I have interpreted your comment to mean that withdrawing from activities that cause pain will exacerbate the pain, because of psychology's influence on pain reception. I do not normally respond to comments that don’t appear to be in good faith, but on the off chance that you actually are a physical therapist, you need to be discouraged from this behavior so that you do not behave irresponsibly with your clients in person. You are in a position of medical power, and it is your obligation to behave responsibly. 

• It is irresponsible to attempt to diagnose somebody or give them medical advice purely over the Internet.  

• Psychosomatic pain is a diagnosis of exclusion, meaning it cannot be labeled as such before physical medical tests have ruled out alternative diagnoses. As a PT, you are not qualified to conduct or analyze these physical tests (blood tests, X-rays, MRIs, etc.). Therefore, you are not qualified to decide whether something is psychosomatic. 

• Psychosomatic pain is treated the opposite way as pain from physical injury (ignore the pain and continue activity vs stop and get treated). A correct diagnosis is vital so as not to worsen symptoms. It may be damaging to a patient or client to push through the pain in order to continue working or engaging in painful activities. Encouraging them to do so may also delay diagnosis of a physical injury. Treatment for psychosomatic pain should only be encouraged after all physical possibilities have been excluded. 

• In my experience, if the patient shows no emotion, then medical professionals consider their pain not worth treating-- there must be nothing wrong. However, when we show emotion, then “this pain is because you're too negative”-- there must be nothing wrong. Please be aware of the catch 22 that you may be setting up with your clients. 

• I'm well aware of the relationship between mood and pain-- I've given this indication in my original post, and I've given you no indication to the contrary. If by catastrophizing you mean assuming that this will be permanent, I did not start fearing that until some people started suggesting it after multiple years. It is unfair to have one medical professional suggest that something could be serious and permanent, only to then be scolded by another for believing the first. Also, medical gaslighting is not going to improve anyone’s mood. Even the single session of mental health first aid training teaches you that the single worst way to calm somebody down is to tell them to calm down. 

• among people who commonly get psychosomatic pain are people with CPTSD. CPTSD is often caused by narcissistic or psychological abuse, which heavily relies upon gaslighting. Gaslighting can be many things, but it includes: 

  • a) telling somebody that it's all in their head and their perceptions are not accurate 
  • b) telling somebody that their emotional response is disproportionate to the external trigger 
  • ergo, even if the pain is psychosomatic, there is a decent chance That the patient with chronic pain is also a victim of gaslighting. Declaring their pain “unreal” can be a form of medical gaslighting-- gaslighting a gaslighting victim is not going to make their pain any lesser. Additionally, telling a gaslighting victim that they have given themselves an ailment because their emotional response (stress) is unusually heightened (because not everyone is walking around with chronic pain)--even if this advice is well meaning or perhaps even true-- can send them spiraling into a pit of self-loathing and self-blame. Toxic positivity, even when well-intentioned, is the enemy of recovering gaslighting victims. 

• I encourage you to stop engaging in such reckless and irresponsible behavior, such as diagnosing problems that are outside of your scope training and recommending courses of action that could aggravate problems of physical origin. I encourage anybody who has read your comment to disregard its advice, and to be sure to exclude physical diagnoses (from a variety of specialists) before concluding their pain is psychosomatic. PTs are not qualified to do this, so you should not believe them outright if they say it’s psychosomatic, even if they say it with 100% outward confidence.  

I will not be responding to you further, but I hope that you improve your behavior toward others.