Q. Why do they think that the pain is all in my head? Is there any chance which may wrongfully lead doctor to conclude that our symptoms are of a psychological nature? Why do they think that the pain is all in my head? A. It may happen very rarely and if he is new to his profession. It doesn’t mean that all those are new to their profession does these mistakes. Doctors cannot "see" and may not understand the sources of your pain or fatigue. However, what they do observe is your anxiety and frustration with having to deal with these symptoms around-the-clock, which may wrongfully lead them to conclude that your symptoms are of a psychological nature. Also, the old school of thought regarding pain is that it is produced by tissue injury, and there is no obvious source of tissue injury in patients with fibromyalgia. Regardless, if your doctor does not believe that your symptoms are real, you owe it to yourself to find another doctor who believes in you and will work with you to help reduce your symptoms.