@dcdusek For me, the reason I started to practice mindfulness was to learn how stay in the present moment, and be accepting of whatever I’m feeling. I still do have pain, but my response to it is very, very different than it was five years ago when I was truly miserable. I can spend 20-30 minutes in meditation practice and actually lower my pain level a couple of notches. I relax physically and mentally, and its my nervous system that benefits. So it’s been worth it for me. I’m not focused on changing anything but rather observing how I feel- being nonjudgmental and kind to myself. It may sound like new-age junk but it isn’t. People have been practicing for thousands of years. I also get regular massage and acupuncture twice a month. To answer your other question, I prefer in- person therapy. Several people I know see their therapists by zoom. It’s really a personal preference. The important thing is to find someone you click with. There are many talented psychologists out there that have experience working with people who have chronic conditions. Many pain clinics have psychologists/therapists on staff. Perhaps you have some trauma as well as a result of your accident? I live about an hour and twenty minutes north of the Mayo Clinic in Rochester MN, in a suburb of the Twin Cities.