How It Works
How to Reverse Chronic Pain & Related Symptoms with Neuroplasticity
First, what is pain?
Pain serves as a protective mechanism, alerting us to danger and preventing harm. It is triggered by the brain in response to signals sent from the body when tissue damage occurs, prompting quick reflexes, like pulling away from a hot surface. However, pain is also influenced by the brain’s priorities; for instance, in a life-threatening situation, the brain may temporarily block pain to focus on survival.
Neuroscience explains that pain is created by the brain in response to electrical signals from nerves. These signals can be triggered by physical injuries or emotional stress, as the same brain areas often react to both types of danger and harm. Chronic pain occurs when the brain continues generating pain signals even after an injury has healed, a phenomenon known as neural circuit pain or neuroplastic symptoms. Since much of this process happens in the subconscious, people cannot consciously control it.
But just because pain is created by the brain doesn’t mean it is not “real”.
All pain is real.
Understanding the brain’s role in it is key to reversing neural circuit pain & neuroplastic symptoms.
Neuroplastic Symptoms are any symptoms (including pain) that the brain has learned from a physical or emotional injury or any past experience. These symptoms persist without the occurrence of a structural issue.

How does the subconscious brain determine what is dangerous then?
We can understand this through understanding “Predictive Coding”
Our brains shape how we experience the world, often predicting what will happen next based on past events. This concept, called predictive coding, means the brain constantly updates its mental model of reality. A simple example is when a song or thought gets stuck in your head, or when scratching an itch, which makes it worse.
Predictive coding also explains unexpected reactions. Dr Howard Schubiner explains an experience he had years ago when his wife fed him a peach in the dark, but he was expecting an apple. Expecting an apple, his brain perceived the soft texture as rotten, and therefore as dangerous to eat. It ignored the sweetness to protect him from the perceived danger.
This theory is key to understanding chronic pain and symptoms. For instance, if you hurt your back and experience pain while bending over, your brain may continue to predict pain from the same movement long after the injury has healed. These danger signals, originally meant to protect you, can get “stuck,” causing persistent pain and discomfort.
This process is similar to habits or muscle memory. The brain can link specific cues, like bright lights or bending over, to pain. The more these connections are reinforced, the stronger the pain response becomes.
Fortunately, there are ways to rewire these neural pathways and alleviate pain over time.
How to determine if the pain or related symptoms are neuroplastic?
First, a structural issue must be ruled out (fractures, tumors, infection, or some other major disease). It is necessary to see your doctor to get this checked out. If there is no evidence of any structural issues, then it is likely due to neural circuits. It is important to note that all MRIs are abnormal. Many people who have “abnormal” MRIs do not experience pain and therefore abnormalities in the spine are not the cause of pain.
It is important to know that some pain is due to a structural issue and other pain is due to neural circuits in the brain. Chronic pain is often caused by neural circuits when there is no damage in the body. This is more common than you may think. The treatment for a structural issue is medical treatment. However, the treatment for neuroplastic symptoms is to reprogram your brain to unlearn the pain.

How to reverse chronic pain
Chronic pain and symptoms can significantly impact all aspects of life, from mood and mobility to social interactions and enjoyment. Traditionally, the medical community has seen chronic pain as unfixable, but this view is increasingly challenged. While some conditions, like advanced arthritis or cancer, may cause lifelong pain, many cases have no clear physical cause—raising the question of whether the brain might be involved.
Research shows that the brain’s danger signaling system can create pain even without physical injury, especially during prolonged stress. This can lead to chronic pain, as the brain “learns” pain through neural circuits, much like learning a skill. Triggers like lights, sounds, certain movements or even certain foods may activate these pain circuits, reinforcing the experience of pain over time.
To address chronic pain and chronic health issues, consider four key steps:
1. Determine the cause
Is it due to a medical issue or neural circuits?
2. Educate yourself
Understanding neural circuit pain provides hope and shifts the focus from coping to healing.
3. Reduce fear and calm the brain
This can include any practice that minimizes stress and deactivates the brain’s danger signals. It is common to want to “fix” or “get rid of” the pain, but worrying, fighting, or always focusing on the pain, can make the pain worse as these reactions only reinforce the danger alarm system triggering the neural circuits.
