Treating Neuroplastic Pain in Therapy and Private Practice | Dr. Melissa Tiessen | TPOT 419
The Practice of Therapy Podcast with Gordon Brewer
Release Date: 02/09/2026
Treating Neuroplastic Pain in Therapy and Private Practice | Dr. Melissa Tiessen | TPOT 419
The Practice of Therapy Podcast with Gordon Brewer
What if chronic pain isn’t a sign that your body is broken—but that your nervous system is trying to protect you? In this episode, Dr. Melissa Tiessen, a clinical psychologist and neuroplastic pain specialist, joins the show to unpack a paradigm-shifting way of understanding chronic pain and persistent physical symptoms. Drawing on neuroscience, trauma-informed therapy, and real-world clinical experience, Melissa explains how pain can exist without tissue damage—and why that realization can actually be good news. You’ll learn how neuroplastic pain develops, why symptoms can move,...
info_outline
Diversifying a Private Practice Through Couples Work | Erin Valente | TPOT 418
The Practice of Therapy Podcast with Gordon Brewer
What if couples therapy isn’t about fixing the other person at all? In this episode, Gordon sits down with Erin Valente, a couples therapist based in Los Angeles, to talk about one of the most common mistakes couples make when they come to therapy—and why real change doesn’t live with one partner, but in the relationship itself. They explore why couples work can feel intimidating for therapists, how regulation and co-regulation shape meaningful conversations, and what it really takes to help couples move out of blame and into connection. Erin also shares how she’s structured her...
info_outline
Free Continuing Education for Therapists | Tobin Richardson | TPOT 417
The Practice of Therapy Podcast with Gordon Brewer
In today’s episode, I’m excited to introduce you to Tobin Richardson, the founder of a platform called Save the Therapist. When I first learned about what Tobin is building, I knew this was something many of you would want to hear about. Continuing education is a requirement for all of us, but let’s be honest. It can be expensive, time-consuming, and sometimes hard to fit into an already full schedule. Tobin saw that problem firsthand and decided to do something about it. He created a platform that offers high-quality, accredited continuing education for therapists that is completely...
info_outline
Preventing Burnout in Private Practice | Dr. Julie Merriman | TPOT 416
The Practice of Therapy Podcast with Gordon Brewer
There are some conversations you record where you know right away that they’re going to land differently. In today’s episode, I sit down with Dr. Julie Merriman, a therapist, professor, and longtime advocate for helpers who are quietly burning out. We talk about something that hits close to home for many of us in this profession: what happens when we’re really good at helping everyone else, but don’t know how to receive ourselves. Julie shares how so many therapists become what she calls “floating heads of competence.” We’re full of knowledge, skill, and clinical insight, yet...
info_outline
When Narcissism Walks Into Your Therapy Office | Dr. Anthony Mazzella | TPOT 415
The Practice of Therapy Podcast with Gordon Brewer
If you’ve ever found yourself thinking, “Why is this client so hard to reach?” or “Why does every conversation turn into a power struggle?” this episode is for you. Today, I’m joined by Dr. Anthony Mazzella, a psychoanalyst who specializes in working with narcissistic dynamics. We go far beyond surface-level conversations about narcissism. This isn’t about labels, buzzwords, or quick fixes. It’s about what’s actually happening underneath the behavior and what truly helps. We talk about why arguing over “reality” never works, why confrontation often backfires, and how...
info_outline
The Unconventional Path: Why Your Practice Doesn’t Need Another Resolution | TPOT 414
The Practice of Therapy Podcast with Gordon Brewer
As we step into a new year, many of us feel it—that quiet but persistent pressure to do more, fix more, and somehow have everything figured out right now. New goals, new systems, bigger numbers—and for practice owners, that pressure can feel especially heavy and often pretty lonely. In today’s episode, I want to invite you to think about January differently—not as a month for pushing harder or becoming more efficient, but as a chance to slow down and get honest about what you can actually hold. Drawing on Barbara Brown Taylor’s Home by Another Way and Oliver Burkeman’s 4,000 Weeks,...
