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Psychogenic Pain in Children and Adolescents: Causes and Treatment

  • Post category:Disorders
  • Reading time:3 mins read

Older children and adolescents can respond to psychological difficulties with pain of psychogenic origin.

Prevalence of Psychogenic Pain

Psychogenic disorders were encountered in 8 boys (2.6%) and 13 girls (8.4%) among our patient population.

Localization of Psychogenic Pain

  • The pain was localized in various parts of the body:
  • Headache in 15 cases
  • Pain around the heart in 3 cases
  • Hand pain in 2 cases
  • Abdominal pain in 1 case

Association with Other Disorders

All the children with psychogenic pain also exhibited other neurogenic or behavioral disorders.

Triggers for Psychogenic Pain

The pain was triggered by emotional loads such as school failure, jealousy of another child, going to school, dyslexia, suppression of left-handedness, conflicts between parents, change of educator, and transition from village to town.

Identification with Adults in the Family

In two cases, psychogenic pain appeared through identification with adults in the family who had physical complaints.

Similarity to Hysterical Manifestations

Psychogenic pain has a similar motivation to hysterical manifestations.

Diagnosis of Psychogenic Pain

Possible organic causes of the disorder must be ruled out before considering psychogenic pain.

Treatment of Psychogenic Pain

In the treatment of hysterical distress and psychogenic pain, the neurotic symptom should be ignored initially. The environment should not allow the child to gain any privilege from it. The educational process should be corrected, and the child’s mental development should be directed in a healthier direction. Psychotherapy is necessary for the child, and the educators should seek professional counseling.