Licensed Therapist for Chronic Pelvic Pain and Illness in Round Rock, Texas
Living with Chronic Pelvic Pain Is
More Than Physical
Living with pelvic pain often means living two lives at the same time.
From the outside, you're working, showing up for people, managing responsibilities.
From the inside, you're constantly monitoring your body, calculating energy, anticipating flare-ups, wondering how much your body will allow today.
I specialize in helping people navigate the emotional impact of chronic pelvic conditions such as endometriosis, vaginismus, vulvodynia, and interstitial cystitis.
As someone who lives with endometriosis myself, I understand firsthand how deeply chronic pelvic pain can affect daily life.
And one of the hardest parts isn’t always the pain itself.
It’s how isolating and exhausting the experience can become.
If this is starting to feel familiar, you don’t have to keep navigating it on your own.
Chronic pelvic pain is exhausting, physically and emotionally.
You might quietly plan your schedule around flare windows, medications, or your energy level, calculating how much your body can handle before committing to anything.
You may want closeness with your partner, but the fear of pain during intimacy makes it complicated.
From the outside, you may look completely healthy while privately navigating pain most people never see.
Therapy offers a place to slow down and reconnect the physical and emotional pieces of your experience.
Therapy for Chronic Pelvic Pain & Ilness
I'm a Licensed Professional Counselor Supervisor (LPC-S) based in Round Rock, Texas, and in surrounding areas like Austin, Cedar Park and Georgetown.
I specialize in the intersection of chronic pelvic pain, relational trauma, and nervous system patterns, with both clinical training and personal understanding of how deeply these experiences can affect daily life.
My practice is intentionally small and focused. I work with a limited number of clients so the work can be unhurried, deeply personalized, and not shaped by insurance timelines or diagnostic requirements.
→ Learn more about my approach and background here.
You’re Managing Everything, But It’s Taking a Toll
You have a career, responsibilities, relationships, a life that requires your full presence and consistent effort. And you show up for all of it, even on the days when your body is making that incredibly difficult.
You've learned to perform wellness in professional settings while quietly managing symptoms that most people around you don't know the full extent of.
And there is the pain itself.
And then there is everything the pain costs you, the plans you've quietly canceled, the intimacy you've pulled back from, the mental energy spent managing and monitoring that never fully goes offline.
And you still feel stuck. Not because you haven't tried hard enough.
Because the piece that's been missing isn't medical.
It’s the way your nervous system learned to respond to pain, stress, and threat over time.
Your symptoms make sense.
If you’re recognizing yourself in this, we can work on this together in therapy. You don’t have to keep managing it on your own.
How Chronic Pelvic Pain Affects the Nervous System
Chronic pelvic pain is not imaginary.
It is not anxiety in disguise.
And it is not a personality trait.
But chronic pain rarely exists in isolation from the nervous system.
When the body lives with pain for a long time, the nervous system often becomes stuck in protection mode.
Muscles stay braced.
The brain scans constantly for danger.
Pain signals become amplified.
This isn't weakness.
It's your body trying to protect you.
That is exactly what therapy here works to change. In my Round Rock, Texas therapy practice and in online sessions across Texas, I provide therapy for adults living with pelvic pain and chronic illness.
How Therapy Helps Chronic Pain
This is not just talk therapy for pain.
Our sessions work at the level where chronic pain and emotional patterns intersect. We look at the ways your body learned to stay on guard after years of pain and uncertainty.
For example, many people with chronic pelvic pain notice their body automatically bracing the moment they anticipate a flare, a medical appointment, or intimacy.
Some people experiencing pelvic pain also notice muscle guarding during intimacy. I wrote more about this in my blog on vaginismus.
This isn’t about pushing your body harder or trying to “think your way out” of pain.
In therapy we gently work with those patterns so your nervous system canbegin to experience safety again rather than staying on constant alert.
This work does not replace your medical care. It works alongside it, addressing the piece that medical treatment alone often cannot reach.
We do that using approaches like EMDR, parts work, and body-based approaches.
All of this is paced collaboratively and carefully. We do not push your system faster than it is ready to go.
Early sessions focus on building stability, safety in the therapy room and within your body because a nervous system that has been in survival mode for years needs to experience genuine safety before it can begin to update.
You might recognize yourself here:
Many people living with chronic pelvic pain or chronic illness recognize some version of this experience.
-You wake up already assessing, scanning your body before you've fully opened your eyes,
bracing for what the day might bring
-You've become an expert at reading your own symptoms, but the unpredictability still catches you off
guard and derails your plans
-You've cancelled things that mattered to you because your body made the decision before you could
-You've seen multiple providers, heard multiple explanations, and still feel like no one has quite connected the pieces
-Somewhere underneath the management and the pushing through, there is a voice that asks:
Is this just my life now?
You are still here. Still searching.
That matters.
A Note From Heather
I'm not just a therapist who specializes in this area.
I'm someone who has lived it.
I was diagnosed with endometriosis after years of symptoms.
I know what it is to push through extraordinary pain while maintaining professional responsibilities and appearing, to everyone around me, to be fine.
I know the particular exhaustion of being a diligent, informed patient and still not having answers that make sense of the whole picture.
I know what it feels like when your body becomes something you manage rather than something you inhabit.
That personal experience is part of why I built this area of my practice — and it is part of what I bring to every session with clients navigating chronic pelvic pain. Not as someone who theorizes about this from a distance, but as someone who understands from the inside what it costs.
