Inclusion Criteria:  Pain located between the 12th rib and buttocks that in the opinion of the screening examiner is originating from the lumbar region Current episode of back pain duration of 3 months or longer Active duty military or Veteran Read and speak English well enough to provide informed consent and follow study instructions  Exclusion Criteria:  History of prior surgery to the lumbosacral spine within the previous 12 months Presence of neurogenic LBP defined by a positive contralateral straight leg raise (reproduction of symptoms below 45 degrees) or reflex, sensation, or strength deficits in a pattern consistent with nerve root compression Medical "red flags" of a potentially serious condition including cauda equina syndrome, major or rapidly progressing neurological deficit, fracture, cancer, infection, or systemic disease Discharged from physical therapy within the past 3 months for lower back pain Current diagnosis of psychotic conditions or medications (bi-polar, schizophrenia, personality disorder). Substance abuse or psychosis within 6 months of research. Unable to discontinue other active therapies until completion of clinical trial follow-up (8 weeks). Suicidal ideation Current pregnancy