Psychosomatic symptom disorder
When someone is not feeling well, they may not want to be told their symptoms are psychosomatic. For many people, the term psychosomatic symptoms has connotations akin to "imaginary." If you feel you are told your symptoms aren't authentic or valid, you might feel brushed off and disrespected. However, a new definition of psychosomatic symptoms is emerging as scientists explore the mind-body connection.
Medical doctors and mental health professionals may also change how they view psychosomatic symptoms. Both psychological stress and biological factors can influence your health, and psychosomatic symptoms can be as crucial to address as physical symptoms. Additionally, many mental health conditions and concerns can cause real physical health problems.
What is somatic symptom disorder?
Signs of somatic symptom disorder
Significant emotional and physical distress may be present with somatic symptom disorder. While each individual's experience may be different, there are some common psychosomatic symptoms of this condition, including the following:
Specific sensations, such as shortness of breath or pain
Weakness or fatigue
Constant worry about potential illness
A tendency to think that anything with a physical cause is life-threatening or harmful
Doubts about the adequacy of a recent medical evaluation or treatment
A tendency to repeatedly check the body for abnormalities
Frequent medical visits that don't relieve concerns or worsen them
A severe impairment that would be associated with a medical condition, although there is no supporting diagnosis
Suppose you believe you may be experiencing signs of a psychosomatic disorder. In that case, you might seek medical care or the support of a healthcare provider or mental health professional who can provide a diagnosis and help you explore psychosomatic treatment options.
The DSM-5 outlines several diagnostic criteria for psychosomatic disorder. Each of the criteria must be met for diagnosis. The criteria include the following:
Four pain symptoms in any main area of the body
Two or more gastrointestinal concerns
One sexual or reproductive symptom, such as irregular menstrual cycles
One pseudo-neurological symptom, such as dizziness, headaches, weakness, or numbness
Additionally, the psychosomatic symptoms must not be explained by a diagnosable medical condition; if a diagnosable medical condition exists, they must be more excessive or intense than expected based on testing or laboratory findings.
If the psychosomatic symptoms are feigned or produced on purpose by an individual, they may meet the criteria for factitious disorder instead.
The exact cause of psychosomatic disorders may vary. However, some of the following factors might have a role in the development of psychosomatic illness:
Genetic and biological factors contributing to increased sensitivity to pain
Difficulty processing emotional issues
Learned behaviors resulting in symptoms of psychosomatic symptom disorder
The risk factors for psychosomatic disorder include but are not limited to:
A stressful event, such as trauma
A low level of education
Lower socioeconomic status
A history of anxiety or depression
A family history of chronic or terminal illness
A mental health condition, like a personality disorder
Medical conditions that may have a psychological component
While not all medical conditions are caused by mental health concerns, stress may worsen some. If you're experiencing any of the following medical conditions or psychosomatic symptoms and begin to feel emotional or mental strain, you might make an appointment with a healthcare provider for an evaluation. The conditions and symptoms include:
High blood pressure (hypertension)
Skin disorders, such as psoriasis or eczema
Gastrointestinal disorders, such as stomach ulcers or irritable bowel syndrome (IBS)
Many physical diseases or conditions, such as the ones listed above, may be made worse by mental factors. Additionally, studies show a connection between stress, trauma, and physical illness.
Are somatic symptoms harmful?
Psychosomatic symptoms can feel real to the person experiencing them. Additionally, the psychosomatic symptoms may be real. For example, headaches, menstrual pain, and high blood pressure can have physical complications. The long-term effects of psychosomatic symptoms can also be severe. For example, psychosomatic disorder may be associated with the following:
Loss of employment
Financial difficulty related to loss of employment or excessive medical attention
Development of other mental health conditions, such as anxiety and depression
Increased suicide risk related to depression
If you are experiencing excessive thoughts or urges of suicide, call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255) or text 988 to talk to someone over SMS. They are available 24/7 to offer support.
Prevention and treatment
It may be challenging to prevent psychosomatic symptoms. However, recognizing when you are feeling stressed and how your body responds may help prevent them. It can be helpful to learn relaxation techniques, such as meditation or yoga, to address these symptoms. In addition, take care of your body by eating nutritious food, exercising regularly, avoiding substance abuse, and getting enough sleep.
If you're experiencing anxiety or depression or feel unable to process emotions associated with the psychosomatic symptoms you are feeling, you might discuss your concerns with your primary care provider. They may review your medical history and make recommendations for care regarding your medical symptoms, in addition to providing a referral regarding the psychosomatic symptoms you're experiencing.
How to know a symptom is somatic
Visiting a doctor may still be beneficial if you're experiencing distressing symptoms, such as chest pain, shortness of breath, upset stomach, fever, or extreme pain. Emergencies can occur to anyone, so ensuring you are healthy may benefit you if you're concerned. However, if you frequent doctors' offices or hospitals or use medical care as a compulsion, consider partaking in a few coping mechanisms at home before deciding whether to make an appointment or go to your local hospital.
