title: Misdiagnosis of chronic pain as hysterical.
abstract: Chronic soft tissue pain disorders are not well understood from a pathophysiological standpoint. Psychological difficulties are common, clinical signs incompatible with conventional understanding of the nervous system are often present and these disorders usually fail to respond to medical interventions. When this constellation of factors is combined with unresolved litigation/compensation issues, it is not surprising that chronic pain disorders are often misdiagnosed as hysterical or psychological in origin. Unfortunately, this psychiatric diagnosis itself may have significant negative consequences which too often are not appreciated and can significantly increase the likelihood of treatment failure.
authors: Clinical Psychological Services, London Health Sciences Centre, University Campus, London, Ontario, Canada.
authors: A P
authors: AP
authors: Shapiro
authors: Department of Physical Medicine and Rehabilitation, University of Western Ontario and London Health Sciences Centre, University Campus, London, Ontario, Canada.
authors: R W
authors: RW
authors: Teasell
keywords: Chronic pain; Conversion; DSM; Diagnosis; Fibromyalgia; Hysteria; Myofascial pain