Please note that none of the following is meant to question the reality of anybody's symptoms...just trying to provide a little bit different perspective.

First, when a doctor says a symptom might be "psychological", he isn't necessarily saying it isn't "real" or that a person is lying. He is saying that it might not have a physical cause that he can find in a test or examination. Stress and other mental factors can easily cause physical responses or apparent physical responses, and calling them "psychological" is not an insult, it is a literal term for how the doctor perceives their cause.

Second, not to go too far in defense of doctors, but they do often have to deal with patients for whom it really is all in their head. My mother in law is absolutely convinced that she has two broken legs, multiple different kinds of cancer, AIDS, myasthenia gravis, ulcers, has had multiple heart attacks, and people are trying to poison her by putting cement in her food. What she actually has is arthritis in her ankles, type II diabetes, and paranoid schizophrenia. Unfortunately, every time she dreams up a new disease that she believes she has, the doctors have to take her complaints seriously and do a workup for it.

Where I think this comes around to bite folks with MS trying to get Dxed is that there are such a huge wide variety of possible MS symptoms, that we can sometimes tend to believe that everything we feel might be an MS symptom. While it is good to be diligent about recording possible symptoms, it is also good to acknowledge other possible causes for those symptoms.

If you go to a doctor with a list of 30 different symptoms, their very first thought is going to be that you are a hypochondriac that is disease shopping. I don't say that to knock anybody who truly suffers from alot of symptoms...I say it because doctors are trained to look for the most likely scenario and then to work from there. Anybody who comes in and attributes every possible ailment to a single cause is somebody who is going to trigger that kind of response in a doctor.

If you have never been to a hypochondriac forum online, go take a look some time. There is a huge fixation on things like MS and cancer, and many of them are convinced they have one or both, and can rattle off a huge list of their symptoms. Again, not a knock on anybody here...just saying that doctors see those folks too and have to try to decide with each patient, what is real and what is not. With a disease like MS, where there is often little in the way of physical evidence for our disease, and the symptoms are often fleeting and hard to measure or test, it can be very dificult for them to sort the wheat from the chaff and determine where to start with testing. An MRI is a good start, and a sign your doctor is not completely blowing you off.

My opinion has always been that people who think they might have MS are better off describing maybe 3-5 of their "worst" symptoms or the ones that most impair their daily life, and then saying "here is a list of other things I am encountering, but I really don't know if they are related or not." That gives a doctor a much more limited set of things to look at. They can test for evidence of other things that could cause the "main symptoms" and then use the other list as possible corroboration of what they think it might be. In the end, doing it that way might help lead the doctor through the process of elimination that is an MS dx, without first starting with the question of whether they are dealing with a hypochondriac.

Hope that helps understand where the doctor might be coming from. I hope that you and your Dr. are able to find some answers from your MRI.