Unpacking: The Psychology of Pain

Unpacking: The Psychology of Pain

February 2, 2026 · 52 min · Season 1 · Episode 2

About this episode

Dr. Megan Steele discusses the psychological and biological aspects of chronic pain and introduces somatic tracking as a method to address it.

Why does chronic pain spread from one area of your body to another? And why does it often feel worse at night when you're trying to sleep? When pain persists for months or years, your nervous system doesn't just stay the same - it changes. Your nerves lose their protective coating, your spinal cord becomes more sensitized, and your brain actually develops structural changes that keep you locked in a cycle of protection and threat detection. Dr. Megan Steele walks you through the biological transformations happening in your body when pain becomes chronic, from peripheral nerve changes to decreased gray matter in areas responsible for memory and executive function. But here's where it gets counterintuitive: the path forward might involve turning toward your pain rather than away from it. Dr. Steele explains why constantly trying to ignore or push through pain can actually make it worse, and introduces somatic tracking as a way to bring subconscious protective mechanisms into conscious awareness. You'll learn why women are 70% more likely to experience chronic pain, how hormones play a role, and why your nervous system is wired for sameness - even when that sameness includes…

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