Somatic symptoms are defined as
distressing physical or bodily symptoms, including pain. In somatic symptom
disorder (SSD) the responses to somatic symptoms is excessive and causes
intense fear, concerns, and disturbances in optimal functioning. There are a
number of symptoms that are commonly seen in patients with SSD
Pain symptoms
- Diffuse pain
- Joint pain
- Pain in limbs
- Headaches
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Pseudoneurological symptoms
- Amnesia
- Loss of voice
- Seizures
- Difficulty with walking
- Difficulty with swallowing
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Reproductive organ symptoms
- Painful sensations in sex
organs/genitals
- Irregularity in menstrual
cycles
- Excessive menstrual bleeding
- Pain during sex
|
Cardiopulmonary symptoms
- Palpitations
- Chest pain
- Dizziness
- Shortness of breath at rest
|
Gastrointestinal symptoms
- Nausea
- Vomiting
- Abdominal pain
|
Other common symptoms
- Vague food allergies
- Chronic fatigue
- Sensitivity to certain
chemicals
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Treatments
To date,
cognitive behavioral therapy (CBT) is
the best established treatment for a variety of somatoform disorders including
somatization disorder.CBT aims to help patients realize their ailments are not
catastrophic and to enable them to gradually return to activities they
previously engaged in, without fear of “worsening their symptoms.” Consultation
and collaboration with the primary care physician also demonstrated some
effectiveness.The use of
antidepressants is preliminary but does not yet show
conclusive evidence.
Electroconvulsive shock therapy
(ECT) has been used in treating somatization disorder among the elderly;
however, the results were still debatable with some concerns around the side
effects of using ECT.Overall, psychologists recommend addressing a common
difficulty in patients with somatization disorder in the reading of their own
emotions. This may be a central feature of treatment; as well as developing a
close collaboration between the GP, the patient and the mental health
practitioner.
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