It's All in Your Head cover art

It's All in Your Head

Stories from the Frontline of Psychosomatic Illness

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It's All in Your Head

By: Suzanne O'Sullivan
Narrated by: Maggie Ollerenshaw
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About this listen

Winner of the Wellcome Book Prize 2016

Pauline first became ill when she was 15. What seemed to be a urinary infection became joint pain, then life-threatening appendicitis. After a routine operation, Pauline lost all the strength in her legs. Shortly afterwards, convulsions started. But Pauline's tests are normal: her symptoms seem to have no physical cause whatsoever.

This may be an extreme case, but Pauline is not alone. As many as a third of people visiting their GPs have symptoms that are medically unexplained. In most an emotional root is suspected, which is often the last thing a patient wants to hear and a doctor to say.

We accept our hearts can flutter with excitement and our brows can sweat with nerves, but on this journey into the very real world of psychosomatic illness, Suzanne O'Sullivan finds the secrets we are all capable of keeping from ourselves.

©2016 Susan O'Sullivan (P)2016 Audible, Ltd
Psychology Psychology & Mental Health Health Inspiring Mental Health Heartfelt Medicine

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Critic reviews

"Doctors' tales of their patients' weirder afflictions have been popular since Oliver Sacks.... Few of them, however, are as bizarre or unsettling, as those described in this extraordinary and extraordinarily compassionate book." (James McConnachie, Sunday Times)
"A fascinating glimpse into the human condition...a forceful call for society to be more open about such suffering." (Ian Birrell, Daily Mail)
All stars
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What did you like best about this story?

Perhaps because of the nature of the patients involved it was important to get to know them in a little depth, personally, which gives you more of an investment in the outcome of their treatment when compared to some other books which take a drier and less personal look at their case studies.

Was there a moment in the book that particularly moved you?

None of the patients had simple lives, each having to endure their illnesses to different extents but refreshing throughout was the care that the author had for those she treated, even extending to one patient who did not even need her help at all. It was good to see her response to this was not one of disdain or cruelty, as is often seen by the public. She clearly thrives in this work.

Any additional comments?

The only issue, which the author herself acknowledges, is that in her line of work she doesn't necessarily see the cases all the way through to the end, given how difficult it can be to convince her patients of the nature of their problems. Many walk away, others are moved on to other people. It would be nice to know what happened to every patient, though for obvious reasons, that isn't possible.

Might now have a phobia of getting hypochondria!

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Very interesting stories and on the side of progress regarding mental health but... riddled with outdated Cartesian dualism as it tries to navigate the mind-body system. It really shouldn't have to be so difficult to prove that the mind effects the body and this is a worthy cause indeed. However, it does not include any of the accepted data available on how psychological trauma creates chronic disease over time. The narrative still wrestles with the false dichotomy between mind and body, tying itself in knots, failing to acknowledge the multi-systemic, interconnectedness of the brain and body via the immune and endocrine system. It also skirts over the shocking statistics about women being repeatedly turned away by health professionals when suffering with life threatening illness, creating unnecessary delays and sometimes loss of life (all because of perceived hysteria). I'd recommend Gabor Matè's work 'When the Body Says No' for hard science and more up-to-date understanding of how our emotional worlds and environmental shapes our health.

A mixed bag

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Great book and stories which I think more people should listen to. The current understanding of medicine can't fully explain reactions of the body and it is important we acknowledge this and the important role that stress plays in our lives

Important life lessons to understand...

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I'm not in the medical profession but the subject of this I find to be very interesting ,although at times a bit confusing to the lay person. Well wrote and narrated!

a good read

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The book is truly excellent and offers a real insight into the extent our bodies can cry for help. As a lifelong sufferers of bouts of chronic fatigue, and various other unexplained illness, the book really hit home. Although maybe I am biased and have always recognised my fatigue in particular has a significant, if not total, mental component.
The narration added significantly to the book, making the case studies come to life and help develop empathy for the patients, and their doctors.

Utterly Brilliant

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