title: [Psychological disorders masked as physical symptoms. Problems in the diagnosis of masked depression].
abstract: In unclear clinical pictures, the diagnosis "masked depression" is often made, and forms the basis for anxiolytic and antidepressive drug treatment. What is required, however, is a positive diagnosis of a functional syndrome with predominance of a depressive symptomatology. This diagnosis is not simply based on vegetative symptoms, but also has to include psychological and psychodynamic criteria. This consideration of the patient's subjective reality is necessary for a stable therapeutic alliance, especially since therapy is a long-term undertaking.
authors.affiliation: Psychiatrische Klinik mit Poliklinik, Universität Erlangen-Nürnberg.
authors.forename: P
authors.initials: P
authors.lastname: Joraschky
mesh_terms: D000339:Affect; D002908:Chronic Disease; D003866:Depressive Disorder / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D004644:Emotions; D006801:Humans; D009483:Neuropsychological Tests; D011602:Psychophysiologic Disorders / Q000523:psychology*
vernacular_title: Seelische Erkrankungen in der Maske körperlicher Beschwerden. Zur Problematik der Diagnose "larvierte Depression".