About

TerriDr. Terri Lechnyr, a Clinical Psychologist and Licensed Social Worker, specialization in Trauma and Health Psychology. She works with adolescents (ages 16+), adults, individuals and group therapy.

Dr. Lechnyr specializes in clinical behavioral medicine psychology helping people manage complex heath care concerns and tough life transitions. She works with those suffering from anxiety, depression, grief & loss, interpersonal struggles, chronic intractable pain, insomnia, and fibromyalgia syndrome, among others. She also has a specialty of managing trauma symptoms and working with First Responders. She utilizes cognitive behavioral techniques and solution focused therapy to help develop active self-care skills to manage symptoms, reduce trauma, increase motivation, inspire new beginnings and renew focus.

Personal Statement

“As a licensed Psychologist, I have a clinical expertise in helping individuals overcome tough challenges. If you are suffering from anxiety, sadness, disappointments, life changes, grief and loss, life transitions, health struggles, interpersonal struggles, chronic pain, complex health care issues, insomnia, or other significant life challenges, please know I am here to help. I work collaboratively to provide active self-care skills within a solution focused and safe environment.”

Education

  • Dr. Lechnyr holds a Doctoral degree (PhD) in Clinical Psychology with extensive clinical experience since her first graduate clinical degree in 1999.
  • She is licensed as a Psychologist in both Washington and Oregon in addition to holding a license as a clinical social worker in Oregon.
  • Dr. Lechnyr has studied clinical social work and clinical/research psychology at Pacific Lutheran University, Capella University and Walla Walla University.
  • She has also completed her post-doctoral Ph.D. training in Pain Management and Behavioral Medicine at the Willamette Medical Center in Eugene, Oregon where she worked with a multi-disciplinary chronic pain management team that included physicians, nurse practitioners, massage specialists, physical therapists, occupational therapists, clinical social workers, and psychologists.
  • Her graduate research focused on how anxiety and depression impacted the outcome of spinal implant surgery for chronic intractable pain. She also enjoys the opportunity for collaboration with her patient’s physician and other health care providers for optimal outcomes.

Articles

  • Taxonomy of Pain Patient Behavior:  Perspectives on understanding motivations of patients exhibiting functional overlay and effectively dealing with the confounding behavioral aspects.
  • Provider-Patient Interactions:  Have you ever noticed that some people bring out the worst in you? Have you ever found yourself being defensive, reactive, tense, controlling, upset, confused, lost or felt incompetent or vulnerable?
  • Pain Management Pitfalls:  Psychological research on intense provider-client interactions yields insight into the doctor-chronic pain patient relationship and provides lessons in improving interactions.
  • Helping Patients Understand the World of Pain Medicine:  Patients need to better understand their health care providers’ concerns regarding alcohol, drugs and pain medications, as well as what is expected of them in their role as patients in order to maximize treatment outcomes.
  • Mistakes Made by Chronic Pain Patients:  A guide for chronic pain patients to help them avoid pitfalls and mistakes and become part of the team in helping to restore a better quality of life for themselves.
  • Realistic Pacing of Pain Patients’ Activities:  Recognizing and avoiding tendencies to rush,multi-task,or otherwise over-exert during relative lulls in pain helps reduce subsequent pain flare-ups and achieve a more comfortable and sustainable activity level.
  • Surgical Implants for Pain Management:  A follow-up study of patients who have undergone implant of a pain management device.
  • Psychologists as Primary Care Providers:  Psychologists are trained in advanced skills that intrinsically lend themselves to the management of chronic pain and complex health care problems.
  • Psychological Wounds of Trauma and Motor Vehicle Accidents:  Psychological wounds of trauma are a diagnosis that is not typically understood or considered when a patient has experienced physical trauma. Article highlights traumatic responding patterns and considerations for treatment.
  • Psychological Dimension of Pain Management:  A comprehensive approach to pain management must address the psychological dimension with special emphasis on the patient’s own unique psychological response to chronic pain.
  • Provider-Patient Interactions:  Understanding unconscious interpersonal defensive responses in a chronic pain practice to improve interactions.
  • Pain Management Pitfalls:  Psychological research on intense provider-client interactions yields insight into the doctor-chronic pain patient relationship.
  • Pain Care Bill of Rights:  As a person with pain, you have many rights.