Abstract
A-68-year old woman, who has been suffering from pain, hyponatremia, and confusion by psychogenic polydipsia, restless legs syndrome, irritable bowel syndrome, and insomnia for several years, came to our institution. We carefully heard her detailed story and provided her substantial relief. Subsequently, we diagnosed her central sensitivity syndrome (CSS), including fibromyalgia and treated it with pharmacological and cognitive behavioral therapy. Complains in patients with CSS or fibromyalgia are multifactorial and not fully explained medically. However, pain clinicians have roles to diagnose and manage those disorders. We described the effects of narrative therapy and pharmacological and cognitive behavioral therapy.
