A
person with somatization disorder are chronically concerned about numerous
symptoms "somatic" (physical) over many years, but that can not be
fully explained by a psychiatric diagnosis does not. The symptoms cause a
significant discomfort or impair the functional capacity of the person.
The person is not "pretending". The somatization disorder is a
medical problem, but it is probably related to brain functioning or an
emotional regulation and not with the body area that became the focus of
attention of the patient. The symptoms are real and are not under the conscious
control of the person.
People with somatization disorder of multiple medical problems relate over many
years, involving several different areas of the body. For example, the same
person may have back pain, headaches, chest discomfort and urinary or gastric
complaints. Women often report irregular menstrual periods while men can relate
erectile dysfunction (impotence). The person may:
• Describe the symptoms in terms of dramatic and emotional
• Searching for more care than a physician while
• Describe the symptoms in vague terms
• Do not show signs of a medical condition defined
• Refer complaints suggestive of diagnostic medical tests that do not confirm.
People with somatization disorder also have medical illnesses that can be
diagnosed by the doctors should be careful not to devalue the symptoms too
easily.
A person with this disorder may also present symptoms of anxiety and
depression, to the point of feeling hopeless and attempting suicide or having
difficulty in adapting to stressful situations of life. A person can abuse
alcohol or drugs, including medicinal products subject to medical prescription.
Spouses and other family members may become stressed because of the person's
symptoms are prolonged for long periods and do not appear to improve with
medical treatment.
The symptoms of the disorder, somatization culture vary, depending on how often
the disease or the "paper patient" are considered in a given culture.
Cultural factors also affect the proportion of men and women with this disease.
The female relatives of people with somatization disorder are more likely to
develop the disease. The male relatives are more likely to develop alcoholism
and personality disorders.
Scientists do not know the cause of the symptoms reported by people with
somatization disorder, but there are some theories. You can, for example, that
people with this disorder perceive bodily sensations in a manner outside the
usual or can describe the feelings in physical terms (rather than in terms of
mental or emotional). Trauma or stress can cause physical sensations of the
individual to shift.
Treatment
People with somatization disorder may find it difficult to accept the referral
to a mental health professional or accept that the assessment and treatment
fail to provide relief of symptoms. These individuals are particularly
sensitive to the stigma associated with mental illness. Moreover, sometimes are
rejected by a subset of physicians who do not consider their symptoms as a
legitimate cause for concern.
Ideally, a family physician and a mental health professional working together,
the physical symptoms of the person can be evaluated while this gets help to
deal with the frustration of not having a clear diagnosis and a plan treatment.
The treatment of mental health can sometimes reduce symptoms and improve
quality of life. There is some preliminary evidence that cognitive behavioral
therapy can help reduce symptoms or to cope with anxiety or depression
companions. Sometimes, an antidepressant or other psychiatric medication can
provide relief of physical symptoms that stem from somatization disorder
(especially if they also suffer from anxiety or a mood disorder). Treatment
aims often deal with conflicts at home or face secondary problems, such as
difficulties at work and in social functioning.
Psychotherapy can help a person cope with chronic physical discomfort. The
control of stress (e.g., through relaxation techniques) may be useful. Some
cognitive-behavioral therapists teach patients to identify the thoughts and
feelings that are associated with changes in physical symptoms and may help the
individual to reduce the tendency to "search the body" or perform
constant monitoring of bodily sensations.
Prevention
Although there is no way to prevent this disease, a correct diagnosis of
somatization disorder can help a person avoid excessive medical examination.
This represents a challenge for a person with this disorder as for the
physician, since onset of symptoms may be caused by a different medical
problem.
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