The term “psychogenic pain” once described pain that originated in the brain because of a mental health issue. The term fell out of use because researchers and experts realized that pain doesn’t have a single cause or factor influencing it. Instead, it happens because of a combination of factors.
These factors can be things that are happening right now, or things that happened years — or even decades — in the past. That’s also why pain can vary so widely and why everyone experiences pain in a way that’s totally unique to them.
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It’s also important to keep in mind that how you experience pain changes over the course of your life. An example would be getting a vaccination as a child compared to getting a shot as an adult. As a child, getting a shot can feel much scarier, but adults can (usually) suppress that and deal with the pain of an injection.
The following factors can play a role in why you feel pain and how it affects you:
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The factors that can contribute to or cause pain, including those listed above, are cumulative. That means they add up over time. The more factors that pile on, the greater the risk that a person’s pain processes will change, making them more susceptible to chronic pain, or for mental health issues and factors to make their pain more severe.
For example, a person who grew up in poverty, didn't have strong support systems or had childhood trauma has a higher risk of experiencing chronic pain. The stress — physical, mental and otherwise — takes a toll. For these individuals, pain can happen more easily and feel more severe. It’s also more likely that mental health issues and factors can influence their pain and make it worse.
Just as experts and healthcare providers no longer use the term “psychogenic pain,” they also no longer treat pain the same way as they once did. Today, treating pain involves treating the whole person, including the emotional, behavioral and social components of pain. Sometimes, when individuals have chronic pain, they may also have an underlying mental health condition that requires treatment, too.
The psychological treatment of pain can involve the following:
Other treatments that may help include:
Many other treatments and options may also help you. Your healthcare provider is the best person to tell you what kind of options are available and what you can do to help yourself, too.
Even when pain doesn’t happen because of nociception, it still involves part of the same pain process. That means this pain is real and feels exactly like pain that starts with nociception, so there’s no way to tell what’s causing it or what factors are contributing to it. Because of this, you should see a healthcare provider when you have moderate or severe pain that doesn’t respond to at-home treatments or lasts for extended periods.
Pain happens unpredictably and in ways that are different from one person to another. Because of that, there’s no way to completely avoid changes in how you feel pain because of mental health factors, your personal history and circumstances, etc.
When you have chronic pain or suspect that you have pain that’s worse due to mental health concerns and other factors, you should see a healthcare provider for diagnosis or treatment. The reasons why include:
Pain can take many different forms. Even when pain happens without nociception, your brain still processes it the same way. That means it can feel exactly like any kind of pain you can feel, whether it be back pain, abdominal pain, chest pain, etc.
The only way to tell the difference is for a trained, qualified healthcare provider to evaluate and diagnose this problem. That diagnosis also involves a combination of methods, including diagnostic tests, imaging scans, lab tests, a neurological exam and more.
Even when pain isn’t severe, it can still be a serious problem. Over time, chronic pain can seriously impact your health and well-being. In addition to how pain changes the way your nervous system functions, it can take a toll on your mental health in other ways. Anxiety and depression are common complications of chronic pain. All these factors combined mean chronic pain is ultimately serious over time and needs diagnosis and treatment.
“Psychogenic pain” is an outdated term that healthcare providers no longer use. This term once described pain that happens when your body’s pain processes work incorrectly, activating because of a mental health condition that disrupts the way your nervous system works. Today, experts know that pain involves many processes and factors. While it might not happen for a specific physical reason, the pain is real and feels no different from pain from an injury or illness.
This term fell out of use because of misunderstandings over its meaning and the potential for people to feel ignored or invalidated. Today, healthcare providers refer to this as one of the symptoms of functional neurological symptoms disorder. With diagnosis and treatment, it’s possible to manage and reduce the effects of many forms of pain, regardless of the contributing factors.
Comprehensive pain recovery treatment plans can help you manage your pain levels and symptoms more easily.

Last reviewed on 08/08/2022.
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