The most commonly used therapeutic approach utilized with pain management counselling is CBT (Cognitive Behavioural Therapy). It is the most widely researched therapeutic modality as to its efficacy in pain management; in control group studies, CBT is almost always as least as good as or better than other treatment. Cognitive-behavioural skills can change the way your mind influences your body. When you shift your thinking away from the pain, you can change your focus to more positive aspects of your life thus altering the way your body responds to the anticipated pain and stress. The goal of cognitive-behavioural therapy is therefore to change the way you think about the pain, so your body and mind respond better when you have episodes of pain. A collaborative approach with the therapist is the most efficacious during this process. Strategies that focus on encouraging a problem-solving attitude will challenge a learned sense of helplessness with the pain the client has been experiencing, i.e., helping the client feel more in control. Additional therapeutic strategies focus on assisting the client to set and engage in reasonable and realistic goals to improve their quality of life. Homework assignments are an important part of the therapeutic process and may include regular journaling to allow the client to increase his/ her awareness of what is affecting their pain, and what is working to manage their pain. Regular sessions with the therapist allow for accountability, reflection, and feedback on what is / isn’t working and to build on previous goals.