A Relational Approach for Counsellors and Healthcare Workers

Exploring the Use of Attachment and Polyvagal Theory with People in Chronic Pain is both an academic exploration and a deeply personal one. Throughout my years practicing Chinese Medicine, I’ve witnessed how individuals—especially those experiencing chronic, undiagnosed, or “medically unexplained” pain—often fall through the cracks of our current healthcare systems. When there’s no visible injury or diagnostic proof, their pain is too often dismissed or pathologized.

This thesis invites a different approach.

Drawing on attachment theory and polyvagal theory, I explore how chronic pain can be understood not only through biology, but through the complex interplay of nervous system regulation, trauma history, and human connection. These theories offer powerful insights into how safety, co-regulation, and attuned relationships can support—not fix—those who live with persistent pain.

I wrote this paper for counsellors, healthcare providers, and anyone working in systems of care. It’s a call to reflect on how we show up in these spaces—not just with clinical knowledge, but with presence, humility, and an embodied understanding of what it means to be in relationship with someone who is suffering.

If this topic speaks to you, I invite you to read the full thesis. Click the button below.