Emotion regulation is defined as the capability to influence the duration, intensity, and frequency of emotions, and has been found to play a role in depression, anxiety, stress, wellbeing, and pain intensity in people with chronic pain. While psychological therapy is a standard inclusion in holistic pain management programs, evidence suggests that difficulties regulating emotions may be undertreated in current standard psychological interventions. This finding has led to increasing development of emotion regulation focused interventions for people and growing investigation of their efficacy in clinical trials for people with chronic pain. This presentation will review the existing evidence and share findings from a recent clinical trial of an online emotion regulation focused approach, called Pain and Emotion Therapy.