4. Address emotional and stressful issues
Unresolved stress may contribute to pain, so addressing these aspects can aid recovery.
By retraining the brain and addressing both physical and emotional factors, it’s completely possible to reverse chronic pain and regain quality of life.

Our comprehensive online treatment program was created to help you reverse pain and other health symptoms.
The Clinical Treatment Program
What this treatment works for
- Chronic back and/or neck pain
- Chronic musculoskeletal pain in single or multiple sites
- RSI / OOS
- Migraine
- IBS (irritable bowel / bladder syndrome)
- Fibromyalgia syndrome
- Chronic Fatigue Syndrome
- CRPS
- RSD
- Many exzema / skin conditions
- Some arthritic conditions
- Some endometriosis presentations
- Depression
- Anxiety
- Other medically unexplained chronic pain
- Other medically unexplained chronic fatigue
What it’s not for
- Pain from cancer
- Most rheumatoid arthritis
- Clearly diagnosed nerve injury
- Some arthritic conditions
All MRIs are abnormal
Testimonials
Seeing Hal changed my life. After 4 years of strong chronic pain I now experience minimal pain and have no restrictions in doing all the activities I love in life. Here is my story.
I initially developed RSI type pain in my wrists from typing and computer use while writing up my PhD. It manifested as strong pain right through both my wrists whenever I typed or used my wrists for normal activities. It eventually got so bad that I could not do any typing at all, or do daily activities like holding a cup of tea, driving, or brushing my teeth without strong pain. I took 3 months off computer work as I thought this would allow it to heal, however the pain in my wrists persisted no matter how much rest I had.
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I then begun trying different therapies in a search for a solution, but nothing I tried worked, and no-one seemed to be able to definitively diagnose what was going on at all. I tried pretty much everything. This included acupuncture, massage, reiki, physiotherapy, hand therapists, hand surgeons, and chinese medicine. I had multiple MRI scans, ultrasounds and bone scans but none of them could identify the problem or offer any significant healing.
Despite my desperate efforts, the pain persisted for four long years. This greatly affected my ability to work during this time, and I was restricted with doing normal things in life like driving and riding my bike. I had pretty much given up and accepted that this pain might be my permanent reality.
I came across a book by Dr Sarno (The Mindbody Prescription) which got me interested in the idea that my pain could have a psychological component. However I did not get any significant results from just reading the book. The real turning point came when I started doing one-on-one sessions with Hal. Working with Hal really opened my eyes to the connection between my pain and unexpressed anger from my past. Over the next few sessions I released huge amounts of emotional pain and anger that I didn’t even realise was there. I really liked the balance in the sessions between intellectual discussions (to get an understanding of the mind-body connection) and bodywork (to feel and release emotions). With Hal’s guidance I also dived deeply into the work of Dr Sarno, reading almost all his books to develop a clear understanding of his approach (Dr Sarno’s audiobooks are highly recommended).
It was a difficult process, but hugely rewarding. After only 4 sessions I experienced a massive drop in my pain levels. I felt like I had finally turned the corner with my chronic pain. On top of that I felt like I had released some old emotional burdens- I felt lighter and happier. I saw Hal again for a few more sessions and the pain levels continued to decrease. After about 6 sessions I felt the process was complete. The amazing thing was that after 4 years of frustration, it only took about two months of working with this method before I was healed.
While I still experience some pain now, it is minimal and does not really affect my daily life. I even went rock climbing the other day-which is something I thought I would never do again!! It feels amazing to be so free.
I am deeply indebted to Hal for carrying on the work of Dr Sarno and bringing this remarkable healing to my life. Hal is an extremely knowledgeable and professional practitioner and I would highly recommend him to anyone with chronic pain symptoms. Healing is possible. I am living proof of that. Don’t give up!
Coburg, Victoria
I suffered chronic low back pain for 30 years and had reached the point of giving up on any chance of healing, living with average pain levels of 8/10 and relying on pain killers which were becoming less and less effective. Over these years I had seen numerous back specialists and other medical practitioners, who all said my pain was caused by a prolapsed disc. I even had surgery, a number of back injections, physio work, acupuncture, and a host of other treatments which I won’t even mention here. Nothing helped to reduce my pain and the only constant was that my pain kept increasing with time, slowly taking over my life. Up until recently, I couldn’t sit for more than a minute or so without extreme pain. Every facet of my life, both physically and mentally, was now dominated by pain and I felt like I was slowly sinking into an abyss.
