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Before you recommend anything to your clients, you’ll want to see it for yourself. Rewire Pain-ReLeaf™ is a brain-based course that shows people how the brain can learn and maintain pain patterns, and how those patterns can change.
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For Therapists · When Clients Live with Chronic Pain
You Can’t Understand Pain
Until You Understand the Brain.
Get the WHOLE Brain on the Recovery Team.
What Therapy Brings
Clients Also Need to Learn
Personal Support · Holding Space · Processing Emotions · Addressing Trauma
The Two Kinds of Pain · Impact of Beliefs · Pain Changes in the Brain · Predictive Pain
Emotional pain and physical pain light up overlapping areas of the brain. And over time, chronic pain changes how the brain processes pain. The good news? Learned patterns can change with Pain Reprocessing Therapy.
You Can’t Understand Pain Until You Understand the Brain.
What Therapy Brings:
Personal Support · Processing Emotions · Addressing Trauma
Clients Need to Learn About:
The Two Kinds of Pain · Impact of Beliefs · How Pain Changes in the Brain · Predictive Pain
Emotional pain and physical pain light up overlapping areas of the brain. And over time, chronic pain changes how the brain processes pain.
The good news? Learned patterns can change with Pain Reprocessing Therapy.
A 'reading headache' with eyes CLOSED and the book SHUT?
It sounds impossible. But it happened to my daughter.
Years after a car accident, Kayla’s intense headaches and dizziness still came and went.
During deliberate 'provocative testing', used in Pain Reprocessing Therapy to explore whether expectation can bring on a symptom, she held a closed book with her eyes shut and thought, 'I'm going to read this book.' And her familiar 'reading headache' appeared instantly.
The pain was real. (All pain is real.) But it gave us a clue: her brain had linked reading with danger and was predicting pain before she read a word, in an effort to protect her from the visual pain of reading.
The brain can predict pain BEFORE you do something.
When a learned pattern repeats, that prediction may continue,
even long after an injury has healed, or when there was no injury at all.
A 'reading headache'
with eyes CLOSED and the book SHUT?
It sounds impossible.
But it happened
to my daughter.
Years after a car accident, Kayla’s headaches and dizziness still came and went.
One day, she held a closed book with her eyes shut and thought, “I’m going to read this book.” Her familiar reading headache appeared instantly.
The pain was real. (All pain is real.) But it gave us a clue: her brain had linked reading with danger and was predicting pain before she read a word.
The brain can predict pain BEFORE you do something.
When a learned pattern repeats, that prediction may continue,
even long after an injury
has healed, or when there
was no injury at all.
They've given it time. They've done the rehab.
So why are they still struggling?
You've seen these clients:
- Pain that flares with stress, conflict, or deadlines
- Symptoms that come and go, or move around the body
- Tests that look “normal,” but the pain is very real
- Pain alongside anxiety, low mood, or past trauma
- A long list of specialists, and still no lasting progress
When pain persists despite appropriate medical care,
the brain’s learned patterns may be playing a role.
They've given it time. They've done the rehab.
So why are they still struggling?
You've seen these clients:
- Pain that flares with stress, conflict, or deadlines
- Symptoms that come and go, or move around the body
- Tests that look “normal,” but the pain is very real
- Pain alongside anxiety, low mood, or past trauma
- A long list of specialists, and still no lasting progress
When pain persists despite appropriate medical care,
the brain’s learned patterns may be playing a role.
Here's What the Research Shows:
1. Changing beliefs about pain can reduce it. In the University of Colorado Boulder trial, 151 adults with chronic back pain (lasting an average of about 10 years) received Pain Reprocessing Therapy, a placebo, or usual care. After four weeks, 66% of the PRT group were pain-free or nearly pain-free, compared with 20% on placebo and 10% in usual care. Gains largely held at one year, and improvement was linked to a drop in patients' belief that pain meant damage.
2. Emotional and physical pain overlap in some regions of the brain. In a now-classic study, people played a virtual ball-tossing game and were suddenly left out. Being excluded activated a brain region that is also active during physical pain, and the more distressed people felt, the stronger the activity. This helps explain why isolation, rejection, and stress can turn up the volume on physical pain.
3. Emotional work can reduce physical pain. In a randomized trial of 126 older veterans with chronic musculoskeletal pain, 63% of those who received Emotional Awareness and Expression Therapy had at least a 30% reduction in pain, compared with 17% who received cognitive behavioral therapy. Anxiety and depression also improved more.
4. Chronic pain is linked to changes in the brain. Researchers followed people with recent back pain over about a year. In those whose pain became chronic, pain-related brain activity shifted from regions that process sensation toward regions involved in emotion. This shows an association, not proof that emotion alone causes chronic pain.
