Cognitive Behavior Therapy (CBT) at New Hampshire NeuroSpine Institute

NH NeuroSpine Institute is introducing Cognitive Behavior Therapy (CBT) as part of its multidisciplinary team approach. Our nurse practitioner, Justine Nims-Largy, will be heading up the program and performing services at our Concord and Bedford locations.

Justine’s background as a primary care provider provided insight into how behavioral changes can positively improve chronic pain. While first working in a community health center and then in a Nurse Practitioner-run family practice, she quickly realized that social determinants of health along with their mental health can directly impact a person’s physical health.

With Justine leading the way, we can offer a more collaborative approach to pain management at NH NeuroSpine by offering CBT as part of an overall treatment plan. Providing a wraparound care approach to help patients that are either in need of surgery or who are being treated for non-surgical or pre- or post-surgical ongoing chronic pain. The goal being, to provide tools to patients that work alongside their treatment. When patient’s feel discouraged in regards to their progress, it can greatly impact their recovery. We are confident CBT will help.

How It Works

As part of a treatment plan:
When the treating provider feels that CBT is a positive addition to the patients care they will refer the patient to see Justine for a consultation. It is a voluntary program, the provider may suggest it and ask the patient to participate but the patient also needs to feel it is a good fit. Keep in mind that long -term pain relief and healing will require lifestyle modifications. We recognize that it is never easy to form new habits, however CBT WILL provide the tools you need to make those changes. Insurance requirements:
There are times that your insurance will require completion of CBT when surgery is being contemplated. In those cases, it may be mandatory to complete CBT prior to moving on to the next step of your treatment.

What is Cognitive Behavior Therapy (CBT):
CBT is used to treat a wide range of issues, it’s a talk therapy that helps to identify the emotional challenges that we face daily. The focus is to help patients identify thoughts or thought patterns that are ineffective for reaching goals and may create discouraging moods. Cognitive behavior therapy concentrates on the present without addressing the past, which allows for sessions to be shorter than other therapies and more goal driven. CBT will help patients accomplish goals that will positively impact a patient’s quality of life.

There are many areas of application, from treating chronic physical symptoms to weight loss and smoking cessation, to treating depression and anxiety. Our primary aim will be addressing chronic physical symptoms which in turn may lead to behavior modifications in other areas.

Our ultimate goal is to help you gain the best quality of life possible given the physical barriers created by your condition.

Please call (603) 472-8888 for additional information or to schedule an appointment.

If you are a new patient or new to this program, please see our New Patient Policies. For information on referrals for this program, please call (603) 472-8888 or email


Bedford, NH - Main Office
4 Hawthorne Drive Bedford, NH 03110

Contact NH NeuroSpine Institute