Either a lack of appetite and resultant weight loss can be seen or nervous snacking and excessive eating can cause steady weight gain. Some will seek excessive treatments. They may insist on medications and invasive procedures that can cause more injury and pain. Anyone can bear even the worst pain for short periods of time but as it persists there is often a loss of concentration, confusion, and the pain can take over all thoughts. There may be problems with family and friends.
Income is usually lower which can cause problems.
Often there are problems with insurance, compensation, disability and litigation. Many lose their self- respect. The patient's and family's entire lifestyle revolves around the pain. Sometimes the family accepts behaviors that are abnormal because they understand that it is the pain talking. But this can be detrimental because it only encourages pain behavior and everyone should be discouraging these behaviors because they are learned and can be controlled.