[Somatoform disorders--an update].
Somatoform disorders occur frequently. The patients complain about numerous physical problems and/or pain for which, as a rule, an organic pathological cause cannot be not found. They are not willing to or cannot accept psychosomatic explanations. The real cause is faulty stress processing due to earlier biographical factors, for example, an early attachment disorder. A behavioral therapy could help the patient cope with the everyday routine; it influences the symptoms and signs, but does not fundamentally change them. Psychodynamic approaches are very promising. For comorbidity with anxiety or a depressive disorder as well as certain forms of fibromyalgia, psychopharmaceutical drugs should be additionally given.
Egle
Ulrich T
UT
Klinik und Poliklinik for Psychosomatische Medizin, Mainz. egle@psychosomatik.klinik.uni-mainz.de
D001521:Behavior Therapy; D003131:Combined Modality Therapy; D006801:Humans; D008016:Life Change Events; D009769:Object Attachment; D010817:Physician-Patient Relations; D011575:Psychoanalytic Therapy; D017367:Selective Serotonin Reuptake Inhibitors / Q000008:administration & dosage; D012803:Sick Role; D012959:Socioeconomic Factors; D013001:Somatoform Disorders / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*
D017367:Selective Serotonin Reuptake Inhibitors