques such as somatic tracking, emotional awareness, and gratitude exercises.

John Gasienica and Daniella Deutsch explain how PRT works by rewiring the brain’s response to pain, allowing individuals to regain control of their lives. John guides Anna through gratitude practices to help her achieve the emotional awareness necessary to use PRT techniques successfully.

This episode provides valuable insights into how both patients and practitioners can use PRT to transform the experience and perception of pain, offering a hopeful and empowering approach to not only manage, but heal from chronic pain.

Get the Full Transcript

Resources and Additional Links

• Learn More About Pain Reprocessing Therapy (PRT)
• Subscribe for updates, resources, and insights in the world of chronic pain and Pain Reprocessing Therapy.
• Patient Hub
• Practitioner Hub
• Learn about WellBody Psychotherapy and how our certified therapists and coaches can support your healing journey: Visit WellBody
• Email Us: [email protected]