Therapy for Adults with Chronic Pain or Illness

A body in pain or illness can still learn to feel safe again.

Maybe you've spent years cycling through doctors, tests, and treatments, assembling a picture no single appointment ever quite captures. There's a particular kind of exhaustion that comes from managing a body that won't cooperate, and a particular frustration in how rarely the psychological and emotional experience gets supported as part of the same journey. Pain, immune response, and nervous system regulation are tangled together in ways that show up in real, physical symptoms, which means working with the mind isn't separate from working with the body.  Learn more about ‘Invisible diseases’ burden both body and mind here

At Noema, a psychotherapy practice in Toronto's Little Portugal, we work with adults across Toronto's west end and clients throughout Ontario living with chronic pain and chronic illness. These are physical conditions with corresponding psychological, emotional, and nervous system dysregulation. Sessions happen in person at 1364 Dundas Street West, or virtually anywhere in Ontario.

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Conditions we support people through

We work with people living with a range of chronic pain and chronic illness diagnoses, including:

✓ Fibromyalgia

✓ Chronic fatigue syndrome / ME

✓ Endometriosis and chronic pelvic pain

✓ Autoimmune conditions (lupus, rheumatoid arthritis, and others)

✓ IBS and other chronic GI conditions

✓ Migraine and chronic headache disorders

✓ Long COVID

✓ POTS and dysautonomia

✓ Back and joint pain without a clear
structural cause

✓ Any hard-to-diagnose or "invisible" illness 

Here’s How to Connect

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Fill out the form to schedule your free 20-minute intro call to explore how therapy can support you. We’ll help you get matched with the right therapist for you.

Email us with any questions you might have.

To book an appointment via JaneApp use the link below. 

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Book your free 20-minute intro call today. Schedule at your convenience.

Schedule Your Free Consultation

Reaching out is usually the hardest part. From here, things get simpler.


Fill out the form below and one of us will be in touch within one business day, usually the same day. No pressure, no commitment. Just a conversation.

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Our team

Our team has deep experience working with clients who suffer from chronic illnesses. We understand the nuances of how living with chronic pain and how it effects daily life. Whether you’re managing daily challenges or want a more comprehensive, structured roadmap, we’ll help you find the right path forward.

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Getting support for a body stuck in threat mode.

Living with pain or illness changes your nervous system. Chronic pain, autoimmune flares, and stress-linked conditions often involve a body that's been in a state of alarm for so long it's forgotten how to stand down, this can intensify symptoms and flare-ups.

We draw on a range of evidence-based approaches depending on what each person needs:

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ACT (Acceptance & Commitment Therapy)
Building a life that isn't entirely organized around managing symptoms, without pretending they're not real

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CBT (Cognitive Behavioural Therapy)
Working with the thought patterns that amplify pain, fear, and avoidance

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DBT (Dialectical Behaviour Therapy)
Develop skills for getting through a flare-up without it running the show

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Somatic work
Working with the nervous system directly and developing interoceptive skills

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Coaching-informed therapy
Pacing and energy management

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Mindfulness
A different relationship to sensation, rather than a constant, exhausting fight against it

Getting support so you can start to feel like yourself again.

Pain and illness have a way of taking over; not just the body, but relationships, energy, mood, the parts of your life that used to feel effortless. Somewhere in managing all of it, it's easy to lose track of who you were before, or feel like that person isn't available to you anymore. We’ll support you with getting back to energy, connection, identity — whatever's felt out of reach.

Chronic pain and illness therapy in Little Portugal, Toronto

Noema Psychotherapy is located at 1364 Dundas Street West, in Little Portugal, minutes from Trinity Bellwoods, Parkdale, Beaconsfield Village, and Dufferin Grove. In-person sessions for clients throughout Toronto's west end; virtual sessions for clients anywhere in Ontario.

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Who we work with

We support adults living with chronic pain or chronic illness, whether you're navigating a recent diagnosis, still working toward one, or have been managing this for years and are looking for support that goes beyond symptom management.

In person in Toronto's Little Portugal, or online across Ontario.