I don't think this thread is going as you expected OP!
I do think (as with a lot of illnesses) mental health has an impact on Fibromyalgia. I have a different condition which causes chronic pain/fatigue amongst other stuff, and I really have to be mindful not to spend my time being introspective and self centred. Chronic pain/fatigue can consume your mind and become a vicious circle, IMO.
I do think the demographic (for want of a better word) of fibro diagnosis's must show something. I do think it's used as a bit of a "catch all" for people who are feeling fed up and knackered with life (pretty much most women with young children!) Feeling like this, especially the tiredness, can lead people to concentrate on how bad they feel, they go to the GP who runs tests, nothing is found but patient is adamant they have physical symptoms - fibro diagnosis.
I have no doubt people do have physical symptoms but physical symptoms can be caused by mental state of mind. For example, we feel embarrassed- we blush - physical manifestation of feelings.
A lot of people are very defensive about being offered counselling/anti depressants etc for what they believe is a physical issue, which I think is a mistake. I think they're refused out of defensiveness, feeling HCPs are concentrating on mental health rather than physical.
Personally I have taken every pain management course going, and if changing my mindset helped my pain levels - result! Even if it was a placebo effect, if it worked I would be bloody grateful! I have a diagnosis which can be "proved" with medical evidence - it does cause pain and fatigue but I accept that trying to get my mental health the best it can be, will help.
I hate the spoon theory as it seems so negative and "can't do". I know about pacing, about overdoing it and conserving energy but I like to think of targets rather than limits (unfortunately I also apply this mindset to my credit card limits
)
It's an interesting discussion and the tone on this thread seems to be different than previous threads, tbh.