Pain Reprocessing Therapy Skills Group in Seattle and Portland

An 8-week, skills-based group grounded in contemporary pain neuroscience and Pain Reprocessing Therapy (PRT). Open to adults virtually throughout Washington and Oregon, including Seattle and Portland.

About the 8-Week Pain Reprocessing Skills Group

This is an 8-week, skills-based group grounded in contemporary pain science and Pain Reprocessing Therapy (PRT). It’s designed for adults experiencing chronic or persistent pain that has not fully responded to medical treatment and appears to be influenced by nervous system sensitization.

Group Details

Length: 8 weeks, 1-hour sessions

Day/Time: Thursdays, 6:00-7:00pm

Location: Virtual, HIPAA-compliant video sessions

Eligiblity: Open to adult Washington and Oregon residents

Fee: $540 with an 8-week commitment

Next Group in April 2026 - Contact for Enrollment

What is Pain Reprocessing Therapy (PRT)?

Pain Reprocessing Therapy (PRT) is a neuroscience-based approach that helps the brain recognize when pain is being generated by learned threat rather than ongoing injury.

In simple terms, pain isn’t just about what’s happening in the body — it’s about what the nervous system believes is dangerous. When the brain learns to associate certain sensations, movements, or situations with threat, pain becomes the signal it uses to protect you.

PRT works by helping the nervous system update those predictions. Through understanding and direct experience, the brain begins to learn that it no longer needs to stay on high alert. When that learning happens, pain often starts to change.

PRT is not about ignoring pain, forcing positivity, or pushing through discomfort. It’s about creating the conditions where the nervous system can feel safe enough to respond differently.

Weekly Structure

The group focuses on learning how pain works, identifying patterns that signal an overprotective nervous system, and practicing skills that help the brain update those danger signals. While the group is educational and experiential, it is not unstructured group therapy.

Each week builds on the last, with session structure including the following:

  • a brief check-in and orientation for the week

  • focused education on how pain works in the nervous system

  • guided pain reprocessing and nervous system practices

  • time for questions and integration

Content builds gradually across the eight weeks, moving from understanding pain patterns to practicing new responses to sensation and movement. Skills are introduced at a pace that prioritizes safety and learning rather than intensity or emotional disclosure.

There is no expectation to share personal details in the group. Participation is optional, and listening is always a valid way to engage.

Frequently Asked Questions (FAQ)

  • No. Many people continue medical care, physical therapy, or other supports while participating. This group can complement other approaches rather than replace them.

  • This is a skills-based group, not process-oriented group therapy. While shared experiences can be helpful, the focus is on learning and practicing pain reprocessing skills rather than emotional disclosure.

  • Because the group builds week to week, live attendance is encouraged whenever possible. If you miss a session, you’ll still be able to continue with the group, but sessions are not designed to be fully interchangeable. Sessions will be recorded and can be accessed if needed.

  • No specific diagnosis is required. What matters most is whether your symptoms fit a pattern consistent with nervous system sensitization rather than ongoing injury alone.

  • No. This is a skills-based group, not process-oriented group therapy. Sharing is always optional, and no one is asked to disclose personal details.

  • No. This group is educational and skills-based and does not replace individual therapy or medical treatment. Some people participate alongside other care; others use it as a focused, time-limited intervention.

  • Pain change can look different for different people. Some notice shifts in intensity or frequency; others notice changes in fear, confidence, or how consuming pain feels. Learning how pain works — even before symptoms change — is often a meaningful step.

    Some individuals may benefit from additional, tailored treatment to fit their individual needs. Please read more about services with Individual Pain Therapy to see if this might be a good fit for you.