In this powerful roundtable episode of Fit as a Fiddle, we sit down with licensed mental health counselors Ariel Katz and Kelsey Bates, co-founders of New York Women’s CBT, a therapy practice dedicated to supporting women living with chronic illness. They unpack what cognitive behavioral therapy (CBT) actually is (beyond the stereotypes), how “third-wave” CBT approaches like cognitive processing therapy (CPT), dialectical behavior therapy (DBT), and acceptance and commitment therapy (ACT) can be deeply trauma-informed, and why women with chronic pain and invisible disabilities need providers who truly “get it.” Ariel and Kelsey share their own lived experiences with chronic illness, the shame and dismissal they encountered in traditional therapy, and how that led them to build a practice that centers validation, empowerment, and tangible, skills-based tools. Together, they dive into the concept of medical trauma: what it is, how it can arise from repeated painful procedures, invalidating encounters, or years of undiagnosed symptoms, and why not every traumatic medical experience looks like textbook PTSD. They explore “moral injury” in healthcare, the harm of being told your pain is “in your head,” and the unique ways women (especially women of color) are under-researched, under-treated, and disbelieved in medical settings. The conversation offers concrete strategies for both providers and patients: how clinicians can listen, validate, and practice within their true scope (including knowing when to refer), and how patients can prepare for appointments, self-advocate, manage nervous system dysregulation, and reduce the mental load of complex medical histories. Throughout, Ariel and Kelsey emphasize that pain is real, you are not “too much,” and it is possible to build a multidisciplinary support team and a life filled with meaning, joy, and self-compassion, even while living with chronic illness. Connect with Ariel & Kelsey: womenscbt.com @womenscbt Click here and use your exclusive 20% listener discount (Code: Fit20) to enroll in Master Your Pelvic Floor, our signature self-paced course that will change the way you understand and care for your body.