Understanding Pain and Suffering Damages in Personal Injury Claims

August 22, 2025 | By Cowen Rodriguez Peacock
Understanding Pain and Suffering Damages in Personal Injury Claims

Doctors and surgeons can mend many of the physical injuries from a serious car crash or other accident, but the emotional and mental toll can be much more difficult to diagnose and treat. Your pain and suffering can be just as devastating to every part of your life. 

You might find it harder to sleep, return to work, or enjoy the activities that once brought pleasure. You’re not only dealing with medical bills and insurance calls, you’re also dealing with the very real cost of pain and suffering.

When you file a personal injury claim, one of the most misunderstood areas of compensation involves pain and suffering damages. These aren’t tied to receipts or invoices. They reflect the emotional weight of your injury—the day-to-day struggles that don’t show up on a medical chart. And yet, they’re often among the most difficult and impactful parts of your recovery.

At Cowen | Rodriguez | Peacock, we help clients in San Antonio and across Texas recover the full value of their personal injury claims, including pain and suffering. We understand how much this part of your case matters, and we fight to make sure it’s not undervalued or ignored.

Call us at (210) 941-1306 for a free consultation or contact us below. No cost to you unless we win.

What Are Pain and Suffering Damages?

Pain and suffering damages refer to the non-economic losses caused by an injury. They go beyond physical harm and speak to how the injury has affected your daily life, relationships, and emotional well-being. These damages are part of what’s known as non-economic compensation.

While economic damages cover medical bills, lost income, and other financial losses, pain and suffering focuses on what you’ve personally endured as a result of the accident. This includes both the physical pain of your injuries and the emotional impacts, such as anxiety, depression, loss of enjoyment of life, or trauma-related stress.

Types of Pain and Suffering Damages

pain and suffering types

Not all pain is visible, and not all suffering is purely physical. Courts and insurance companies often look at two broad types of pain and suffering:

Physical pain

This refers to the actual bodily pain you’ve experienced due to the injury, including pain from broken bones, surgeries, nerve damage, or long-term mobility issues. Chronic pain can also be included if it affects your ability to work or live comfortably in the future. Physical agony can lead to severe emotional and psychological harm.

Emotional and mental suffering

Many people experience ongoing emotional distress after a serious accident. This could include fear, mood swings, PTSD, panic attacks, or loss of confidence in social situations. If your injury prevents you from participating in things you once loved, that’s considered part of your suffering, too.

How Pain and Suffering Is Calculated

Unlike medical expenses, pain and suffering doesn’t come with a receipt. That makes the calculation more subjective, but not less important.

Courts and insurance adjusters often use two common methods to estimate non-economic damages:

The multiplier method

This method takes your total economic damages, such as hospital bills and lost wages, and multiplies them by a number, typically between 1.5 and 5. The more severe or life-altering your injury, the higher the multiplier.

For example, if your economic damages total $50,000 and your case uses a multiplier of 3, your pain and suffering damages would be estimated at $150,000.

The per diem method

This approach assigns a daily dollar value to your pain and suffering, from the date of the injury to the point of maximum recovery. That amount is then multiplied by the number of days you’ve endured pain.

Each method has pros and cons, and not every insurer or court uses the same formula. Your attorney will help determine which approach best reflects your experience.

What Factors Affect the Value of Pain and Suffering Damages?

injured women on a wheel chair

Pain and suffering damages vary widely because every personal injury claim is unique, involving several different considerations and variables. Some of the most common factors that influence the value include:

  • The severity of your injuries
  • How long your recovery takes
  • Whether your injuries cause permanent limitations or scarring
  • The emotional trauma you’ve experienced
  • Your age and lifestyle before the accident
  • Statements from family, friends, or therapists about how the injury changed your life

Medical records, photos, and consistent treatment all help establish credibility. But so do personal journals, therapist notes, and testimony from those close to you. Your story matters, and it deserves to be documented carefully.

