@dorma Yes, many of us in certain generations were definitely raised with a skepticism about therapy. It's good to hear you're considering counseling, especially in light of what your pain management interventions, conversations and outcomes have been to date. I can understand wanting to try something new that can provide more relief, not add to your discomfort.

I'm wondering if once you start doing a deep dive into research on CBT you may be encouraged by what you find. For instance, did you know that studies have shown that individuals who receive CBT are less likely to experience a relapse of depression within a year compared to those on medication alone? And as far as pain, some studies have demonstrated improvements in pain intensity. This can achieved by providing techniques to reduce catastrophic thinking, improve coping mechanisms, and enhance overall quality of life. That alone may raise a skeptical eye, but in my previous line of work I did see how this helped individuals who experienced pain - and depression - caused by a variety of ailments.

To find a provider who specializes in treating depression and pain, you can look into Psychology Today or the American Psychological Association's Psychologist Locator. Also, many pain management providers work in conjunction with therapists who specialize in this field. Have you inquired with any of your doctors about this possibility?

I truly understand how you may be skeptical about counselors and you may have to shop around for one hat you feel comfortable with. Making decisions is hard when depressed. Sometimes group therapy works better for some. I’ve used both. I know it can be paralyzing when a person is depressed. Keep talking to others especially your health care providers and friends who are supportive. Try and be empathetic with yourself and don’t give up.