Pain Reprocessing Therapy Podcast

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  Listening to the People Who Got Better: New Research on Chronic Fatigue Syndrome Recovery 04.09.2026 44min

  What can we learn about chronic fatigue syndrome by listening to the people who actually recovered from it? In this episode, host Daniel Lyman sits down with two researchers who set out to answer exactly that question. Julie Harper conducted in-depth interviews with eight women who recovered from ME/CFS after struggling with it herself for seven years. Dr. Sarah Cefai analyzed 75 recovery stories from Raelan Agle's YouTube channel, looking for the patterns that kept showing up across very different people and very different journeys. What they found has a lot in common with what pain reprocessing therapy sees again and again: a shift in how symptoms are understood, a growing sense of agency, and a different relationship with the body. If you or someone you love has been told that chronic fatigue syndrome is something you just have to learn to live with, this episode is for you.
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  You Don't Have to Learn to Live With It: Tinnitus, Sound Sensitivity, and the Neuroplastic Connection 06.08.2026 44min

  If you've ever been told that tinnitus, hyperacusis, or misophonia are conditions you simply have to manage and live with, this episode is going to offer you a different perspective. Host Daniel Lyman sits down with Dr. Marcia Dewey, an audiologist who founded the Tinnitus and Hyperacusis Program at Froedtert and the Medical College of Wisconsin and has spent years integrating neuroplasticity-based approaches into her work. Together they break down what these three conditions actually are, how fear and attention amplify symptoms, where structural issues end and neuroplastic processes begin, and how tools like somatic tracking, imaginal exposure, and safety learning can help people change their relationship with sound and, in many cases, dramatically reduce their symptoms.
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  When the Illness Ends But the Body Doesn't Know It: A Real Chronic Fatigue Case 18.06.2026 26min

  What happens when the infection clears but the symptoms don't? In this episode, host Daniel Lyman shares recordings from eight real therapy sessions with a client named Eric, who had been living with chronic fatigue for years after a bout of mono. You'll hear Eric describe the weight of his exhaustion, the fear and confusion that surrounded it, and the beliefs that kept him stuck. And you'll hear what actually changed, not through a single breakthrough moment, but through a series of small shifts that gradually taught his nervous system it was safe. By the end of the episode, Eric is cycling, hiking, concentrating better at work, and beginning to trust his body again.
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  Three Cases, Two Experts, One Question: Is This Neuroplastic? 01.05.2026 48min

  Host Daniel Lyman is joined by Dr. Mark Lumley, founder of Emotional Awareness and Expression Therapy (EAET), and Christie Uipi, psychotherapist and co-developer of Pain Reprocessing Therapy, to discuss three real patient cases: vestibular migraine and dizziness, chronic back pain with nighttime flare-ups, and migraine with uncertainty about neuroplastic diagnosis. Together they explore how emotions, conditioning, and the nervous system intersect — and what treatment might actually look like for each person.
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  When the Work Isn't Working: 5 Reasons You May Still Be Stuck 19.03.2026 45min

  You've done the work. You've read the books, tried the tools, and still feel stuck. In the Season 2 premiere of the PRT Podcast, new host Daniel Lyman, LCSW, joins clinician Gabrielle Jacobs for When the Work Isn't Working: 5 Reasons You May Still Be Stuck — exploring five of the most common and most overlooked reasons people stall in chronic pain recovery. From waiting to feel safe before acting, to living with intensity, to identity fusion with a diagnosis, this conversation is honest, practical, and genuinely useful for patients and practitioners alike. Getting stuck doesn't mean you're doing it wrong. It means there is another layer to look at.
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  Building Hope and Belief 04.12.2025 55min

  Therapist John Gasienica talks with patient Rachel and guest Raelan Agle about life-stopping chronic fatigue and post-viral symptoms after COVID, and how belief, emotional regulation, and nervous system safety can create real openings for change. A grounded, hopeful look at living again, even when exhaustion feels like a monster you can’t explain.
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  Thinking Less and Feeling Better 16.10.2025 52min

  Therapist John Gasienica talks with physician Dr. Becca Kennedy and patient “Sarah” about shifting from rumination to safety, processing medical trauma, and using simple emotional and somatic tools to calm the nervous system and reduce pelvic pain. A practical look at feeling safer right now—even when your brain wants certainty.
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  Healing Trauma Without the Drama 28.08.2025 59min

  In this episode, John Gasienica sits down with Dr. David Clarke to explore the hidden stressors beneath chronic pain and trauma. Together, they walk patient Rachel through practical tools to unlearn pain, build self-compassion, and find healing.
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  The No BS Guide to Self-Compassion 31.07.2025 54min

