Some people have found their answer in the book, The Body Keeps the Score. I know for me the illness is both. The intertwining isn’t always any more evident than the negative test results. The bodies behavior though is the truth. Something isn’t right and isn’t making itself known whether it is an illness in the body or a response to trauma causing the symptoms. either way, in order for me to manage I have to do the psychological work. Illness of any sort brings out early years responses or lack of from caregivers who should have cared. So when I’m unwell now I incorporate those early years responses and ignore, push through, act as if nothing is wrong with me and carry on. I’ve had to relearn responses and develop my own. I have one doctor who believes me even when what my body presents with is not the norm. She told me once if it isn’t text book other doctors don’t go beyond what the book told them. She does. I’ve learned that what the body is doing, is what the body is doing and I talk to it in a caring loving way acknowledging its expression of distress regardless of the point of access. Did trauma cause this or is my response to it trauma based. For me, my responses line up to how I was treated in early years of general unwellness. Suck it up, carry on etc.