Somatisation Flashcards
What is it?
Chronic suffering from medically unexplained symptoms that change in nature over time
How long do they last?
Usually physical complaints last for a number of years and can cause substantial impairment even when no organic cause is found
What is the difficulty with it?
Not understanding the cause can make symptoms even more distressing and difficult to cope with
What are examples of a somatic disorder?
Chronic Fatigue Syndrome, Irritable Bowel Syndrome, Fibromyalgia
What is the possible cause of these conditions?
Certain studies have blamed history of sexual abuse, the need for closeness to others, or implications of neuroendocrine genes
What usually causes it?
It is usually linked with depression and anxiety
Is it common?
Yes very, and accounts for 1/3 of GP consultations
Who does it affect?
Generally affects more females and onset is usually before age 30
Symptoms (3)
patients thoughts/feelings are disproportionate or excessive, symptoms are generally severe enough to affect work and relationships, stress often worsens symptoms e.g Shortness of breath, palpitations, chest pain, vomiting, abdominal pain, diarrhoea, back pain e
Investigations
Thorough clinical history and examination, diagnostic tests to rule out organic cause, psychological evaluation *expressing the need for a second opinion can often point to a psychological cause
What approach is best?
Important to describe the condition to the patient whilst trying to avoid any implications of psychosomatic illness
Treatment: (5)
Symptomatic control, self help e.g regular exercise, managing stress, relaxation, CBT, Antidepressants
Complications
Patients may develop a reliance on pain relief, poor relationship with the healthcare provider seems to worsen the condition