I want to be clear: my role here is as your therapist, not as a fellow patient. Our sessions are about you, your nervous system, your patterns, and your healing.
But I bring to that work a quality of understanding that I believe genuinely matters. The kind of therapy that comes not only from training, but from experience
You don't have to spend our sessions explaining what it's like.
I get it.
What Healing Can Begin To Look Like
This is not about managing your condition more efficiently.
It's about coming home to your body again.
The women I work with are not looking for better coping strategies. They have coped extraordinarily well for a long time.
They are looking for something to actually shift.
Over time, as this work progresses, people often notice:
-A different morning — waking without the immediate full-body assessment, without bracing before the day has begun
-More resilience on difficult days— flare days that don't spiral into full despair because the emotional overwhelm is no longer compounding the physical pain
-A quieter anticipatory anxiety— less energy spent dreading what might happen and more capacity to be in what is actually happening now
-A different relationship with your body — one that moves, gradually, from frustration and distrust toward something more like understanding and even collaboration
This is not a promise of a cure. Chronic conditions are complex and healing is not linear. But a life in which your symptoms are not the organizing principle of every day —that is genuinely possible.
Common Concerns About Starting Therapy for Chronic Pain
“I don't want to spend more energy on something that might not work. I'm already exhausted.”
This makes complete sense. You have already invested so much. Time, money, energy, hope. Many clients describe early sessions as the first time in years they have felt genuinely heard and unhurried. You don't have to have energy to spare to begin. You just have to be willing to try something different.
“What if this doesn’t work for me?”
It is a fair and intelligent question. The short answer is that there is a growing body of research supporting the role of nervous system regulation and trauma-informed approaches (including EMDR) in chronic pain management.
This is not alternative medicine. It is an evidence-based approach to the part of chronic pain that purely medical treatment often cannot reach.
With that said, I cannot promise specific physical outcomes. What I can tell you is that the women I work with consistently report feeling less overwhelmed, more trusting of their bodies, and more capable of living their lives alongside their conditions rather than in constant reaction to them. And many times, their pain decreases alongside these changes.
“I’ve been managing for years. Maybe I should just deal with it.”
You have been managing and that has taken real strength! But managing and living are not the same thing. You reached this page for a reason. Something in you is still looking for more than survival — and that instinct deserves to be taken seriously.
Any of these questions make sense.
Take your time, ask questions, and choose the kind of care
that feels aligned to your needs.
This is your healing journey and you get to decide what’s right for you.
Is This Therapy the Right Fit for You?
Our work may be a good fit for you if…
You are navigating chronic pelvic pain or a related condition — including endometriosis, vaginismus, PCOS, interstitial cystitis, pelvic floor dysfunction, or hidradenitis suppurativa
You have been doing everything medically recommended and still feel like something essential is missing from your care
You are open to exploring the connection between your physical symptoms, your nervous system, and your emotional patterns
You want support that treats you as a whole person, not a set of symptoms to be managed
You are not looking for someone to fix you, but you are genuinely ready for something to shift
You may be newly diagnosed and overwhelmed, years into managing and quietly depleted, or somewhere in between
Our work is not the right fit now if…
You are looking for a purely medical or symptom-focused approach — this work addresses the emotional and nervous system layers of chronic pain, and works best alongside medical care rather than as a replacement for it.
You need a higher level of support around safety, active crisis, or addiction — those deserve specialized, intensive care. Please visit my resources page for guidance on finding the right support.
Please refer to my crisis resources for more options.
If you're unsure whether this is the right fit, that is exactly what a consultation call is for. There is no obligation, and no wrong answer.
If you’re feeling lost or unsure whether this work can help, you’re not alone.
This is more than talk therapy.
We’ll use mind-body approaches to help you process what’s been stored, soothe your symptoms, and finally feel like your body makes sense again.
For example, many people living with persistent pelvic pain also notice intense anxiety around perceived mistakes or disapproval.
The relationship between pain, emotions, and the nervous system sits at the heart of our work.
One of the tools we use, EMDR, is specifically designed to calm the nervous system and reduce the body's stress response, which is why it's increasingly used alongside medical care for chronic pain and trauma.
I go deeper into both of these topics on my blog:
→ Why mistakes feel so intense.
→ EMDR and Physical Pain.
You can feel steadier, clearer, and supported every step of the way.
Take a gentle, first step towards healing.
You don’t have to have it all figured out right now.
But you can take the first step.
If something on this page felt like finally being understood…
You don't have to explain yourself from the beginning. You don't have to justify the severity of what you've been carrying. You don't have to convince anyone that your pain is real.
A consultation call is simply a conversation, unhurried, without obligation, and completely confidential.
We'll talk about where you are, what you've tried, what you're hoping for, and whether working together feels like the right next step.
You've spent enough time navigating this alone. You don't have to keep doing that.
Let's help you untangle the connection between your symptoms, your stress, and your story.
So that you can finally feel relief without having to push, pretend, or prove.
TLDR:
If you live with chronic pelvic pain, it can affect your nervous system, your stress levels, and your emotional wellbeing. Over time the brain and body can get caught in a pain-stress cycle.
Therapy can help you understand that cycle and gently support your nervous system so pain becomes less overwhelming.
I provide pelvic pain therapy for adults in Round Rock and the surrounding Austin area,
including Cedar Park and Georgetown, and virtually across Texas.
Reach out when you are ready.
You don’t have to have the right words yet.

