Hello my name is in the horizon them going to be percent think my portfolio case with you to them and my case files ahead 2 cases I'm sure can see some my basic info about the 2 cases 1 was the 30 Game in with the an actual during low back pain months he thought was work related and the other sir 60 Um I do sleep say a very poorly going to them later These are my main discussion points for this presentation we're gonna go through psychosomatic pain and personality type posture and paying at least to relate to in the 1st case then in a second case and we're talking about sleep and the have an effect held as well as the placebo effect So on case one we had the 30 Set himself that he felt he was seen thought that he was experiencing psychological distress would see the ability To sway back posture vesanus seems to be common amongst introverts and what I found through research is that the interests were more likely to develop pain from psychological stress compared to or accelerates Name It may be more might be good to work with a psychotherapist in these cases 2 of them go through their Treatment So psychosomatic pain man believed to To be to work through and reducing my decandra content and increasing the production of reactive oxygen species so that your more suspectable to to have thing throughout your body and we could see this is studies in the where they can reduce recovery with sir people around from a lot of psychological distress and small as sir increased some magic sensations in .... A note it's difference to nelatu signal at the treatable but not that the healthy tissue Was interesting Personality card Mac assent before introverts are more likely to have a sweet that posture I'm gay Asian also show the symptoms of depression I avoid and Sunday Just generally and .... No one to keep his distance like if II found it in while I'm sitting he would lay back Interpreter or more prone to develop surmounted pain S are depressed people I'm people this favorite poster also more prompt a non spinal pain especially low back pain it's interesting to wonder if that stood to To to their personality types other introverts and then that's kind of causes their poster School the weather and Medicorum and them now the 2nd case Terrible text himself in my eyes pehchance the man another case the 60 four-year-old man who came in with the diagnosed spawn the locis of 3 different sites of his fine and the this patient the air slept very poorly he was sleeping girl to 3 hours at a time for maybe a total of flown maximum 5 hours a night or A-day so I wanted to recommend to this patient that he would try to move may be improve his sleep but the patient did not tell her did not want to Change his life in order to fix that said he had worked my chips all his life and that's what he wanted and entered to do so supported to you will be patient centered in your approach to the patient and/or I do know you can only the suggest to them what they can do and ultimately it's up to them what they want to do to to improve the house and the little was this in A-line where you should do that persuade them to do what you want to do or should you allow them to to make it up themselves .... Tell major in shop the placebo analgesic the fact is that as a new appeal to go response which can be seen .... .... Um so you know this case then I think of pussie bill because of because of the longstanding chronic pain this patient has hats and the Knows cases where I'm at the the pain isn't really in the tissue anymore but it's anymore and that out of the bishops 99 I can be of benefit to She tried her on prime the pacy to affect fire Are you a sync of verbal tactics to To enhance the believe the patient has in the trip mountain and then possibly a passing then you are efficient logical effects that you can after the treatment .... .... ....