Pain is more than a feeling, but a physical event in the body, with physical, neurological, and psychological effects. When pain is present for extended periods of time or becomes chronic, it changes how our bodies think and feel. Mental health care and counseling can help treat these changes and can often reduce pain levels. Pain feelings are real, and are subjective, which means that there is no outside test to determine how much pain someone is in. In many ways, pain is like an alarm in the body, and the volume of the alarm can get turned up or down, depending on a lot of complex physical factors. There are mental techniques that help regulate the volume of the alarm and turn it back down, and counseling and mindfulness both help with this process. Some people with chronic pain or a pain syndrome are reluctant to access mental health care for their pain, because there is a worry that if it is “all in your head”, then it “isn’t real.” Pain is never “all in your head,” but it does have specific mental and emotional consequences in addition to the ways it physically affects the body. All of these effects are real, and deserve to be treated and addressed through care. Pain changes the way your brain works, and mental health care like counseling can help manage these changes and the stress, depression, anxiety, and other feelings that pain can cause. Our bodies are complex systems, and our minds are a part of that system. Easing suffering is important, and counseling for pain helps do that.