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What happens is that when you have depression or any psychological problem, your brain is not relaxed and there are chemical changes that have happened in your brain that have caused your symptoms.
Since everything is controlled by your brain, and if your brain is not relaxed, various parts of the body can start acting up. So the pain is real and it is not imaginary, but the pain is being generated by parts of the brain that are "tense" or "depression" or "not relaxed".
I hope I have made things a bit clear.
This is the reason why when a patient presents to us with pain and we have ruled out all causes, we consider a psychological disorder as the cause of the pain.
This is called a somatic disorder, where a person can have pains in various parts of the body, but the pain is real and you are not imaging it.
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