...

We direct bill counselling services to Pacific Blue Cross, GreenShield, Canada Life & Sun Life! For a full list of direct billing providers, click here.

Finding Purpose in Pain: Therapy for Athletes Coping with Injury or Chronic Pain

January 6, 2026
a guy and his bike feeling safe on the street after icbc counselling in vancouver and port moody

Therapy for athletes navigating injury and chronic pain addresses not just the body, but identity, grief, relationships, and the cultural pressure to perform through pain. This article from Venturous Counselling in Vancouver and Port Moody explores how injury reshapes who we are, what it means to live in a body that isn’t meeting expectations of productivity or performance, and how justice-oriented counselling supports recovery that centres dignity and self-trust. Venturous Counselling is a queer- and BIPOC-led therapy collective serving youth, adults, and relationships.

Pain changes us, not just our bodies, but our identity, our relationships, and our sense of possibility.

As both a lifelong athlete and a counsellor who supports clients navigating injury, recovery, and chronic pain, I’ve learned that pain isn’t just a physical event. It affects our relationships, our routines, our mental health, and our sense of who we are.

Whether you’re seeking counselling for chronic pain, injury recovery support, or counselling for athletes processing the emotional impact of sport-related injuries, my hope is that this reflection helps you feel seen and reminds you that pain presents opportunities for connection, insight, and to strengthen our relationship with our bodymind.

If you want an overview of how we support this work at Venturous, you can read more about chronic pain and fatigue counselling at Venturous Counselling.

Table of Contents

Sport, Identity, and the First Impact

Three rugby seasons in, the sport had given me strength, community and a broken left arm. Rugby was a world where force, precision, and connection collided, and I fell in love with it instantly.

I came from soccer, a sport I’d played since I was six. My father passed down the passion, but rugby introduced me to something different: a fierce, intelligent, and generous group of women and gender-diverse teammates who taught me how to move with both power and softness.

Not everyone understands this complexity. Teammates and I were often asked about injuries and scars, as if our bodies were curiosities rather than vessels of strategy, intelligence, and joy. As a cisqueer woman in a sport often misunderstood through gendered assumptions, I found a space that welcomed opposites, fiercely loving my teammates as much as a tackle on the pitch.

The Injury That Shifted Everything

My injury altered my relationship with rugby and the community and identity I attached to the sport and the spaces I frequented as an athlete and community member. I was struck by the pain as much as I was the meaning it carried. I reflected on my father’s meaning-making of injury, a devastating knee injury that ended his athletic career and guided him toward coaching. My own injury didn’t end my relationship with sport, it deepened it.

It brought me into a new understanding of temporary disability, ableism, and what it means to live in a body that isn’t currently meeting cultural expectations of productivity or performance. As a counsellor now, this is a place I often meet clients: in the confusing, emotional middle ground between who they were before injury or chronic pain, and who they are becoming.

Context Matters: Identity, Privilege, and Pain

My story doesn’t exist in a vacuum.

I’m a white, cisgender, currently able-bodied counsellor from an upper-middle class background. My experience of injury doesn’t come close to the systemic discrimination faced by many disabled folks, especially those with intersecting marginalized identities.

Still, injuries have provided me windows, brief, incomplete, but meaningful, into how society views and responds to bodies that don’t meet normative expectations.

In counselling for chronic pain or injury recovery therapy, these contextual layers matter. Pain isn’t just physical; it’s relational, cultural, and often political.

A Small Moment That Said Everything

Two weeks post-op, easing off pain meds, I tried to make a simple pasta meal. With only one usable hand, I struggled for half an hour to open a jar of sauce.

It wasn’t just about the jar. It was about identity and my pride in being the “jar opener,” my rebellion against gender norms, my athlete-brain that equates strength with capability.

Pain has a way of exposing these deeper stories. And therapy often works through exactly these moments: the seemingly small experiences that reveal how we’ve been taught to navigate pain, pressure, and vulnerability.

What Pain Taught Me and How It Shapes My Work as a Counsellor

My recovery lasted a year. I spent that time cheering from sidelines, crying through frustration, and learning to accept care, a skill I’m still practicing.

Pain didn’t disappear but it did reshape me. It taught me how to listen to my bodymind, honour my limits, and trust the wisdom in slowing down.