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That was last December. I then came across a Dr John Sarno and discovered something called tension myositis syndrome, or mind body syndrome (TMS/MBS). Based on his clinical experience, Sarno claimed that repressed emotions in the unconscious such as anger or anxiety was the cause of many chronic pain disorders with low back pain being a common one. Whilst I was initially sceptical, to my amazement, after reading Sarno’s books and trying his techniques, I was able to reduce my pain levels somewhat and even able to stop taking painkillers within a few weeks. I started to become a TMS believer. However my reduction in pain was only partial at best, and it became clear I would need some additional help.
Seeing Hal was a game changer. Being only one of a handful of psychotherapists in Australia aware of TMS/MBS, I decided to give it a go. Hal was able to help guide me back to a normal life again. He has been instrumental in teaching me how to get in touch with repressed emotions which is the key to eliminating TMS and the chronic pain it causes. In a matter of a few months, my life was turned around. My 30 years of back pain is now a non-issue – I am exercising regularly, riding my bike for the first time in 15 years, and even able to enjoy the cinema or theatre while sitting for hours and not feel any pain.
But it was not easy. We all experience negative emotions for one reason or another but it is how we deal with them that decides how they affect us. Learning to embrace your negative emotions and really feel and accept them is very challenging and confronting as we are programmed to repress and avoid them, albeit to our detriment. Hal’s deep insight and understanding of TMS and his somatic approach to getting in touch with emotions repressed in the unconscious has been very effective. Hal has taught me the skills which I am confident will allow me to deal with any similar pain in the future. The icing on the cake is that I now also have some valuable skills for effectively dealing with the stresses life often throws at you.
I am indebted to Hal for his valuable guidance and help and highly recommend him for anyone who needs help with chronic pain symptoms.
Victoria
Since I’ve started seeing Hal, I’ve quit drinking and smoking, gone off my antidepressants, stopped feeling shy, dramatically improved my relationships with my partner and with my mother, and largely gotten over my RSI issues.
Its been a transformational few months. I have to give credit to myself and to a course that I’m doing at the moment as well, but seeing Hal has really helped me get in touch with my emotions and given me the capacity to deal with life, rather than avoiding it. Ever since the first session, I’ve been blown away with how easily I can get in touch with and move through my deepest feelings through body work/somatic psychotherapy.
When I don’t have to explain or analyse what I’m feeling, and can just let myself sit in those emotions, I find it much more useful than traditional psychotherapeutic work.
Preston, Victoria
The new science of pain treatment is here.
Read it for yourself.
The scholarly reader, practitioner or interested layperson is referred to the following peer reviewed journal articles as a starting point:
Lumley, M.A. & Schubiner, H., et al (2017). Emotional awareness and expression therapy, cognitive behavioral therapy, and education for fibromyalgia: a cluster randomized controlled trial. Pain. Dec 2017, 158(12):2354-2363.
Burger AJ, Lumley MA, Carty JN, et al. The Effects of a Novel Psychological Attribution and Emotional Awareness and Expression Therapy for Chronic Musculoskeletal Pain: A Preliminary, Uncontrolled Trial. Journal of psychosomatic research. 2016;81:1-8.
Michael C. Hsu, Howard Schubiner, Mark A. Lumley, John S. Stracks, Daniel J. Clauw and David A. Williams. 2010. “Sustained Pain Reduction Through Affective Self-awareness in Fibromyalgia: A Randomized Controlled Trial”. Journal of General Internal Medicine; Oct 2010, Vol. 25 Issue 10, p1064-1070.
Hsu, Michael C., Schubiner, Howard. 2010. “Recovery from Chronic Musculoskeletal Pain with Psychodynamic Consultation and Brief Intervention: A Report of Three Illustrative Cases”. Pain Medicine; Jun 2010, Vol. 11 Issue 6, p977-980.
Gordon, Alan. 2010. “Miracles of mindbody medicine”. Healthcare Counselling & Psychotherapy Journal; Jan2010, Vol. 10 Issue 1, p13-18.