5. Pain is processed, not just received. Pain signals are modulated on their way to the brain, so pain isn’t a simple readout of tissue damage. This is the foundation of modern pain science.
Where the
Evidence Stands:
Pain Reprocessing Therapy has been tested in one randomized controlled trial so far, the Boulder Back Pain Study (#1 above). Emotional Awareness and Expression Therapy (#3), a related approach, has been tested in several. Both build on the same principle: the brain learns and predicts pain, and emotions shape that process. Rewire Pain-ReLeaf™ is an educational course, not therapy, so it fits alongside the work you already do.
Practitioners use PRT for many chronic pain and symptom conditions, including back and neck pain, headaches and migraines, fibromyalgia, chronic fatigue, long COVID symptoms, pelvic pain, TMJ, irritable bowel syndrome, repetitive strain, and symptoms that persist after an injury. Controlled research so far has focused mainly on back pain.
A note on Pain Reprocessing Therapy:
PRT is a mind-body approach for chronic pain. The first step is to rule out a structural or medical cause driving the pain. Then it looks at whether the brain is involved. When it is, PRT teaches people to understand pain as a learned brain pattern rather than a sign of damage, and to respond to it with safety rather than fear.
Clinicians deliver PRT as therapy. Rewire Pain-ReLeaf™ is not therapy. It’s an educational course that teaches these principles, so it fits alongside the work you already do.
Here's What the Research Shows:
1. Changing beliefs about pain can reduce it. In the University of Colorado Boulder trial, 151 adults with chronic back pain (lasting an average of about 10 years) received Pain Reprocessing Therapy, a placebo, or usual care. After four weeks, 66% of the PRT group were pain-free or nearly pain-free, compared with 20% on placebo and 10% in usual care. Gains largely held at one year, and improvement was linked to a drop in patients' belief that pain meant damage.
2. Emotional and physical pain overlap in some regions of the brain. In a now-classic study, people played a virtual ball-tossing game and were suddenly left out. Being excluded activated a brain region that is also active during physical pain, and the more distressed people felt, the stronger the activity. This helps explain why isolation, rejection, and stress can turn up the volume on physical pain.
3. Emotional work can reduce physical pain. In a randomized trial of 126 older veterans with chronic musculoskeletal pain, 63% of those who received Emotional Awareness and Expression Therapy had at least a 30% reduction in pain, compared with 17% who received cognitive behavioral therapy. Anxiety and depression also improved more. Yarns et al., JAMA Network Open, 2024
4. Chronic pain is linked to changes in the brain. Researchers followed people with recent back pain over about a year. In those whose pain became chronic, pain-related brain activity shifted from regions that process sensation toward regions involved in emotion. This shows an association, not proof that emotion alone causes chronic pain.
5. Pain is processed, not just received. Pain signals are modulated on their way to the brain, so pain isn’t a simple readout of tissue damage. This is the foundation of modern pain science.
Where the
Evidence Stands:
PRT has been tested in one randomized trial so far (#1 above). EAET, a related approach (#3), has been tested in several. Both rest on the same idea: the brain learns and predicts pain, and emotions shape that process.
Practitioners use PRT for many conditions, including back and neck pain, headaches, fibromyalgia, chronic fatigue, long COVID symptoms, and IBS.
A note on Pain Reprocessing Therapy:
PRT is a mind-body approach for chronic pain. After ruling out a structural or medical cause,
it teaches people to see pain as a learned brain pattern,
not a sign of damage.
Clinicians deliver PRT as therapy. Rewire Pain-ReLeaf™ is
an educational course that teaches its principles, so it
fits alongside your work.
Meet Rewire Pain-ReLeaf™
A self-directed online course for your clients,
based on Pain Reprocessing Therapy principles.
- Bite-sized, by design. Short lessons deliver the information in small doses, repeated over time, which is how new patterns form.
- Low cognitive load. No endless modules or dense material. Each lesson pairs a story with the science, so it’s engaging and easy to absorb and remember.
- Designed to complement your work, not replace it.
Why "ReLeaf"? It's a play on relief, and a nod to how the brain can grow new patterns, naturally. The course's six modules spell it out: R-E-L-E-A-F.
Meet
Rewire Pain-ReLeaf™
A self-directed online course
for your clients, based on
Pain Reprocessing Therapy principles.
- Bite-sized, by design. Short lessons deliver the information in small doses, repeated over time, which is how new patterns form.
- Low cognitive load. No endless modules or dense material. Each lesson pairs a story with the science, so it’s engaging and easy to absorb and remember.
- Designed to complement your work, not replace it.
Why "ReLeaf"? It's a play on relief, and a nod to how the brain can grow new patterns, naturally. The course's six modules spell it out: R-E-L-E-A-F.
