Medical conditions

The onset of multiple physical symptoms after the age of 40, in a previously physically and mentally healthy individual, is almost always due to a general medical condition. However, multiple vague physical complaints may be prominent in mood disorders, dementia, and withdrawal states.

Only a limited number of general medical conditions present vague, non-specific, and multiple somatic symptoms (e.g. hyperparathyroidism, hyperthyroidism, acute intermittent porphyria, myasthenia gravis, AIDS, multiple sclerosis, systemic lupus erythematosus, Lyme disease, and connective tissues disease). In most of these medical conditions there will be positive paraclinical findings.

In genuine somatic disorders the key symptoms will usually be characteristic from one patient to another and across illness episodes. In contrast, the constellation of symptoms in somatization disorder will usually be incompatible with any known authentic somatic disease, and the symptom picture will be of a more fluctuating nature.

The fear of overlooking a definite physical disease, as an explanation of the physical symptoms, is probably the major reason why many doctors attempt to rule out even the most rare physical causes before a somatization disorder is even considered. However, there is little evidence that important medical diagnoses are missed in patients with somatoform disorders/1,.,23 It must always be borne in mind that patients with a somatoform disorder may also have a concurrent physical disease.

The Psychology Of Stress

The Psychology Of Stress

Get All The Support And Guidance You Need To Be A Success At The Psychology Of Stress. This Book Is One Of The Most Valuable Resources In The World When It Comes To What's Behind Your Stress And How To Deal With It.

Get My Free Ebook


Post a comment