Why do you often feel uncomfortable and not find problems in the inspection?
"I have been suffering from inexplicable stomach pains or headaches these days, but every time I take time off to go to the doctor, the pain is gone; when I was at school, it was very painful, and it suddenly improved the next day, and then again after a while. It hurts inexplicably, and I don't know why."
"I often have headaches. When I have a headache, I feel that I have brain cancer. I went to the hospital to do a lot of brain examinations, but no problems were found. , can't find the reason."
As mentioned by the above-mentioned netizens, many people find themselves with some physical symptoms, such as headache, abdominal pain, chest tightness, dizziness, etc. But when we went to the hospital for examination, we did not find any physical problems, and repeated investigations yielded no results. It is possible that a somatoform disorder may be present at this time.
Somatoform disorder (Somatization Disorder) is a group of psychiatric disorders, also known as Briquet syndrome, characterized by repeated, recurrent, and immediate somatic symptoms with significant clinical significance, such as somatic pain.
One).
Patients who fall within these disease criteria show a high level of concern about their physical symptoms. As a result, somatoform disorders often lead patients to seek excessive medical examination and treatment rather than psychiatric treatment.
Symptoms of Somatoform Disorder
Patients are often unaware of their deep-seated psychiatric problems and believe they have a physical illness, so the typical manifestation is constant pressure on doctors to perform additional, repeated tests and treatments, even if the test results are negative.
The general manifestations of somatoform disorders as given by The Mercks Manual (The Mercks Manual) are:
one. Physical discomfort that usually begins to recur before age 30; most patients have multiple physical symptoms, but some have only one severe symptom, usually pain. Symptoms fluctuate in severity, but symptoms persist and rarely resolve for a considerable period of time. The symptoms themselves or concerns that excessive symptoms will cause distress to the patient or interfere with their daily life. Some patients have significant depression.
- When physical symptoms are accompanied by other physical diseases, patients often have an excessive impact on physical diseases. For example, some patients with simple myocardial infarction are completely physiological, but often do not recover, or often worry about another myocardial infarction.
three. Whether or not the symptoms are actually related to other physical ailments, patients are so worried about the symptoms and their potentially catastrophic consequences that it is difficult to reassure them. Repeated reassurances by doctors are often perceived by patients as not paying enough attention to their symptoms.
Four. Focusing on health often becomes the center of a patient's life, sometimes even a lifetime. Patients are very anxious about their health and are often very sensitive to adverse drug reactions.
It can affect any part of the body, but its specific symptoms and frequency of occurrence vary across cultures. Whatever the presentation, the essence of somatization disorder is the patient's excessive or inappropriate thoughts, emotions, or behaviors in response to the symptoms. For example, a patient with a simple myocardial infarction will perceive their prognosis as poor and they will have severe anxiety that is not commensurate with the severity of the disease.
The patient may be dependent on others for help and emotional support. When their needs are not met, they become angry and may use threatening behavior or attempt suicide. They are often dissatisfied with medical services, keep changing doctors, or seek treatment from several doctors at the same time.
Number 7. The intensity and duration of symptoms may reflect the patient's strong desire to be cared for. Symptoms can help patients avoid responsibility, but they can also prevent patients from feeling happy, suggesting a priceless sense of worth and guilt deep within the patient.
During an epidemic, some people worry that they or those around them will become infected, leading to feelings of anxiety that can lead to symptoms related to physical symptoms. If you or those around you find symptoms similar to physical symptoms and disease manifestations, please consult relevant professionals in time and make a clinical diagnosis. If you can't go out alone, you can adjust your status through online consultation and the following activities:
Learning stress management and relaxation techniques, such as Progressive Muscle Relaxation (PMR), may help improve symptoms;
·exercise. Regular exercise may have a calming effect on emotions, improve physical symptoms, and help improve physical function;
Communicate more with family or friends and talk to them about your worries to reduce your anxiety. If you cannot meet, you can contact them by phone, video, etc.;
· Avoid alcohol, nicotine, coffee and other addictive substances. The use of similar substances can make patient care activities more difficult.