Online Therapy for Women with Endometriosis in New York

If you are living with endometriosis, you may feel isolated in your pain or feel like no one understands. It can be difficult to find therapists who empathize with the difficulty of living with chronic illness or even understand what endometriosis is. At New York’ Women’s CBT, our mission is to provide expert, niched care for women living with chronic illnesses like endometriosis and adenomyosis. You deserve a team of experts behind you who during this season of life.

Women in New York living with endometriosis can greatly benefit from online therapy because it offers fewer barriers and flexible support for living with their unique challenges. Endometriosis impacts 1 in 10 women, creating chronic pain, fatigue, medical anxiety, financial and emotional strain. Understandably, living with endometriosis is correlated with increased symptoms of anxiety and depression due to the mental toll of managing this disease and feelings of isolation.

Online therapy gives women specialized CBT, DBT, and mindfulness techniques to manage both physical symptoms and mental health in the comfort of their own home. Telehealth takes out an unnecessary commute in a taxi or subway so you can focus on finding stability, attending in person medical appointments like pelvic physical therapy and working with experts in the field. We pride ourselves on niched, compassionate care focused on women’s health issues and chronic illness for women living in New York.

Mental Health Counseling for Women with Endometriosis in New York

You may be asking yourself, “what makes New York Women’s CBT different?” Our founder, Kelsey Bates, began the practice with the vision of providing niched care for women with chronic illnesses like endometriosis due to her own lived experience with endometriosis and adenomyosis. We expanded to group practice with the mission of being able to treat as many women in New York as we can who are seeking realistic tools and radical empathy to live life in alignment with their values even with chronic illness. There is a path to stability living with endometriosis when you have a multidisciplinary team of experts behind you.

What is endometriosis and how can therapy help women navigate life with chronic illness?

Endometriosis is a chronic health condition in which tissue similar to the lining of the uterus grows outside the uterine cavity, causing significant pain, inflammation, and often fertility challenges. Women living with endometriosis experience not only physical symptoms but also emotional pain, grief, loss, anxiety and depression as they manage ongoing pain and uncertainty. Therapy, particularly approaches like third wave cognitive behavioral therapy (CBT) techniques and mindfulness-based techniques, can help women develop coping strategies to turn down the volume of pain flares, reduce stress, and improve their overall quality of life.

Through therapy, women can also address the emotional impact of chronic illness, honor your resilience, and find support in navigating the complexities of endometriosis alongside your day to day roles as a career woman, student, woman, friend, daughter, sister, mother or partner. We fully believe that life with endometriosis can become more stable with a team of experts beside you-you can continue to live in alignment with your values towards a more meaningful life.

What is adenomyosis and how can mental health support help women living with chronic pain?

The Endometriosis Foundation of America states adenomyosis is a condition where the “cells from the inner lining of the uterus (the endometrium) infiltrate the muscular layer of the uterus (the myometrium). The endometrial cells thicken and shed during the menstrual cycle, damaging blood vessels in the myometrium and creating pockets of blood in the muscle wall.”

Adenomyosis causes heavy menstrual bleeding, severe cramps, and chronic pelvic pain. Women living with adenomyosis experience not only physical pain but also emotional pain due to the persistent nature of their pain and its impact on daily life. There is no cure for adenomyosis apart from a hysterectomy, which can bring about deep grief and loss for women who may have to adjust their dreams and plans of becoming a mother.

Mental health support, including third wave cognitive behavioral therapy (CBT) and mindfulness techniques, can help women manage the stress, anxiety, and depression that occur alongside living with chronic pain. Therapy empowers women with coping strategies to improve their overall quality of life and resilience in managing adenomyosis symptoms. At New York Women’s CBT, we want to be on your team and walk with you through this chapter of life.

What types of therapy does New York Women’s CBT use to support women with endometriosis and adenomyosis?

We use a third wave cognitive behavior therapy approach with our clients at New York Women’s CBT. This allows us to provide integrative care, blending several therapeutic approaches that are helpful for women living with chronic illness. Therapy is not a one size fits all approach-an integrative care model allows you to build your toolbox with the techniques and tools that resonate with you.

