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Chronic pain does more than bring sadness and a fading of earthly bliss. It imposes unrelenting earthly misery. Esther Smith is both a sufferer and a counselor. In her article, she speaks wise instruction to counselors so they can offer more helpful, relevant care to those who live with the debilitating effects of chronic pain. As she does, she gives substantial reasons for praising Jesus Christ in the midst of anguished honesty.