if that neurologist hasnt heard of that clustering of symptoms after 30 then it has to be because he isnt listening. There have been people on this board who have exactly those symptoms. as far as pn not causing fatigue, many of us are fatigued and its not psychologically based. pain itself causes disruption of sleep patterns it also causes fatigue because of the extra effort needed to move around while you are in pain. of course it takes a psychological toll but it is not psychologically induced. conversion disorder is a pretty discredited diagnosis in most of the world. as far as his talking to your husband about his psychological theory and not you, that would be the last straw for me. your neuro seems to be very uninformed on same very basic knowledge about PN and treatments. many of us have had to dump a neurologist or two along the road to diagnosis or treatment.