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When They Say 'It’s All in Your Head': Living with Pain Without a Known Cause

When They Say 'It’s All in Your Head': Living with Pain Without a Known Cause

If you’ve ever been told your pain is 'all in your head,' you know how invalidating and frustrating those words can be. You’re in real discomfort — maybe every day — yet tests come back normal, specialists are stumped, and people around you start to doubt what you’re feeling. You’re left navigating invisible pain and invisible judgment.

Pain Without a Clear Diagnosis

Many people live with persistent physical symptoms that don’t have an easily identifiable medical explanation.  These symptoms are real, and so is the suffering they cause — even if they don’t show up on a scan or blood test.

The Mind-Body Connection

Pain is a complex interaction between the body and brain. The latest research shows that emotional distress, past trauma, anxiety, or chronic stress can amplify pain signals — sometimes causing real, ongoing pain even without tissue damage. This doesn’t mean the pain is imagined. It means the nervous system may be overactive or sensitised, interpreting normal sensations as pain.

Why 'It’s All in Your Head' Is the Wrong Message

Saying pain is 'in your head' implies it’s not real or that you’re exaggerating. But research clearly shows that the brain plays a central role in all pain — whether there’s a clear injury or not. Dismissing someone’s experience can increase emotional distress, delay proper treatment, and contribute to isolation, shame, and self-doubt.

Living in the In-Between

When you’re stuck between feeling unwell and being told everything looks fine, it can be incredibly lonely. You might second-guess yourself. You might push through pain to appear 'normal.' You might feel pressure to ‘just be positive’ when inside, you’re exhausted.

This emotional toll is real. And it’s something that therapy can support.

How Therapy from Home Can Help

Our telehealth psychologists understand chronic pain and the complex mind-body connection. We offer compassionate support to help you:

  • Process frustration, fear, or grief
  • Explore pain management tools rooted in neuroscience and mindfulness
  • Work on pacing, acceptance, and boundaries
  • Be heard, validated, and believed


You don’t need a diagnosis to deserve support. Your pain — and your experience — matters.

Final Thoughts

Just because pain doesn’t have a clear medical cause doesn’t mean it’s not real. At Therapy from Home, we see the whole person — not just symptoms. We help clients explore the emotional and psychological side of pain in ways that are respectful, empowering, and rooted in science. Because it’s not all in your head — it’s in your body, your brain, your life. And we’re here to help you through it.

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