It also sparked creativity and connection: I organized a drag show fundraiser, deepened friendships, and gained clarity about the kind of counsellor I wanted to become.

Pain is not just something to push through. It’s a relationship, one that can offer information, boundaries, humility, and even connection.

Today, in my practice, I support clients through:

How therapy can help

Therapy can help you explore:

Pain will always visit, sometimes loudly, sometimes quietly, but within it lives information, humility, and the possibility of connection. In that sense, perhaps pain isn’t just something to overcome. It’s something to be in conversation with, on and off the field.

Considering support

If you’re looking for support that honours both the physical reality of pain and the emotional reality of what pain disrupts, you can learn more about chronic pain and fatigue counselling in Vancouver.

If you’d like to talk with someone about what you’re carrying, you can Book a free counselling consult.

If you’re not sure who to book with, you can use the 3-minute form to match to best-fit therapist.

If you want support between steps, Venturous also offers a free resource recommendations webapp.

Written by:

Jess Picco, MCP

Jess Picco, MCP

(she/her)

Art + Walk & Talk Therapy

Jess is here for those questioning the “rules” about who they should be. If you’re exploring identity, relationships, or just need a space that affirms all parts of you, Jess brings a queer- and neurodiversity-affirming lens to every session.

Jess holds an MCP and offers individual and relationship counselling using art therapy and walk & talk modalities. Jess specializes in supporting LGBTQ2S+ and neurodivergent clients in Vancouver, Port Moody, Burnaby, and online across BC.

Learn more about Jess →

Venturous Counselling

Justice-Oriented Therapy Collective

Venturous Counselling is a queer- and BIPOC-led collective of master’s-level, registered clinical counsellors offering anti-oppressive, justice-oriented therapy and mental health support in Vancouver, Port Moody, Burnaby, and online across BC. We specialize in supporting adults, youth, couples, and families experiencing self-worth issues, burnout, anxiety, trauma, identity and personal growth, chronic pain, and grief. Our counsellors use a wide range of evidence-based modalities, including EMDR, talk therapy, somatic therapy, art therapy, animal-assisted therapy, play therapy, nature-based therapy, and walk & talk sessions. We provide individual therapy, relationship counselling, clinical supervision, business consulting, workshops, and facilitation—always through a socially and politically aware lens.

All of our therapists are master’s-level, registered clinical counsellors with up to 10 years of experience in counselling and therapy. Our team is dedicated to ongoing advanced training in EMDR, somatic therapy, art therapy, trauma-informed practice, anti-oppressive frameworks, relationship therapy, clinical supervision, and culturally responsive care. We are committed to accessibility, collective care, and community healing. Whether you’re seeking in-person or virtual therapy, book a free consult to connect with a counsellor in Vancouver, Port Moody, Burnaby, or anywhere in BC who truly understands and honours your story.

Learn more about Venturous →

Frequently Asked Questions About Therapy for Athletes and Injury Recovery

Can therapy help with the emotional impact of a sports injury?

Yes. Injury recovery involves more than physical rehabilitation. Grief counselling supports the loss of identity, routine, and community that often accompanies injury. Somatic therapy helps you rebuild a relationship with a body that feels different than it used to.

How is therapy for athletes different from regular therapy?

Therapy for athletes works with the specific intersection of physical identity, performance culture, and body change. It addresses the way athleticism shapes self-worth, the grief of losing physical capacity, and the pressure to push through pain rather than listen to it.

Can counselling help with chronic pain that started from an injury?

Yes. Chronic pain and fatigue counselling at Venturous works with the full experience of living with persistent pain, including the emotional, relational, and systemic dimensions. This is especially relevant for people navigating ICBC claims after motor vehicle accidents or workplace injuries.

What modalities does Venturous use for injury recovery counselling?

Depending on what your system needs, therapy might include somatic therapy for reconnecting with body awareness, EMDR for processing traumatic injury memories, expressive art therapy for exploring identity beyond performance, and nature-based therapy for rebuilding connection with movement and environment.

Is therapy for athletes only for professional or competitive athletes?

No. Anyone whose identity, community, or daily life is shaped by physical activity can benefit. Whether you’re a recreational runner dealing with a knee injury, a weekend soccer player navigating chronic pain, or a retired athlete grieving the body you used to have, the emotional impact deserves support.