Find a neuroplastic pain provider.

What should you look for in a provider?

There is no board certification in 'neuroplastic pain', which makes this harder than it should be. What you're actually looking for is a clinician who understands that chronic pain can be produced and maintained by a sensitized nervous system, and who treats accordingly.

• Training in pain reprocessing therapy (PRT), emotional awareness and expression therapy (EAET), or a similar mind-body approach.
• Fluency in pain neuroscience education — they can explain why hurt does not reliably equal harm, and they do it early.
• Comfort with graded exposure — returning to feared movement in tolerable doses rather than avoiding it. See kinesiophobia.
• They measure function, not just pain — instruments like the Oswestry Disability Index and the Pain Catastrophizing Scale.
• They rule things out properly first. A good neuroplastic pain diagnosis is a positive one, not a leftover label.

Who is in the directory?

Providers across the United States, Canada, and Mexico who work with neuroplastic and mind-body approaches to chronic pain. The mix is deliberately broad, because the useful skills are spread across professions:

• Psychologists and psychotherapists — often the largest group, and typically where PRT training sits.
• Physicians — family medicine, psychiatry, pain medicine, and integrative medicine.
• Nurse practitioners and physician assistants, particularly in psychiatry and functional medicine.
• Physical therapists who work with graded exposure rather than passive modalities.
• Functional medicine and nutrition clinicians, and mind-body coaches.

Listing is not an endorsement, and it is not a credential check. Karuna does not employ, supervise, or vet the clinical practice of the providers in the directory — verify licensure and fit yourself before starting care with anyone.

What happens after you ask?

1. You send the form above — name, email, and the state you're looking in. Everything else is optional.
2. Karuna's care team looks for providers in your area whose focus matches what you described.
3. You get an email, usually within two business days, with names and how to reach them.
4. You contact whoever you like, directly. There is no handoff, no booking, and no cost.

If nobody in the directory covers your area, we'll say so plainly rather than send you a poor match — and we'll point you toward telehealth options that can work across state lines.

What we do with what you send

Your details go to Karuna's care team so they can respond. Nothing you write is published, shown to other visitors, or stored on this site. The free-text box is optional and exists only so you can add context if you want to — please don't feel you need to describe your medical history to get a referral.

When might Karuna's own program be the answer?

Sometimes the honest recommendation is a local provider. Sometimes it's a structured programme. Karuna runs a 12-week virtual course of VR embodiment training with weekly one-on-one pain coaching and physician oversight — see how it works.

That tends to suit people whose pain has persisted despite medical evaluation, who want something structured rather than weekly appointments, and who don't have a suitable provider nearby. If you'd rather work with someone locally and in person, a directory referral is the better route — say so on the form and the team will treat it that way.

When should you see a doctor first?

A referral is not urgent care. Some symptoms need medical assessment before any pain-retraining approach, and this list is not something to work around.

• New, severe, or rapidly worsening pain, or pain that wakes you consistently at night.
• Weakness, numbness, or pins and needles that are spreading or getting worse.
• Loss of bladder or bowel control, or numbness around the groin — this is an emergency.
• Fever, night sweats, or unexplained weight loss alongside the pain.
• A history of cancer, significant trauma, or recent infection.
• Chest pain, breathlessness, or jaw or left arm pain — call your local emergency number.