How would you navigate that so not to cause offense by suggesting that they're making up their pain?

It is a very delicate situation.

It's a good point you've raised.

So I'd probably start by avoiding implying that the pain is just purely psychological, but instead emphasize that the pain is real, but that psychological approaches can help people manage it better.

In that situation, communication is absolutely key, and as we know in primary care, that's a lot of our job is good communication.

So the first thing to do is acknowledge that the patient's pain is real.

Conditions such as fibromyalgia, as you brought up, can be particularly challenging because patients often feel they've not been believed or that their symptoms have been dismissed in the past.

With opioid deprescribing, if that's what the decision has been made, is there a particular strategy you use or are there particular strategies that you can use?