Entries by The Pain PT

Anxiety, Worry, & Somatic Symptoms

There is a bi-directional relationship between anxiety, worry, and functional somatic symptoms (FSS). This 2021 study  concluded that: Previous studies have shown that anxiety and FSS are associated with each other at a group level. Individuals reporting high levels of anxiety are more likely to report high levels of FSS compared to individuals with low […]

Neuroimaging of the Brain in Somatoform Disorders

I posted a few weeks back the prevalence rates of somatization or what’s called somatoform disorders is much higher than most know- upwards of 40% seen in general practice. Somatoform disorders comprise physical symptoms that are caused by neural circuit alterations in the brain vs structural issues in the body. This meta-analysis titled: ‘Stuctural neuroimaging […]

‘This Might Hurt’ Screening Plus Live Q&A Session

I’m excited to offer and to invite you to a limited time free screening of the documentary feature film This Might Hurt! The screening will be followed by a live Q&A with Jim and film producer Kent Bassett about the role of the mind in neck and back pain symptoms. An official selection of the […]

Stress and its Relationship to Autoimmune Conditions

I get a fair amount of people asking me if stress can cause or contribute to autoimmune conditions. The  short answer is yes. This study completed in 2018 found ‘that exposure to a stress-related disorder was significantly associated with increased risk of subsequent autoimmune disease, compared with matched unexposed individuals and with full siblings.’ Each […]

Somatization is quite common & should not be overlooked

Somatization is defined as the production of medical symptoms with no discernable organic cause. Another way to describe it is the tendency to experience psychological distress in the form of somatic symptoms and to seek medical help for these symptoms, which may be initiated and/or perpetuated by emotional responses such as anxiety and depression. You […]

What A Korean Disorder Can Teach Us About Anger & Somatic Symptoms

Hwabyung is probably not a diagnosis you have ever heard of. In Korea though, it is diagnosable and seen as a valid medical and mental health condition. According to this research paper “the term Hwabyung originated from folklore, wherein a patient suffered from a physical or mental unhealthy condition caused by accumulated and unresolved anger.”  […]

Attachment Style > Emotional Difficulties > Somatic Symptoms

Wanted to share a 2020 research paper that studied the effect of attachment style in relation to emotional processing skills and subsequently somatic symptoms. Attachment style/theory was put forth by Dr. John Bowlby in the 1950’s and has been studied fairly extensively since then. Attachment style is related to the bond between the child and […]

Enter the Facing State-Move out of Fight, Flight, Freeze, Fawn

One of the things I teach in my 1-1 coaching and group work is shifting ourselves into the facing state, which is not the same as fight, flight, freeze, or fawn. These 4 I just mentioned are trauma or stress or protective states typically born out of childhood patterns we have learned and carried forward […]

The Frontal Cortex Implicated with Somatic Symptom Disorder

We have more and more research indicating there being changes in the brain with chronic pain. In particular, an area of the brain called the orbitofrontal cortex has been implicated with somatic symptom disorder. Somatic symptom disorder (SSD) can be many different symptoms in the body without a structural cause. It’s primarily what I diagnose […]