Every day powerful patient stories--for example, pelvic pain in men
Of course these patients have been thoroughly evaluated by urologist(s) before seeing me. They come to me because those exams have been unrevealing, those treatments ineffective and the pain or discomforting sensations persist. I ask them what is going on in their lives and what transpired around the time the symptmos started.
Inevitably, when they share their stories, it has something to do with guilt-- about relationships, affairs, and the like OR fear.. fear of disease, dysfunction, something wrong that can't be fixed.
It's amazing how our worries, fears, and guiltl can cause sensations to get 'stuck' in the nervous system. These feelings solidify nerve pathways, in a bad way.
My job is to help them understand this miind-body connection, accept a new, benign diagnosis (TMS) and move forward with their lives. I use journaling, educational materials, and sometimes psychotherapy to accomplish this. But it all starts with a discussion in my office, with sharing the narrative of pain and of life's ups and downs, and with a clear diagnosis.