Common Misconceptions About Pain and Suffering

People often misunderstand this part of a claim. They might assume these damages are exaggerated or too hard to prove. But that’s far from the truth. Here are a few things to keep in mind:

  • You don’t need to be hospitalized to claim pain and suffering
  • You can still recover compensation for emotional harm, even if you have no visible injuries
  • Pain and suffering damages are legitimate and recognized in every U.S. jurisdiction

Insurance companies often try to downplay this part of a claim. That’s why working with a personal injury lawyer, especially one who knows how to calculate these damages accurately and present them effectively, can make a significant difference in the outcome of your case.

Why Pain and Suffering Matters in Catastrophic Injury Cases

man setting in pain

In cases involving traumatic injuries, such as brain trauma, spinal cord damage, or amputation, the impact of pain and suffering can be immense. You may never return to your former lifestyle. You may require assistance with everyday activities. Mental health may suffer in deeply personal ways.

These are not small losses. They touch every part of a person’s life, and they often affect entire families.

At Cowen | Rodriguez | Peacock, we have represented many clients facing long-term or permanent impairments. In these cases, pain and suffering damages often represent a large portion of the total compensation because they reflect years, or even a lifetime, of personal hardship.

How Do You Prove Pain and Suffering Damages?

Unlike an X-ray or invoice, pain and suffering is deeply personal and in most ways, invisible. But that doesn’t mean it can’t be clearly demonstrated. Lawyers use several tools to build a compelling, evidence-backed case:

Medical documentation

Your treatment records tell a story about how your injury progressed over time. Consistent visits, detailed physician notes, and records of specialist care all help establish a baseline for physical and emotional suffering.

Mental health records

If you’ve sought help from a counselor, psychologist, or psychiatrist, those records can show the emotional impact of your injury. Diagnoses of anxiety, depression, or PTSD often support non-economic damage claims.

Witness statements

Family members, close friends, and caregivers can provide strong testimony about the changes they’ve seen in your behavior, mood, and daily life. These statements can help confirm how your life has changed in ways only those close to you would recognize.

Personal journals or pain diaries

Some people document their recovery, pain levels, sleep issues, or emotional struggles in a journal. These daily entries can show the ups and downs of life after an injury and add credibility to your experience.

State Laws Affecting Pain and Suffering Damages

Every state handles pain and suffering damages differently, and the rules can significantly affect the outcome of your personal injury claim. Some states place strict caps on non-economic damages, while others limit or restrict compensation based on the type of case or the parties involved. Many states also follow different rules when it comes to shared fault and filing deadlines.

Texas law has its own approach to pain and suffering damages. Understanding how these rules work can help you see what’s possible in your claim. Below are key examples of how Texas handles pain and suffering damages compared to other jurisdictions:

No caps on most personal injury cases

Texas does not place a limit on pain and suffering damages in typical personal injury cases, such as car accidents or truck crashes. However, there are caps in medical malpractice cases and claims against the government. For most personal injury claims, the law allows for full compensation based on the impact of the injury.

Modified comparative negligence

Texas follows a modified comparative fault rule. If you’re found partially at fault for the accident, your compensation, including pain and suffering, can be reduced in proportion to your percentage of fault. If you’re 51% or more at fault, you may not recover any damages at all.

Statute of limitations

You have two years from the date of injury to file a personal injury lawsuit in Texas. This deadline applies to pursuing both economic and non-economic damages, including pain and suffering. Missing this deadline can bar you from seeking any compensation at all.

Why Insurance Companies Undervalue Pain and Suffering

insurance claim

Insurance companies don’t feel what you feel. They look at charts, formulas, and averages. That means they often undervalue what’s most personal to you—your pain, your losses, and your future.

Adjusters may argue that your suffering isn’t “serious enough,” especially if your injury doesn’t involve surgery or hospitalization. They might use pre-existing conditions to downplay your emotional distress. And sometimes, they rely on computer algorithms that don’t account for how trauma impacts real people in different ways. These models are built on averages, not individual lives, which means they often miss the true emotional cost of your injury.

That’s why it’s important to work with a trial-ready law firm. A lawyer who knows how to prepare for court can push back on low offers and present your case in a way that a jury would understand and value.

How a Personal Injury Lawyer Can Help Maximize Pain and Suffering Damages

You shouldn’t have to convince anyone of your pain, yet that is a task that must be done to obtain full and fair compensation. An experienced personal injury lawyer can take that task on for you. 