info_outline
How AI Can Transform Private Practice Marketing | Greg Goodman | TPOT 413
The Practice of Therapy Podcast with Gordon Brewer
I am so excited for today’s episode because we’re diving into one of the most transformative tools in private practice right now: AI. And joining me is someone who has been living at the intersection of mental health, creativity, and digital marketing for nearly two decades—Greg Goodman of Goodman Creatives. Greg isn’t a therapist, but his story is rooted deeply in the world of mental health. Inspired by his father’s work as a clinician, he built a career helping therapists share their voice, grow their practices, and create meaningful impact through smart, authentic marketing....
info_outline
Why Private Practice Owners Feel Overwhelmed (and How to Fix It) | Samantha Parrinello | TPOT 412
The Practice of Therapy Podcast with Gordon Brewer
If you’ve ever ended a workday wondering, “Where did all my time go?”—this episode is going to change the way you run your business. In today’s conversation, I sit down with executive coach Samantha Perinello, a powerhouse in helping business owners reclaim their time, streamline their operations, and finally build the kind of practice that doesn’t rely on them for every little task. Samantha has a remarkable track record—her clients regularly get back 10 to 14 hours every single week—and she’s here to break down exactly how that happens. We dive into the real reasons so many...
info_outline
How Personal Calling Shapes Your Private Practice | Derrick Boger | TPOT 411
The Practice of Therapy Podcast with Gordon Brewer
In today’s episode of The Practice of Therapy Podcast, I’m excited to introduce you to someone who made a big impact on me at the Wise Practice Conference—Derrick Boger. Derrick is a licensed clinical mental health counselor, military veteran, former firefighter, and the founder of Transformation Christian Counseling in Greensboro, North Carolina. His journey into the therapy world is rooted in a lifelong commitment to serving others, and you’ll hear that passion come through in every part of our conversation. In this episode, Derrick and I dive deep into what it really looks like to...
info_outline
The Exit Plan Every Therapist Should Have (But Most Don’t) | Carla Titus | TPOT 410
The Practice of Therapy Podcast with Gordon Brewer
Welcome back to the Practice of Therapy Podcast! I’m Gordon Brewer, and I am so glad you’re here today because we’re diving into a topic that every private practice owner needs to be thinking about—whether you’re brand new or decades into the work. I’m thrilled to welcome back my friend and financial powerhouse, Carla Titus. Every time Carla joins us, she brings clarity, strategy, and a whole lot of honesty about what it really takes to run a profitable, sustainable practice. And today, we’re talking about something most of us don’t think about until we’re exhausted, burned...
info_outlineWhat if chronic pain isn’t a sign that your body is broken—but that your nervous system is trying to protect you?
In this episode, Dr. Melissa Tiessen, a clinical psychologist and neuroplastic pain specialist, joins the show to unpack a paradigm-shifting way of understanding chronic pain and persistent physical symptoms. Drawing on neuroscience, trauma-informed therapy, and real-world clinical experience, Melissa explains how pain can exist without tissue damage—and why that realization can actually be good news.
You’ll learn how neuroplastic pain develops, why symptoms can move, change, or intensify without a clear medical cause, and how fear, emotional suppression, and learned nervous system patterns can keep people stuck in cycles of pain and distress. Melissa also shares her own experience with neuroplastic pain, making this conversation deeply human, accessible, and hopeful.
Whether you’re a therapist, a practice owner, or someone who’s been told “you’ll just have to live with it,” this episode offers a compassionate and science-backed framework for understanding pain, anxiety, and the body’s threat response—and what it really means to get unstuck.
Resources Mentioned In This Episode
Use the promo code “GORDON” to get 2 months of Therapy Notes free
Meet Dr. Melissa Tiessen
Dr. Melissa Tiessen is a clinical psychologist in private practice, serving clients virtually throughout Ontario, Canada. Her practice focuses on the treatment of chronic pain and other chronic neuroplastic symptoms. She is passionate about health professional education and well-being, and is also the co-founder of Intentional Therapist, a continuing education initiative designed to support mental health therapists in protecting and reclaiming their own well-being. She co-hosts the podcast Putting You In Your Schedule and can be found on LinkedIn quietly creating a self-care revolution.
Learn more about Dr. Tiessen: https://linktr.ee/drmelissatiessen