Dr. Ingela Thuné-Boyle
Health Psychologist
Online Therapy

In clinical practice, it is not uncommon to encounter clients living with persistent physical symptoms such as pain, fatigue, gastrointestinal distress, or neurological sensations that are difficult to fully explain. These presentations are sometimes described within the framework of Mind–Body Syndrome (MBS), a term used to capture the dynamic interaction between psychological stress, emotional processes, and nervous system functioning in the generation or amplification of ph

When someone develops a chronic illness, the challenge extends far beyond physical symptoms. It reaches into every layer of identity, daily functioning, and sense of safety in the world. This is true whether the condition is clearly diagnosable, has uncertain or unexplained causes, or is largely invisible to others.

Relational trauma, which refers to harm occurring within human relationships, significantly impacts how people view safety, trust, and connection. Experiences like neglect, emotional abuse, betrayal, or chronic misattunement (where someone consistently fails to accurately perceive, understand, and respond to another person's emotional state) do not just harm an individual in isolation; they influence the nervous system and the internal expectations one brings into future rela

Living with a chronic illness means navigating challenges that reach far beyond physical symptoms. Fatigue, pain, unpredictability, and the ongoing need to adapt your lifestyle can create a heavy emotional and psychological burden. Over time, many people begin to feel isolated, anxious, or overwhelmed, not only by their symptoms, but by the constant impact their condition has on their routines, relationships, and quality of life.

Health psychology is a vital and evolving field that explores how psychological, behavioural, and social factors influence physical health and illness. While traditionally associated with chronic illness, pain management, and health behavior change, health psychology also plays a critical role in addressing trauma and grief. These profoundly human experiences, which are often undetectable by medical tests, significantly impact both mental health and physical well-being.

Health Related Quality of Life (HRQoL) consists of at least four broad domains that can affect or be affected by one's condition and/or treatment: physical, psychological (including the behavioural), social and spiritual functioning.

I read an interesting blog article recently. It was written by a woman who felt completely overwhelmed by her illness, especially the chronic pain she was experiencing. Her doctor suggested that she may benefit from a referral to a Pain Rehabilitation Program that included physio therapy, occupational therapy and psychological support, but after years of not having her illness properly validated, her symptoms minimized and often being told, "It's all in your head,"