What Clients Explore in Rewire Pain-ReLeaf™
(6 Modules. 30 Videos. 15 Minutes or Less Each.)
Discover how the brain creates pain, and why understanding the science changes everything.
Turn the lens inward, noticing the clues in their own symptoms that reveal the brain's role.
Practice shifting the response to symptoms, so the brain can begin to turn down the volume.
Uncover stressors that keep the brain on high alert and start "weeding" them out.
Build small, consistent habits, as new responses create new outcomes.
Simple, low-cost practices for long-term wellness, and a plan for their "yes" life.
Clients can start with Module 1, Reconsider Pain, free.
If they love it, they can continue with the full course.
What Clients Explore in Rewire Pain-ReLeaf™
(6 Modules. 30 Videos. 15 Minutes or Less Each.)
Discover how the brain creates pain, and why understanding the science changes everything.
Turn the lens inward, noticing the clues in their own symptoms that reveal the brain's role.
Practice shifting the response to symptoms, so the brain can begin to turn down the volume.
Uncover stressors that keep the brain on high alert and start "weeding" them out.
Build small, consistent habits, as new responses create new outcomes.
Simple, low-cost practices for long-term wellness, and a plan for their "yes" life.
Clients can start with Module 1, Reconsider Pain, free.
If they love it, they can continue with the full course.
Information is cheap. Implementation is rare.
That's why Rewire Pain-ReLeaf™ also addresses habit formation.
Everyday habits can affect pain.
Poor sleep, for example, can make pain feel worse. We all want to sleep better, but we’re still scrolling at 1 a.m. Knowing what to do isn’t the hard part. Doing it is.
The course builds small, doable habits, so clients can start doing what they actually want to do. Along the way, they discover something else: we also form habits around our pain, like bracing, avoiding, and worrying about what’s next.
With the right tools, habits can change.
Information is cheap. Implementation is rare.
That's why Rewire Pain-ReLeaf™ also addresses habit formation.
Everyday habits can affect pain.
Poor sleep, for example, can make pain feel worse. We all want to sleep better, but we’re still scrolling at 1 a.m. Knowing what to do isn’t the hard part. Doing it is.
The course builds small, doable habits, so clients can start doing what they actually want to do. Along the way, they discover something else: we also form habits around our pain, like bracing, avoiding, and worrying about what’s next.
With the right tools,
habits can change.
Better Together: ReLeaf Circle
One of the hardest parts of living with chronic pain is the isolation. Friends move on, life moves on, and your client is still stuck. Alone. Just them and their symptoms.
What if a group of your clients went through this course together? It’s more enjoyable, and they realize they’re not alone. And they’re more likely to see it through, as they show up not only for themselves, but for others.
Our brains evolved to stay with the group, because the group meant survival. When we’re isolated, the brain can treat it as a threat:
stress rises, focus narrows, and it starts scanning for danger.
Better Together:
ReLeaf Circle
One of the hardest parts of living with chronic pain is the isolation. Friends move on, life moves on, and your client is still stuck. Alone. Just them and their symptoms.
What if a group of your clients went through this course together? It’s more enjoyable, and they realize they’re not alone. And they’re more likely to see it through, as they show up for themselves and others.
Our brains evolved to stay with the group, because the group meant survival. When we’re isolated, the brain can treat it as a threat: stress rises, focus narrows, and it starts scanning for danger.
Is Rewire Pain-ReLeaf™ Right for Your Clients?
It is a good fit for clients who:
- Still have symptoms despite appropriate care and time to heal.
- Feel stuck, exhausted, or discouraged after trying many treatments.
- Are curious about the brain's role in pain and are open to a brain-based approach.
- Want something short and doable, not another exhausting protocol.
It is not intended for clients who:
- Are still in the early, acute phase of recovery or haven't been medically evaluated.
- Need more intensive medical support first or are in an acute crisis.
- Aren't open to exploring the brain's role in creating and maintaining symptoms.
- Are not ready or able to spend 15 minutes a day, five days a week, watching or listening to a video. (The whole course takes 6 weeks at that pace.)
Gentle by design.
The course focuses on understanding symptoms and responding to them differently. Nothing strenuous. Clients can set their pace.
Is Rewire Pain-ReLeaf™ Right for Your Clients?
It is a good fit for clients who:
- Still have symptoms despite appropriate care and time to heal.
- Feel stuck, exhausted, or discouraged after trying many treatments.
- Are curious about the brain's role in pain and are open to a brain-based approach.
- Want something short and doable, not another exhausting protocol.
It is not intended for clients who:
- Are still in the early, acute phase of recovery or haven't been medically evaluated.
- Need more intensive medical support first or are in an acute crisis.
- Aren't open to exploring the brain's role in creating and maintaining symptoms.