  In this episode of the PRT Podcast, therapist and host John Gasienica sits down with Vanessa Blackstone, Executive Director of the Pain Psychology Center and co-author of The Pain Reprocessing Therapy Workbook, for a candid, compassionate conversation about one of the biggest roadblocks to healing: perfectionism. They explore the real-life journey of Jaycie, a nurse and mom grappling with chronic pain, burnout, and the relentless pressure to keep it all together. Through Jaycie’s story, we learn how urgency, self-criticism, and emotional suppression fuel nervous system dysregulation—and how accessing self-compassion (the real kind, not the bubble bath kind) can begin to reverse it. Vanessa and John break down the science of freeze responses, why joy and creativity are essential for recovery, and how to start speaking to yourself the way you would speak to someone you love. Vulnerable, funny, and refreshingly honest, this episode is a must-listen for anyone stuck in cycles of pain and pressure.
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  Why Hasn't Journaling Healed Me Yet? 01.07.2025 54min

  John is joined by Daniel Lyman, therapist and Executive Director of Mind Body Therapy Center, for a powerful session with June, a patient navigating the ups and downs of chronic migraines and emotional repression. This episode dives deeper into the emotional roots of neuroplastic pain, exploring fear, anger, and sadness using exposure-based techniques. June opens up about the inner conflicts fueling her symptoms, and John guides her through processing emotions in real time, helping her shift from suppression to empowerment—a must-listen for anyone hitting a healing plateau.
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  Ask a Doctor: Is My Pain Neuroplastic? PT. 2 27.05.2025 55min

  In this transformative follow-up to Episode 4, psychotherapist John Gasienica guides patient David through a real-time therapy session—joined by mind-body medicine pioneer Dr. Howard Schubiner. Building on David’s recent neuroplastic pain diagnosis, this episode explores the emotional patterns and subconscious fear responses that keep chronic symptoms alive. As David confronts past trauma, guilt, and anxiety, you’ll hear powerful shifts unfold live—both physically and emotionally. Dr. Schubiner offers insight throughout, breaking down why these techniques work and how healing happens when the brain feels safe. Whether you're a practitioner or someone living with pain, this episode offers profound hope and practical tools for lasting change.
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  Ask a Doctor: Is My Pain Neuroplastic? 15.04.2025 43min

  In part one of this two-part experimental series, patient David undergoes a full neuroplastic pain assessment with Dr. Matt McClanahan, DO — a board-certified physician and expert in chronic pain. Join John Gasienica, LCSW, as he explores the nuanced diagnostic process, how emotional and historical factors play a role in chronic symptoms, and what it means when pain has no clear structural cause. This conversation will shift your understanding of pain and recovery.
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  How to Stop Fixating on Pain 13.03.2025 47min

  Rumination—those endless loops of worry, symptom monitoring, and "what if" thinking—can make chronic pain worse by keeping the nervous system stuck 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 thoughts about her symptoms. John, alongside expert therapist Callie Klebanoff, breaks down the Pain Reprocessing Therapy (PRT) blueprint for disrupting rumination and retraining the brain to feel safe. They discuss: - Why rumination is one of the biggest roadblocks to pain recovery. - How overthinking reinforces pain pathways in the brain. - Practical strategies for shifting from fear-based thinking to self-compassion. - A real-time session where Leslie learns to calm her nervous system and reduce pain. If you’ve ever felt stuck in your thoughts about pain, this episode will give you the tools to break free from the cycle and start healing.
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  Emotions: Do They Matter Anyway? 11.02.2025 46min

  In this episode, John Gasienica, LCSW, assists a client in uncovering hidden emotions that are hindering his recovery from chronic pain. Joining John is Christie Uipi, LCSW, a leading expert in pain psychology. Together, they dive into the powerful connection between emotions and recovery, offering deep insights and practical strategies for both clients and practitioners.
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  Calming the Nervous System: Methods for Getting Unstuck 12.12.2024 33min

  In this episode of The Pain Reprocessing Therapy Podcast, John Gasienica and Daniella Deutsch discuss the transformative power of Pain Reprocessing Therapy (PRT) in overcoming chronic pain. They share the inspiring journey of Anna, a patient who learns to harness the appropriate motivation and energy to successfully use PRT techniques like somatic tracking and emotional awareness. Anna’s story illustrates how retraining the brain’s perception of pain can lead to lasting recovery. Whether you’re a patient seeking relief from pain or a practitioner looking for effective tools, this episode offers key insights into the healing process through PRT.