From the start, your legal team will document your injuries, gather the right kinds of evidence, and consult with medical professionals who can explain the full extent of your suffering.

They’ll also build a case for the future—not just what you’ve been through, but what you’ll continue to live with. Pain and suffering damages should reflect your long-term prognosis, not just the present moment.

At Cowen | Rodriguez | Peacock, we take time to understand your story. We work with therapists, medical providers, and your inner circle to build a full picture of how the injury changed your life. That’s the only way to pursue full and fair compensation.

Key Takeaways

  • Pain and suffering damages cover emotional and physical distress caused by an injury, not tangible financial costs.
  • These damages can include chronic pain, PTSD, depression, anxiety, or loss of enjoyment of life.
  • Texas does not cap pain and suffering damages in most personal injury cases, including truck and car accidents.
  • Evidence like mental health records, personal journals, and testimony from loved ones can support your claim.
  • Insurance companies often undervalue pain and suffering damages, especially if there are no visible injuries.
  • A personal injury lawyer can build a compelling case using detailed evidence and professional testimony.
  • Cowen | Rodriguez | Peacock has extensive experience handling serious injury cases involving pain and suffering.

Frequently Asked Questions About Pain and Suffering Damages

What kinds of injuries are most likely to result in pain and suffering compensation?

Injuries that cause long-term physical pain, emotional trauma, or lifestyle changes tend to result in higher pain and suffering awards. This includes spinal cord injuries, traumatic brain injuries, amputations, and severe burns. Even less visible injuries—such as nerve damage or psychological trauma—may qualify if they affect your daily life or mental health. The key factor is how deeply the injury has disrupted your ability to live as you did before.

Do I need a medical diagnosis for emotional distress to claim pain and suffering?

Not always, but having a medical diagnosis from a licensed mental health provider strengthens your case. While visible injuries are easier to document, emotional injuries such as anxiety, PTSD, or depression can also qualify as pain and suffering. Even without a formal diagnosis, consistent symptoms reported to your doctor, counselor, or documented in a personal journal can help support your claim.

Can pain and suffering damages be included in a settlement, or only in a trial?

Yes, pain and suffering damages can be part of a settlement. In fact, most personal injury claims are resolved before trial, and pain and suffering often make up a significant portion of the negotiated amount. Insurance adjusters may undervalue this part of your claim, so it’s critical to work with a lawyer who can clearly present the full impact of your injury during negotiations.

Can I claim pain and suffering if I didn’t go to the hospital?

Yes. You don’t need a hospital admission to claim pain and suffering. Many valid personal injury claims involve injuries that were treated at urgent care, a doctor’s office, or even at home. What matters most is the physical, emotional, and mental effects of the injury on your life. If you’ve experienced chronic pain, sleep disruptions, anxiety, or difficulty returning to daily routines, those effects can still qualify for non-economic damages.

Does pain and suffering include future suffering?

Yes, pain and suffering damages can account for both past and future harm. If your injury is expected to cause long-term pain, reduced mobility, psychological distress, or lasting emotional hardship, your lawyer can seek compensation for those ongoing impacts. Future pain and suffering is especially important in cases involving permanent injuries or trauma that may take years to heal, or may never fully heal. A medical expert may help estimate the likely duration and severity of your future suffering.

Let Cowen | Rodriguez | Peacock Fight for Your Maximum Recovery

You’ve been through enough already. If someone else’s actions caused your injury, you shouldn’t have to carry the emotional weight alone. At Cowen | Rodriguez | Peacock, we handle every case with the attention, care, and aggressive advocacy it deserves.

Our team is known for taking on complex, high-stakes cases, including truck accidents, car crashes, and catastrophic injuries. Our team of trusted personal injury lawyers focuses on pursuing maximum compensation for all you’ve suffered and lost, including pain and suffering damages that reflect the true impact of your injuries.

We serve San Antonio and surrounding areas, and we’re ready to listen. Contact us today at (210) 941-1306 or reach out online for a free, confidential consultation. Let us handle all the legal heavy lifting while you focus on your recovery.

Call us at (210) 941-1306 for a free consultation or contact us below. No cost to you unless we win.