Somatoform disorders are a group of mental illnesses characterized by complaints that resemble somatic illnesses. These symptoms are not associated with the use of medications, psychotropic substances, alcohol, and also do not apply to any of the patient’s diseases.
For what reason do somatoform disorders develop?
Somatoform disorders are caused by stress, shock, unpleasant events and situations, as well as acute conflicts. People with somatoform disorders have unpleasant physical sensations that are completely real to them, although they have no medical confirmation.
What types of somatoform disorders are there?
Among somatoform disorders, it is customary to distinguish the following types:
- disorder of a somatized nature: there are many changing symptoms that last from two years or more;
- disorder of a hypochondriacal nature: the patient’s feeling of the presence of an incurable disease that is not confirmed by diagnostic methods;
- vegetative dysfunction: the patient has symptoms such as tremors, excessive sweating, heart palpitations, skin hyperemia;
- chronic course of somatoform pain disorder: painful sensations of a moderate or excruciating nature without an existing reason;
- undifferentiated types of somatoform disorders: a variety of complaints and symptoms that cannot be attributed to one specific type of disorder.
How do somatoform disorders manifest?
In somatoform disorders, patients complain mainly of the following symptoms:
- heart pain;
- disorders of the heart;
- irritable bowel syndrome;
- non-ulcer (functional) dyspepsia;
- pelvic arthropathy;
- chronic pelvic pain;
- lower back pain;
- atypical angina pectoris;
- hyperventilation syndrome;
- chronic fatigue syndrome;
- tension headache;
- pseudoepileptic seizures;
- dysfunction of the temporomandibular joint;
- atypical facial pain;
- feeling of a lump in the throat;
- multiple chemical sensitivity;
- attacks of sharp pain in the abdomen;
- other specific symptoms.
However, the study does not confirm the presence of serious pathologies. And yet, the symptoms bother a person and interfere with a normal life. To calm anxiety about what is happening, people with somatoform disorders often change doctors, take various tests and undergo examinations to find the cause of their illness. If a somatoform disorder is suspected, the attending physician should recommend that the patient seek psychotherapeutic help.
How common are somatoform disorders?
Up to 50% of patients who go to doctors do not have a really explainable pathology based on the results of an objective examination, laboratory and other diagnostic tests. But the patient has signs of the following mental disorders:
For such patients, ICD 10 has a code F45: somatoform disorders.
What do patients with somatoform disorders have in common?
Despite the great variability of symptoms, patients with somatoform disorders have some similarities. It:
- subjective assessment of medical history;
- strong exaggeration and worry about the symptoms experienced;
- neglect or denial of psychological (personal and interpersonal) and microsocial reasons for their condition;
- absolute conviction in the presence of some kind of somatic disease that would explain the symptoms;
- problems with emotional response to illness;
- excessive irritability.
As a rule, patients seek help from a psychiatrist in the last place, delaying the treatment of a real disease. It is important for the attending physician to establish a trusting relationship with the patient and persuade him to see a specialist. It is important not to deny that the patient has real somatic symptoms.
How are somatoform disorders treated?
The psychiatrist, after communicating with the patient, can make a preliminary diagnosis and prescribe the appropriate treatment. Most often it is a complex treatment with drugs and psychotherapy.
The task of the psychiatrist is to choose the right medication, while the psychotherapist works to restore the patient’s mental balance, helps him overcome his fears and objectively assess the state of health.
What drugs are prescribed for somatoform disorders?
To overcome anxiety, the doctor may prescribe anxiolytics or antipsychotics, and for depressive symptoms, antidepressants.
Among the drugs that show good results in the treatment of patients with somatoform disorders is Buspar. It is an anxiolytic of a synthetic nature based on buspirone. The effect of treatment is manifested in 1-2 weeks after the start of administration.
Who is contraindicated in taking Buspar?
Buspar is contraindicated in the following conditions:
- severe renal and liver dysfunction;
- myasthenia gravis;
Can Buspar be ordered online without a prescription?
In our online pharmacy there is a qualitative analogue of the drug Buspar – generic. Generic Buspar has the following benefits:
- cheap cost;
- high efficiency (contains a similar active ingredient buspirone);
- safety of use;
- the ability to order the drug online without a prescription.
Before ordering the generic Buspar, you must consult a psychiatrist.