Oh, honey, No, the pain is not in your head! Yes, stress can make your pain worse. Yes, most pain has a psychological component, but your pain is REAL. Real, physical pain. Just because we cannot see, or even really quantify pain, does not mean that it does not exist & you are not in pain! I struggled with this same question for a long time. Since I don't have a firm diagnosis & MRI's, etc have not shown much, as well as the fact that I have tried many meds & treatments without success, in the beginning I used to be terrified that everyone would "think it was in my head." And then the more I sat there thinking about
it, the more I wondered if it really was in my head. But at the same time, I knew that it wasn't because I have physical symptoms, (for example, persisant swelling around my eye), which clearly show that there is so kind of problem, and I know my body & what I went through, etc.
The biggest help for me, to stop worrying about
this, was when I first consulted my pcp about
my pain, a year or two ago. I told him about
my fears, and he was wonderful. I think I was practically in tears & he sat me down & had a long conversation with me about
how it is NOT in my head & NOT to think that way. I've since had discussions with other physicians who have said similar things (because every once & I while I momentarily relapse & have this fear again, especially when I try multiple meds that don't help). I know that it is easy to think too much into this because of the way CP patients are often treated, as well as the fact that many people lack "evidence" showing their pain. But, pain is pain. It is a real thing. And even if the pain was psychosomatic (which, as I've said, I doubt it is), that doesn't make it any less real. So please try not to think this way. The only reason that you should have to say that the pain is "all in your head" is if you were describing the biological fact that pain signals are interpreted by your brain, and thus the brain "causes" us to feel all pain (therefore all pain, no matter where you feel it in the body, is technically "in your head").