Cognitive Behavior Therapy for Endometriosis

Cognitive Behavioral Therapy (CBT) is a powerful tool that can help you interrupt and break free from the cycles of unhelpful or negative thought patterns that often keep us stuck. Our brains are adaptable, and through CBT, we work to create new neural pathways—essentially “rewiring” how your brain processes thoughts and emotions. This process helps lessen the intensity of overwhelming or unpleasant feelings, turning down the volume so they don’t feel so all-consuming.

It’s important to understand that CBT is not about completely eliminating uncomfortable feelings—that’s not the goal. Emotions, even painful ones, are a natural part of our human experience. Instead, CBT teaches you how to live and thrive even when those difficult emotions arise. It empowers you to manage your thoughts, feelings, and behaviors in ways that support your well-being and help you navigate life’s challenges more effectively.

Through this approach, you can build resilience and develop practical skills that allow you to respond thoughtfully rather than react automatically to distress. The result is a greater sense of control, clarity, and calm as you move through complex emotions and situations. In short, CBT paves the way for a healthier relationship with your mind and the emotions that accompany ups and downs of endometriosis.

Dialectical Behavior Therapy for Endometriosis

Dialectical Behavior Therapy (DBT) is a powerful approach that helps women develop flexible thinking and build distress tolerance when facing intense emotions and physical sensations. This therapy teaches skills that allow you to better navigate overwhelming feelings, which can be especially helpful when dealing with complex women’s health challenges.

A big part of DBT involves mindfulness, grounding, and somatic exercises. These practices work together to regulate your nervous system and strengthen the connection between your mind and body. By tuning into your present experience without judgment, you can learn to respond to pain and distress in healthier, more effective ways. This not only helps reduce emotional suffering but also fosters resilience over time.

Another key element of DBT is dialectical thinking. This means moving away from rigid, black-and-white perspectives and toward more flexible, balanced thought patterns. Through this approach, you learn to embrace what we call the “wise mind” — a state where your intellect and emotions are integrated, allowing you to make clearer, calmer decisions even during stressful moments.

Distress tolerance tools are central to DBT and include practical, easily accessible activities to help you endure and manage intense emotional and physical discomfort. These tools empower you to “ride the wave” of distress or pain flares without becoming overwhelmed or reactive. Whether it’s through specific breathing techniques, visualization exercises, or simple grounding methods, these skills build your capacity to stay present and centered even when things feel difficult.

Together, these DBT practices create a comprehensive toolbox tailored to the unique ups and downs of chronic illness, chronic pain, and other complex women’s health concerns. Incorporating mindfulness, breathing exercises, and somatic strategies helps you cultivate calm, control, and confidence in managing your symptoms and emotions on a daily basis. This thoughtful, compassionate approach supports healing that addresses both your mind and body, fostering overall well-being and balance.

Acceptance and Commitment Therapy for Endometriosis

Acceptance and Commitment Therapy, or ACT, is a meaningful approach that helps you navigate life’s challenges by combining mindfulness with purposeful, values-driven actions. Instead of trying to eliminate difficult feelings or avoid painful experiences, ACT encourages you to accept them as part of your story. This doesn’t mean resignation, but rather opening up to what’s happening inside and around you, even when it’s uncomfortable or complicated.

At its core, ACT helps you get clear about what truly matters to you—the values that give your life direction and meaning. Then, it supports you in taking concrete steps toward living in line with those values, despite any emotional or physical pain you might be experiencing.

A big part of ACT is developing psychological flexibility. This means being able to adapt your thoughts and feelings without getting stuck in them or letting them dictate your choices. The therapy revolves around six key processes: acceptance, cognitive defusion (which is about distancing yourself from unhelpful thoughts), being present in the moment, self as context (understanding your sense of self beyond your thoughts and feelings), clarification of values, and committed action.

By embracing these six principles, you build resilience and learn how to face life’s ups and downs with more openness and intention. It’s about living a rich, meaningful life, even when pain or difficult emotions are part of the journey.

Who should be on my care team in New York living with endometriosis and adenomyosis?

We routinely collaborate with your medical team to provide holistic, well rounded care. Your medical care team may include:

• Endometriosis excision surgeon

• Pelvic physical therapists

• Acupuncturists

• Lymphatic massage therapists

• Pilates instructors

At New York Women’s CBT, we want to be a part of your care team. It is a privilege to support you in this season of life and provide tools to live in alignment with your values.