- Are not ready or able to spend 15 minutes a day, five days a week, watching or listening to a video. (The whole course takes 6 weeks at that pace.)
Gentle by design.
The course focuses on understanding symptoms and responding to them differently. Nothing strenuous. Clients can set their pace.
What People Are Saying
These testimonials reflect the personal experiences of specific individuals and are
not a guarantee of the same outcome for everyone. Results vary by individual.
What People Are Saying
These testimonials reflect the personal experiences of specific individuals and are
not a guarantee of the same outcome for everyone. Results vary by individual.
I learned this the hard way.
Ten months after our daughter was rear-ended at 90 MPH,
she was 10 times worse than the day she left the hospital.
We spent the next eight years and $65,000, seeing 50+ doctors and specialists all around the country, trying every treatment we could find.
There were wonderful comebacks. And then, out of nowhere, devastating setbacks. It felt like a yo-yo recovery. Nobody could explain it.
For her 16th birthday — 5 years after the accident — she couldn't get her driver's license, as driving made her feel dizzy, like she was riding on the teacups at Disney.
Everything changed when we understood how the brain learns and can predict pain.
The reading headache was our proof. She said, "This explains my entire life." Within months, she was back to living her life.
It was not her fault. It was not our fault.
No family should have to spend that much time and money to find the missing piece. Rewire Pain-ReLeaf™ is built on that missing piece.
Getting her whole brain on the Recovery Team made the difference.
I learned this
the hard way.
Ten months after our daughter was rear-ended at 90 MPH,
she was 10 times worse than the day she left the hospital.
We spent the next eight years and $65,000, seeing 50+ doctors and specialists all around the country, trying every treatment we could find.
There were wonderful comebacks. And then, out of nowhere, devastating setbacks. It felt like a yo-yo recovery. Nobody could explain it.
For her 16th birthday — 5 years after the accident — she couldn't get her driver's license, as driving made her feel dizzy, like she was riding on the teacups at Disney.
Everything changed when we understood how the brain learns and can predict pain.
The reading headache was our proof. She said, "This explains my entire life." Within months, she was back to living her life.
It was not her fault. It was not our fault.
No family should have to spend that much time and money to find the missing piece. Rewire Pain-ReLeaf™ is built on that missing piece.
Getting her whole brain
on the Recovery Team
made the difference.
Hi, I'm Patty Tashiro!
I'm not a clinician. I'm a mom on a mission.
After my daughter's injury, despite taking her to see the best clinicians, I still watched her struggle, on and off, for eight years.
What finally made the difference was learning that her brain had picked up patterns that kept her very real symptoms going. And patterns can be rewired.
I couldn't stop thinking about all the other people still stuck where we had been. So I became a certified brain health coach and trained in Pain Reprocessing Therapy.
Long before her injury, I had spent decades studying how we can change our experience of life. That included seven years studying meditation in London, which led to my book on happiness, An Angel Whispered (O Books, 2011).
I built Rewire Pain-ReLeaf™ for people who are already worn out. The lessons are short and told through stories, and the concepts and practices are simple.
The course is designed to complement your clients’ care, including the work they do with you.
I founded Natural Brain Solutions, LLC, to spare other families the years we lost. Here we are at Lake Champlain, out enjoying life together again.
Hi, I'm Patty Tashiro!
I'm not a clinician. I'm a mom on a mission.
After my daughter's injury, despite taking her to see the best clinicians, I still watched her struggle, on and off, for eight years.
What finally made the difference was learning that her brain had picked up patterns that kept her very real symptoms going. And patterns can be rewired.
I couldn't stop thinking about all the other people still stuck where we had been. So I became a certified brain health coach and trained in Pain Reprocessing Therapy.
Long before her injury, I had spent decades studying how we can change our experience of life. That included seven years studying meditation in London, which led to my book on happiness, An Angel Whispered (O Books, 2011).
I built Rewire Pain-ReLeaf™ for people who are already worn out. The lessons are short and told through stories, and the concepts and practices are simple.
The course is designed to complement your clients’ care, including the work they do with you.
I founded Natural Brain Solutions, LLC, to spare other families the years we lost. Here we are at Lake Champlain, out enjoying life together again.
See it for yourself. Check it out below.
See it for yourself. Check it out below.
Disclaimer: The information and content in this program are for educational purposes only and are not intended as medical advice, diagnosis, or treatment. Rewire Pain-ReLeaf™ is not a substitute for professional medical care. Always consult your doctor or qualified healthcare provider before beginning any new health program, especially if you have an existing medical condition or injury.
Results vary by individual. Testimonials shared on this page and inside the course reflect the personal experiences of specific individuals and are not a guarantee of the same outcome for everyone.
Rewire Pain-ReLeaf™