Pain + Fear = Chronic Pain

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I often wonder why my occasional migraines switched over into a chronic migraine condition about three years ago.  To try and understand what might have been the cause, I tried to remember what was happening in my life at about the time of the change.  I realized that five significant things took place 1-2 years before the ‘chronification’ of the pain started. 

+ I made the decision to start my PhD and was very excited about the increased mental stimulation that I was anticipating.

+ in order to access the required 20 hours a week which I was required to commit to my ‘part-time’ university enrolment, I realized I was going to have to cutback on paid work hours, and the family agreed to me freeing up this time (and taking the corresponding financial hit).

+ within months of starting my studies, COVID19 became a problem in Australia, and our government decided to put us into ‘lockdown’ which required compulsory ‘isolation’.  At risk of being fined, we needed to stay home unless absolutely necessary (this included homeschooling for my two daughters, and me now studying remotely and completely independently).

+ my two teenage daughters were teenagers, and as per normal growth, they were becoming increasingly independent, capable of organizing their own events, travelling between those events, and making many of their own decisions when it came to what they wanted to do with their time and energy, and indeed, their future.

+ whilst I was not totally aware of it at the time, I recognize in hindsight that I had moved into perimenopause which meant that my hormones were acting erratically, increasing issues such as insomnia and mood swings.

If I was to summarize these five things, I would say that the first 2 were deliberate choices, whilst the last three were not (even if two of them could have been predicted as inevitable at some stage). I am a very risk adverse person. It’s not that I can’t, or won’t change, it’s just that I like a lot of notice.  I prefer to remain ‘in control’ of my destiny as much as possible.

The problem was, thinking about it now, the convergence of all 5 things happening at about the same time meant there was a ‘perfect storm’ of multiple changes happening all at once, and largely beyond my control. 

Whilst I was excited about the mental freedom I had signed up for, and accepting of the financial implications that entailed, I was not prepared to also undergo the emotional, social, and physical changes that were also taking place.

The negative weight of the ‘beyond-my-control’ changes also outweighed the positive ‘my-choice’ changes that had initially lifted my spirits and made me so excited about my future.

Worse, the ‘upsides’ being submerged by the ‘downsides’ I suspect, created extremely negative narrative implications.  One problem was that I had built my life around a personality that was something of a control-freak.  Now, I had to acknowledge that I had little or no ultimate control over myself, perhaps even little agency over my own life.  I wasn’t the ‘capable, independent and in control’ person I thought I was.

Moreover, when I had signed-up to study and take those 20 hours a week (for anywhere between 4 to 8 years), I had to overcome a large amount of guilt about being ‘selfish’.  I was putting myself first, when I had always lived a life in which I felt obliged to look after others.  Perhaps its an oldest-daughter thing, or some message I absorbed in my childhood.  Perhaps its just a part of who I am.  Regardless, I believed that it was my ‘duty’ to put others before myself, and that doing something ‘for me’ was not dutiful.

As the migraines began to increase in regularity, I remember worrying that it was a result of not being strong enough to balance my life-roles.  Self-sabotage and imposter-syndrome were standard occurrences that sat in the background of my studies.  Perhaps on an even deeper level I subconsciously began to believe that the pain was punishment for my selfishness.  I had failed to control my life, and now I was failing to control my health.  I definitely began to buy into the fearful story that I would never heal… perhaps did not deserve to heal.

Not long ago I heard someone say in passing, that the difference between pain and chronic pain is fear.

Migraine pain had long been a part of my life, but I think now that it was the negative emotions and stories that I was telling myself at that time that made the pain so much worse, so much more regular… until it became somewhat hardwired into my pain-brain, and the pain became perpetual.

When I started my healing journey, a big part of what I changed was my mindset.  Through counselling, meditation, and regulating my vagus nerve system, I began to reduce my fear, feel safer in my body and my life, and come to terms with my circumstances.  I started to be curious about my condition, not afraid of it, and gradually dropped the idea that the pain would never end.

By eliminating (or at least reducing) fear, the chronic pain began to subside back into occasional pain… and slowly even that pain has reduced.

