The Pain Reprocessing Therapy Workbook: Using the Brain’s Neuroplasticity to Break the Cycle of Chronic Pain

Dive into the practical application of Pain Reprocessing Therapy with “The Pain Reprocessing Therapy Workbook” — essential reading for anyone actively working to recover from chronic pain with no clear structural cause, and for the clinicians supporting them through that process.

Pain Reprocessing Therapy is an evidence-based treatment approach developed to address neuroplastic pain — pain that the brain has learned to generate and maintain even after any original physical cause has resolved. The randomised controlled trial published in JAMA Psychiatry demonstrated significant pain reduction in the majority of participants, many of whom had lived with chronic pain for years. This workbook translates the clinical protocol into a self-guided format, walking readers through the same stages used in therapy: understanding the neuroscience of how pain is produced and maintained, building safety in the body, somatic tracking exercises that help retrain the brain’s interpretation of physical sensation, addressing the fear and hypervigilance that perpetuate the pain cycle, and gradually building confidence that movement and activity are safe. Each chapter includes guided exercises, reflection prompts, and practical tools that readers can return to repeatedly throughout their recovery.

Whether you are working through chronic back pain, fibromyalgia, persistent headaches, RSI, or another pain condition without clear structural explanation, or you are a therapist, physiotherapist, or pain specialist looking for a structured self-help resource to recommend to patients, this workbook is one of the most evidence-grounded and practically useful tools available in chronic pain recovery.