Somatization disorder is characterized by multiple persistent physical symptoms that are associated with these related symptoms related to excessive and maladaptive thoughts, feelings and behaviors. The symptoms are not intentionally produced or feigned and may accompany known medical diseases or not. The diagnosis is based on the patient’s medical history and occasionally on the family members. Treatment focuses on building a stable and supportive doctor-patient relationship, which prevents the patient is subjected to unnecessary diagnostic tests and therapies.

Some previously pronounced somatic disorders-somatization disorder, undifferentiated somatoform disorder, hypochondria and somatoform pain disorder-are now classified as somatization disorder. All have the same pattern, including somatization – the expression of mental phenomena as physical (somatic) symptoms.

Somatization disorder is characterized by multiple persistent physical symptoms that are associated with these related symptoms related to excessive and maladaptive thoughts, feelings and behaviors. The symptoms are not intentionally produced or feigned and may accompany known medical diseases or not. The diagnosis is based on the patient’s medical history and occasionally on the family members. Treatment focuses on building a stable and supportive doctor-patient relationship, which prevents the patient is subjected to unnecessary diagnostic tests and therapies. Some previously pronounced somatic disorders-somatization disorder, undifferentiated somatoform disorder, hypochondria and somatoform pain disorder-are now classified as somatization disorder. All have the same pattern, including somatization – the expression of mental phenomena as physical (somatic) symptoms. Symptoms may – be associated with another medical problem – or not; Symptoms need no longer be medically unexplained but are characterized in that the patient has unreasonably excessive thoughts, feelings and intentions about it. Sometimes the symptoms normal body sensations or symptoms that must mean no serious disorder. The patients are i. Gen. their underlying psychological problem not aware and convinced that they are suffering from a physical illness, which is why they typically continue to press their doctors to perform additional or repeated treatments, even if the tests have proven negative. Symptoms and complaints Recurrent physical symptoms usually begin before age 30; most patients have multiple somatic symptoms, but some have only a heavy symptoms, usually pain. The severity can vary, but the symptoms persist and disappear rare for a longer period. The symptoms themselves or the excessive worry about it is distressing or disturbing the daily life. Some patients will become more depressed. If the somatization disorder accompanies another medical disorder, patients have an overreaction to the impact of the medical condition; For example, patients can continue to behave or from an uncomplicated myocardial infarction as disability be in constant fear of a new myocardial infarction after a full physical recovery. Regardless of whether the symptoms are caused by another medical disorder, patients worry extremely about the symptoms and their possible catastrophic consequences and are very difficult to calm. Attempts of doctors to calm her down, is often interpreted to mean that their symptoms are not taken seriously. Focusing on his health often takes a central and sometimes all-consuming role in the life of a patient. The patients are very concerned about their health and seem unusually sensitive to be on adverse drug reactions. Every body part can be affected, and specific symptoms and their frequency vary in different cultures. No matter what manifestations exist, the essence of somatization disorder is the excessive maladaptive thoughts, feelings or behaviors of patients in response to the symptoms. Patients can become dependent on others, they ask for more and more help and emotional support and are upset when they feel that their needs were not met. You can also threaten with suicide or commit a suicide attempt. Since they are often dissatisfied with their medical care, they change more often the doctor or they are from several doctors simultaneously in treatment. The intensity and persistence of symptoms may reflect a strong desire that one should take care of them. The symptoms can help patients to make commitments out of the way, but they can also prevent pleasure and act as punishment, suggesting underlying feelings of worthlessness and guilt. Diagnosis Usually clinical criteria symptoms must be distressing or disturbing the daily life of> 6 months and with at least one of be brought below in connection: Disproportionate and persistent thoughts about the severity of the symptoms remains high anxiety about the health or the symptoms are much time and energy on symptoms or health concerns used at the first presentation doctors detect an extensive medical history (sometimes talks with family members) and conduct a thorough investigation and tests to determine if a medical condition is the cause. Since patients may develop physical illnesses with somatization parallel, appropriate examinations and tests should also be carried out when the symptoms change significantly or when develop objective symptoms. However, once a medical disorder is clearly excluded or identified a mild illness and treatment, the doctor should conduct no further tests; Patients are rarely reassured by negative test results and interpret performing further tests to confirm that the doctor with the benign diagnosis is unsure. A morbid anxiety disorder has similar symptoms with the exception that physical symptoms are absent or minimal. The somatization disorder differs from generalized anxiety disorder, conversion disorder and major depression by the prevalence, diversity and the persistence of physical symptoms and the accompanying, excessive thoughts, feelings and behaviors. Therapy Cognitive behavioral therapy patients, even those who have a satisfactory relationship with a family doctor, are often referred to a psychiatrist. Pharmacological treatment of concomitant psychological disorders (. Eg depression) may help; However, the primary intervention is psychotherapy, particularly cognitive behavioral therapy. Patients also benefit from a supportive relationship of fully coordinated their health care, offering them relief from the symptoms, she sees regularly and protects them from unnecessary tests and procedures to a family doctor.

Health Life Media Team

Leave a Reply