To help you on your own healing journey, see if you can identify what some of your BIG ‘triggers’ might be, not the things like dehydration or weather changes, but the deep-down narratives you might be harboring that are holding you in a place of pain.  What fears do you have?  See if you can reverse the stories you tell yourself, remind yourself that you don’t need to be afraid anymore, that you CAN heal, and tell yourself – and believe – that perpetual pain is not your destiny.

Take care and keep healing by reducing your fear, Linda x


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46 responses to “Pain + Fear = Chronic Pain”

  1. “Dr Linda”… at last! – The Mindful Migraine Avatar

    […] Pain + Fear = Chronic Pain […]

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  2. When the doctor is your trigger – The Mindful Migraine Avatar

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  3. Are you feeling paingry? – The Mindful Migraine Avatar

    […] Now, when the pain starts to rise, I notice if frustration is rising too, and catch it before it can spill over and affect my general mood. I employ mindfulness techniques to calm myself down and avoid falling into the pain-fear loop I have written about before (here). […]

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  4. Therapy for chronic pain – The Mindful Migraine Avatar

    […] PPS – if you’re curious to explore peripheral ideas to this post, I have also written about Compassion Focused Therapy, Radical Acceptance and the fear-pain-cycle […]

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  5. Arthur Cleveland Avatar

    This article highlights the challenges of pursuing personal goals amid life’s unpredictability. The author’s journey through starting a PhD, dealing with COVID-19, and personal health changes is relatable. The conflict of prioritizing oneself resonates deeply, especially for those used to caring for others.

    The emphasis on mindset as key to healing is inspiring, encouraging readers to confront their fears and narratives. By fostering curiosity and reducing fear, healing becomes attainable. Thank you for sharing such a hopeful and insightful story!

    Liked by 1 person

    1. The Mindful Migraine Blog Avatar

      Oh my goodness, you’re so welcome! Thank you for engaging so deeply with the material – yay you! 👏❤️👏

      Like

  6. Michael O'Connor Avatar

    Very informative post!

    Liked by 1 person

    1. The Mindful Migraine Blog Avatar

      Thank you Michael 🌞

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  7. what i kept – october 2024 – A Grace Full Life Avatar

    […] dolly in my dad’s chair source most mornings, after my yoga practice, the dogs curl up on me during shavasana. source […]

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  8. Astrid's Words Avatar

    When I first recognized migraines as the switch similar to seizures, I was set on recording it, pinpointing a reason and trying for the control that didn’t exist. Being controlling were my past fears acting. Easing back into taking it as it comes reduced the consistency of pain and doesn’t egg the pain on when it’s there. Fear definitely played a role.

    Liked by 2 people

    1. The Mindful Migraine Blog Avatar

      I think I’m similar – I fear a lack of control, but hyper-controlling things only makes them worse… sigh… you sound like you turned the corner though, (you tend to refer to your pain in the past) so that’s great! xox

      Liked by 1 person

  9. Skyseeker/nebeskitragac Avatar

    A helpful post indeed. I don’t have chronic pain, but other issues, both mental and physical ones, and this resonates with me. I’ll let this post sink in and think about it further. Thanks for writing this Linda.

    Liked by 1 person

    1. The Mindful Migraine Blog Avatar

      You’re super welcome my friend – enjoy the rest of the weekend xx

      Liked by 1 person

  10. A. Oliveira Avatar
    A. Oliveira

    My mom used to suffer from migraine in her mid-thirties, and I could see how crippling this condition can be! Congrats on your recovery, Linda. 🙂

    Liked by 1 person

    1. The Mindful Migraine Blog Avatar

      Thank you lovely! Linda xx

      Liked by 1 person

  11. Pooja G Avatar

    This is such an interesting post. I think we often don’t realise how much stress and anxiety affects our body. My migraines were at their worst when I was most anxious. I don’t get chronic migraines but have noticed that I still occasionally get migraines when I’m very stressed out.

