'Somatoform
disorder' is a relatively new term that applies to a lot of people called
'psychosomatic disorder'.
In somatoform disorders, physical symptoms or their severity and duration can
not be explained by any organic disease. The somatoform disorders include
somatization disorder, conversion disorder and the hypochondria.
Psychiatrists differ considerably in their opinions about the value and
validity of using these diagnostic categories. However, this distinction of
different somatoform disorders psychiatrists provided a means to describe the
wide variety of symptoms in those patients and to distinguish the perturbations
at the base of these descriptions. The careful descriptions may help
psychiatrists to sort the different disturbances, which may well be further
studied scientifically.
The somatoform disorders generally have no clear explanation. Patients with a
somatoform disorder can be very different. Due to not really knowing why or how
people develop their symptoms, there is no specific treatment models and
consensual.
Somatization is a chronic and serious characterized by many physical symptoms,
particularly a combination of pain and gastrointestinal symptoms balls, sexual
and neurological.
The causes of somatization are unknown. She appears often as a family trait.
Persons with this disorder tend also to have personality disorders
characterized by egocentrism (narcissistic personality) and a overdependence
other (dependent personality).
Symptoms first appear in adolescence or early adulthood and is believed to
occur predominantly in women. The male relatives of women with this disorder
tend to have a high incidence of socially inappropriate behavior and
alcoholism.
Treatment and Prognosis
Somatization tends to float on their severity, but persists throughout life. It
is rare complete remission of symptoms for long periods. Some people become
depressed more clearly over the years and its references to suicide become more
threatening. Suicide is a real risk.
The treatment is extremely difficult. People with somatization disorders tend
to have feelings of frustration and rage before any suggestion regarding the
character of their psychological symptoms. Therefore, doctors can not treat the
problem directly as psychological, though recognizing it as such. The medicines
are not very helpful and even though the person go to a psychiatric
consultation, specific techniques of psychotherapy have little chance of
success. In general, the best treatment is a doctor-patient relationship
relaxed and firm support, where the physician provides relief somatic and
protects the person of possible diagnostic or therapeutic procedures very
expensive and possibly dangerous. However, physicians should remain alert to
the possibility of a person developing an organic disease.
Diagnosis
People with somatization are not aware that their problem is primarily
psychological and therefore pressure their doctors to make their diagnostic
studies and treatments. The doctor is forced to make many physical examinations
and tests to determine whether the person has a physical disturbance that
explains the symptoms. The interconsultation experts are frequent, even when
the person has developed a reasonably satisfactory relationship with your
doctor.
Once the physician determines that the change is psychological, somatization
can be distinguished from other psychiatric disorders like for its large number
of symptoms and its tendency to persist for many years. At diagnosis join
dramatic nature of complaints and an exhibitionist behavior, dependent,
manipulative and sometimes suicidal.
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