30
Jun 2025
Chronic Pain: The Invisible Burden and the Power of Communication
Published in General on June 30, 2025
 
                                                            Chronic pain often goes unseen and misunderstood, leaving patients struggling to articulate the depth of their suffering. One individual's story vividly illustrates this experience. Misdiagnosed and dismissed early on, she was repeatedly told her condition was stress-related or even “all in her head.” Rather than being heard, she felt silenced—and that eroded trust in both herself and her healthcare providers.
The Toll of Diagnostic Delay
This pattern of doubt and dismissal is common—particularly among women. Diagnoses are frequently delayed, and symptoms are trivialised as psychosomatic. These experiences leave patients feeling ashamed and undermined when they advocate for their pain. The result is not only physical suffering but emotional trauma, as each visit reminds them they’re not believed.
Non-Verbal Needs and Therapeutic Silence
Chronic pain isn’t just about symptoms—it often brings profound psychological effects. Patients may appear calm outwardly, but inwardly, they carry immense distress. Non-verbal cues—hesitations, body language, emotional expressions—tell a deeper story that standard pain scales cannot. Therapeutic listening, including recognising these silent signals, is essential for genuine care.
Researchers have explored narrative-based therapies like online journaling, showing how creative expression helps individuals articulate their pain and build community. Such methods foster supportive environments where patients feel validated and benefit from shared insights.
Communication Frameworks for Clinicians
Effective patient–clinician communication around chronic pain requires more than routine questions like “rate your pain 1 to 10.” Researchers emphasise tailored communication skills specific to pain conversations—especially around sensitive topics like opioid use. One study involved primary-care providers using standardised patient actors to practice empathy-driven, nuanced dialogues that go beyond quick assessments and tap into the patient's lived reality.
Toward Whole-Person, Person-Centred Care
Emerging care models advocate integrating mental health and physical care, recognising their interplay in chronic pain. A recent qualitative review among young people highlighted how chronic musculoskeletal pain is deeply entwined with emotional well-being. Conversely, mental distress can amplify pain, emphasising the need for integrated, age-aware services with easy access, trusted providers, and peer support.
An often-overlooked component of such access is the availability of supportive hospital accommodation, particularly for patients who travel long distances for multidisciplinary pain programs or outpatient consultations. Without affordable and comfortable lodging near care facilities, continuity and participation in treatment plans—especially for those in rural or underserved regions—can suffer, undermining holistic pain management efforts.
Healing Through Trust and Empathy
Holistic approaches, such as therapeutic listening and compassionate presence, foster a healing environment—beyond symptom treatments to relational support that honours patients’ experiences. Trust builds when patients sense clinicians truly listen, acknowledge uncertainty, and collaborate on tailored strategies. This respectful alliance may ease the isolation inherent in chronic pain.
Reframing Chronic Pain Care
The way forward is clear: bridge clinical and emotional dimensions by:
- Training healthcare professionals in pain-specific communication—attentive listening, narrative competence, and emotional attunement.
- Acknowledging and addressing implicit bias, particularly around gender, which often colours pain assessment.
- Integrating narrative, creative, and reflective methods to help patients articulate and normalise their realities.
- Structuring care as a whole-person, with combined physical, emotional, peer, and mental health supports.
By giving voice to invisible suffering and fostering biopsychosocial care, healthcare systems can move from dismissal and distrust to validation, empowerment, and improved outcomes.
 
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                    ![“Surprise Noises Can Feel Like Pain”: New Airport Rule Eases Travel for Autistic Passengers Emma Beardsley once dreaded going through airport security. “I used to panic every time they made me take my headphones off at security,” she recalls. “The noise and the unpredictability can be overwhelming.” Now, thanks to a new policy allowing noise-cancelling headphones to remain on during security checks, Beardsley says she can “travel more confidently and safely.”
In Australia, one in four people lives with a disability, yet the travel system has often failed to accommodate varied needs. Autism-inclusion advocates at Aspect Autism Friendly have welcomed the government’s updated guidelines that let autistic travellers keep their noise-reducing headphones on during screening, calling it a “major step” toward more accessible air travel.
Dr Tom Tutton, head of Aspect Autism Friendly, emphasises the significance of travel in people’s lives: it connects them with family, supports work and learning, and offers new experiences. But he notes the typical airport environment can be especially intense for autistic travellers:
“Airports are busy, noisy, random and quite confusing places … you’ve got renovations, food courts, blenders, coffee grinders, trolleys clattering … and constant security announcements. It’s really, really overwhelming.”
“What might be an irritation for me is something that would absolutely destroy my colleague [who has autism]. Surprise noises of a certain tone or volume can genuinely be experienced as painful.”
Under the new policy — now published on the Australian Government’s Department of Home Affairs website — passengers who rely on noise-cancelling headphones as a disability support may request to wear them through body scanners. The headphones may undergo secondary inspection instead of being forcibly removed.
Dr Tutton describes this adjustment as small in procedure but huge in impact: it removes a key point of sensory distress at a critical moment in the journey. Aspect Autism Friendly is collaborating with airports to ensure that all security staff are informed of the change.
For many autistic travellers, headphones aren’t just optional — they are essential to navigating loud, unpredictable environments. Until now, being required to remove them during security has caused distress or even deterred travel.
Aspect Autism Friendly also works directly with airports, offering staff training, autism-friendly audits, visual stories, sensory maps, and other accommodations. Their prior collaborations include autism-friendly initiatives with Qantas. Dr Tutton notes:
“Airports have become this big focus for us of trying to make that little bit of travel easier and better.”
He advises people planning trips for travellers with disabilities to consult airport websites ahead of time. Some airports already offer quiet rooms or sensory zones — Adelaide, for instance, provides spaces where travellers can step away from the noise and regroup before boarding.
Beyond helping autistic individuals, Dr Tutton believes that more accessible airports benefit everyone. “These supports help lots of other people too,” he says. “When people are more patient, kind and supportive, the benefits flow to everyone. We all prefer environments that are well-structured, sensory-friendly, predictable and easy to navigate.”](https://c3eeedc15c0611d84c18-6d9497f165d09befa49b878e755ba3c4.ssl.cf4.rackcdn.com/photos/blogs/article-1061-1759742013.jpg) 
                                                                                    