    Liked by 1 person

    1. The Mindful Migraine Blog Avatar

      I think being self-aware helps alot – I wasn’t in the past, but now I can feel the shift in my body that stress is causing, and ‘cut it off’ before it gets too much. Thrilled that you don’t get as many episodes – phew! / go you! xox

      Liked by 1 person

  12.  Avatar
    Anonymous

    your post has reduced me to tears, particularly the final line as I think I do believe I will be in perpetual pain. All your words resonated so much with me. I had 4 big life events happen in the lead up to chronification: onset of menopause, sudden death of my beloved father, building work in the house and lockdowns/home schooling. All in all a time of intense stress. However who is it say that menopause alone wouldn’t have caused this. What I don’t understand, 3 years on from chronicity and all these life events, is why I’m still chronic. Maybe it is fear. No medications (10 preventatives and counting) have helped me. Thank you.

    Liked by 2 people

    1. The Mindful Migraine Blog Avatar

      Oh no…. that’s a long list of medications with no luck – SO FAR. I know it feels like you’ve tried everything, but don’t give up – the medicines are changing all the time, and even small alterations in your stress levels / general health / mindset CAN make a difference. I understand your tears – I was in a deep dark hole for a long time, and I’m resurfacing back to the land of the living – life IS getting better all the time… if I can do it, so can you – please reach out to me for a chat if you need it – you’re not alone xoxoxoxox

      Liked by 1 person

    2. Writer McWriterson Avatar

      Don’t give up. Your situation sounds a lot like mine. I’m seeing a psychiatrist for the first time on Monday, thanks to my incredible migraine doctor’s suggestion. My chronic migraines are tied to fear and trauma—things I can’t fix with food journaling (believe me, I’ve tried).

      Linda—when I read the line, “the difference between pain and chronic pain is fear,” it hit me so hard that I had to step away from my computer and cry. YES. I read it yesterday, and it’s still sinking in. I’m so grateful I found you, this blog, and all the wonderful people here.

      Liked by 1 person

      1. The Mindful Migraine Blog Avatar

        Now you have me weepy! I started this blog because I felt like my illness was a terrible weight I had to carry all alone. Worse; I was becoming a burden to my family. I was lonely and sad and struggling to find answers, assuming I was a failure because I could not heal… none of that is true. We are not a burden, nor are we alone… and healing takes time. Good luck with the psychiatrist – therapy help(s/ed) me a lot – I go back and forth with it – it can be very hard to look at ourselves with full honesty in the mirror, and with kindness (for me anyway) – so it helps to have someone look for us and tell us what they see. I’m only ever an email away if you get stuck on your healing journey – but it sounds to me like you’re making big bold steps already – woo hoo! xox

        Liked by 1 person

        1. Writer McWriterson Avatar

          I will do that. And feel free to do the same. 😘❤️

          Liked by 1 person

          1. The Mindful Migraine Blog Avatar

            👏🥰👏

            Liked by 1 person

  13. markbialczak Avatar

    Letting the details of your journey soak in, Linda, I realize all over again how the trigger words of change and control with covid heaped on top triggered a lot of upset in a great percentage of our population at exactly the same time in world history.

    Liked by 1 person

    1. The Mindful Migraine Blog Avatar

      Yeah – and the reality is my troubles were nothing compared to what others are going through – that said, “chin up” isn’t the best advice when you’re struggling… things are getting better all the time though, so I’m super optimistic about the future!! Enjoy your weekend, L 🙂

      Like

      1. markbialczak Avatar

        Yes, I hope your weekend is going well too, Linda!

        Liked by 1 person

        1. The Mindful Migraine Blog Avatar

          🌞

          Like

  14.  Avatar
    Anonymous

    This really resonates with me Linda. Thankyou.