Additionally, note that panic attack symptoms can feel like a medical emergency. Those experiencing panic disorder may have frequent panic attacks, which can show as distressing physical symptoms such as shortness of breath, rapid pulse, sweating, headaches, gastrointestinal issues, and pain. Often, panic attacks are temporary. If you find that your symptoms subside after you are distracted or have a self-care activity to work on, it may be that you were experiencing psychosomatic symptoms.
Although mental health conditions may cause somatic symptoms or stress, you are valid and not alone. You are not "crazy.” Psychosomatic symptoms can be painful, distressing, and stressful. If you are experiencing them, consider reaching out to a licensed mental health professional for support.
Cognitive-behavioral therapy (CBT) is a standard treatment for psychosomatic symptoms. According to the American Psychiatric Association, CBT can involve helping patients learn new ways of coping with and solving problems while they gain a deeper understanding of their physical and mental health conditions. With CBT, patients may learn to set realistic goals and identify and change behaviors that have a negative impact on their physical and emotional well-being. It may also work to identify the psychological causes of mental health conditions such as childhood trauma or other experience.
Individual counseling can be facilitated in a counselor or therapist's office, local mental health clinic, or online. If you are unsure about in-person sessions, you might opt for online counseling through a platform like BetterHelp. A licensed therapist may assist you through several treatment methods, such as CBT, which research shows as effective as in-person treatment when provided online.
"I am still receiving Dr Bratton's counseling. She is a very compassionate psychologist who knows how to put words to my distressed feelings. Her expertise with stress and trauma is making me realize how much I have been coping with and the impact on my emotional and mental well being. I am still on a journey towards healing when I get safely to the other side and having Dr Bratton as my counsellor is the happiest thing I have at the moment in my life as her understanding of my feelings, mental state, pain and trauma is in itself helping me with my healing journey. I will not change her for anyone else! I am so happy that I have found her."
"I put off finding a therapist for a long time. I dreaded my first conversation with Neil and all the awkward, clunky explanations I'd have to give about my depression and anxiety. All of the things that felt like dirty little secrets that caused me so much pain. But I was so pleasantly surprised by the way Neil accurately picked up on what I was saying and gave me more insight into how my brain was working. It made my issue feel so much less of a personal problem and more of a universal problem we could examine together. He always gives me a thoughtful response within a day or two any time I send a message. I actually think we've made more progress in between sessions just by being able to communicate things that are coming up in real time. Neil is intelligent and kind. I really appreciate his communication style and highly recommend him."
Psychosomatic symptom disorder can have far-reaching effects on an individual's physical and mental health. As frustrating as symptoms may be, help may be available. Working through your mental health and stress with beneficial techniques from a licensed therapist may also reduce your physical symptoms. Consider taking the first step by reaching out to a compassionate counselor.
Frequently asked questions (FAQs)
Below are some of the most frequently asked questions about psychosomatic disorder and somatic symptom disorder.
What are some psychosomatic symptoms?
Various somatic symptoms may emerge from psychological stress, including body aches and pains, fatigue, gastrointestinal distress, erectile dysfunction, headaches, and cardiovascular or respiratory symptoms (such as heart palpitations or shortness of breath).
In some cases, the symptoms can be attributed to other medical conditions. However, if a person's preoccupation with their symptoms is excessive and interferes with daily functioning, it may indicate somatic symptom disorder. The symptoms experienced by psychosomatic disorders are often real and may impact the nervous system. However, instead of being caused by a medical disorder, they have a psychological cause.
What is a psychosomatic disorder?
According to the American Psychiatric Association, somatic symptom disorder is characterized by a preoccupation with physical symptoms (such as pain or breathing difficulties) that cause significant distress. To be diagnosed with the condition, an individual must experience the disruptive symptoms above for at least six months, accompanied by excessive thoughts, feelings, or behaviors related to the symptoms.
Individuals with somatic symptom disorder might frequently seek medical care because they fear that their symptoms could indicate serious illness. They may request continual reassurance through scans or blood tests, which may not relieve their anxiety. An article published in the National Library of Medicine estimates that somatic symptom disorder affects 5% to 7% of the general population.
Treatment for somatic symptom disorder may include regular meetings with a trusted healthcare provider, psychotherapy, or medications to address symptoms of anxiety or depression.
How does a psychosomatic disorder impact one’s daily life?
A psychosomatic illness can cause one to believe they are living with real medical disorders. Patients with one of these conditions may believe a somatic symptom in part of the body is a sign they are in danger, which may prompt them to ask for medicine or physical treatment. Signs and symptoms of psychosomatic conditions can be very real, impacting one’s daily life to the point that it causes significant emotional stress. They may visit a healthcare provider often, ask for reassurance, or worry that a symptom means they won’t live much longer. These fears can lead to anxiety, depression, stress, and chronic pain. If you believe you may be living with one of these conditions, consider reaching out to a therapist for support.
How does a psychosomatic disorder impact one's daily life?
Are psychosomatic symptoms imagined or are they real?
How can psychosomatic symptoms be prevented?
Can psychosomatic symptoms be triggered by stress?
How are psychosomatic symptoms perceived?
What are the most common triggers of psychosomatic illnesses?
Is there a cure for psychosomatic illnesses?
How does psychosomatic therapy work?
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