1. Will desire a clear, physical reason for the chronic pain. Will seek out multiple professionals for finding physical cause.
2. Will have difficulty acknowledging multi- dimensional contributors to perception of ‘pain’.
3. May have difficulty grieving and accepting the loss between how they could function in the past and how they are in the present.
4. May be more irritable, angry, anxious, depressed, often for no apparent reason.
5. May stay focused on requiring immediate cure.
6. May have difficulty establishing more realistic goals and subgoals.
7. On pain scales, may acknowledge high ratings in catastrophizing,futuristic and dichotomous or all or none thinking, personalization but may minimize need for control.
8. May score higher in marital or interpersonal stress,
9. May have a higher than anticipated anger score.
10. May acknowledge many strengths areas but much higher self-efficacy (satisfaction from doing things) than self-care scaled score.