    Liked by 1 person

    1. The Mindful Migraine Blog Avatar

      I hope it helps, Linda xoxoxox

      Like

  15. Johnbritto Kurusumuthu Avatar

    Your insight about fear being the key difference between occasional pain and chronic pain is powerful.👌👍🌷

    Liked by 1 person

    1. The Mindful Migraine Blog Avatar

      Thank you for reading! xox

      Liked by 1 person

      1. Johnbritto Kurusumuthu Avatar

        🤝🌷

        Like

  16. joannerambling Avatar

    A great post about chronic pain and fear, thank you

    Liked by 1 person

    1. The Mindful Migraine Blog Avatar

      Always a pleasure my friend, hope it helps, Linda xx

      Like

  17. Charli Dee Avatar

    Wow! I really love this post Linda! It has such a beautiful message! It makes my think about my depression. My depression used to be so bad my thoughts scared and worried me. I thought at one point I would never be symptom free, but I was afraid of going to therapy. I’m a Christian, and I believed I wasn’t a good enough Christian if I needed to go to therapy instead of trusting God. I eventually decided though that I was tired of struggling with my depression, and I was willing to give therapy a try. Therapy definitely helped me to look for my triggers and look at the world through a more positive lens. My big fear was disappointing God, but I learned to realize that mental illnesses are real, and need attention just like physical illnesses. Another big fear is worrying about what people think about me. I’m still dealing with that fear, but I am slowly overcoming it. I’m noticing the less I focus on what others thing about me the happier I am and I am having less and less depression symptoms. Right now I am feeling the best mentally I’ve ever felt, and I feel so good about that. I feel so free. Thankyou for this beautiful post and the reminder how tge power of redirecting or reframing one’s thinking.

    Liked by 1 person

    1. The Mindful Migraine Blog Avatar

      I’m sooooo happy for you that you’re in a good place right now – that’s fantastic! You could never be a disappointment – you’re always doing your best – you should be proud of yourself, and know that I’m super proud of you too! xox

      Liked by 1 person

      1. Charli Dee Avatar

        Awww! Thankyou so much Linda! You’re so sweet! It definitely took a lot of work to get to where I am now! I’m feeling so much more confident and it feels good! The other day I approached someone and told them I really like their jacket! That’s small, but for me that is major! Baby steps!

        Liked by 1 person

        1. The Mindful Migraine Blog Avatar

          That was one of my signals to myself that I was getting braver; I compliments someone for their bag in the supermarket checkout! They looked a little worried at first (as if I was about to steal it!) but then when they realized it really was just a compliment, they stood up straighter and beamed… we both felt good! Here’s to being a bit braver every day! L 💜

          Liked by 1 person

          1. Charli Dee Avatar

            I love your story! Where I live we are so used to just going about our day. We don’t usually speak to people we don’t know, so it can be a bit weird when someone approaches you. It’s easy to think that person is up to no good! It’s true that there are bad people out there who will do harm, but I believe there are many more people out there who are good people. Joining the blogging community has taught me that! The positivity among bloggers is beautiful! Yes! Let’s both work hard towards becoming a bit braver and more confident little by little!

            Liked by 1 person

            1. The Mindful Migraine Blog Avatar

              Keep going and keep growing – you’re doing great! L xox

              Liked by 1 person

              1. Charli Dee Avatar

                Thankyou!

                Liked by 1 person

                1. The Mindful Migraine Blog Avatar

                  💜

                  Liked by 1 person

  18. Laura Avatar

    What you said makes sense, when we’re depressed or in a fear (fight or flight response, even) we will experience pain much more profoundly. Mindfulness does help with that. I see a lot of patients who need that crutch of whatever it may be that keeps them sane, because their pain level is so high, so if you take that away – they’re completely lost. And it makes sense. Eliminating fears are a good way to start, definitely take time though 🙏

    Liked by 1 person

    1. The Mindful Migraine Blog Avatar

      I’m over a year into my healing journey – and still learning – it’s definitely not a switch you can turn off… it’s more of a layer cake… each time I think I’ve found what’s the source of my anxiety, I find another deeper fear! And I also agree that even fear becomes a habit and even a crutch as you say… it’s complicated… WE are complicated! Be patient patients! xox

      Liked by 1 person

      1. Laura Avatar

        Most definitely 🙏 it’s very complex for sure with so many different angles

        Liked by 1 person

        1. The Mindful Migraine Blog Avatar

          🙃

          Like

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