Disturbi psicosomatici
Revisione paritaria di Dr Krishna Vakharia, MRCGPUltimo aggiornamento di Dr Caroline Wiggins, MRCGP Ultimo aggiornamento 22 Set 2023
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Psicosomatico significa mente (psiche) e corpo (soma). Un disturbo psicosomatico è una malattia che coinvolge sia la mente che il corpo.
A colpo d'occhio
Psychosomatic disorders involve distressing physical symptoms caused by an incorrect functioning of the autonomic nervous system.
Many diseases are considered psychosomatic, meaning they involve both the mind and body.
Stress and anxiety can worsen some physical conditions like psoriasis, eczema, and high blood pressure.
Mental factors can cause physical symptoms even when no physical disease is found.
A doctor diagnoses these conditions, sometimes with specialist help and medical tests.
Treatment can include medication, therapy, and managing stress, anxiety, or depression.
What are psychosomatic disorders?
Psychosomatic disorders are conditions which cause troublesome, distressing physical symptoms, caused by the autonomic nervous system not functioning correctly. The autonomic nervous system controls involuntary actions within the body - such as your heart rate, blood pressure, digestion as well as other functions. There are many different symptoms and types of conditions which can result from this.
Which diseases are psychosomatic?
To an extent most diseases are psychosomatic - involving both mind and body. There is a mental aspect to every physical disease. How we react to disease and how we cope with disease vary greatly from person to person There can be physical effects from mental illness. For example, with some mental illnesses you may not eat, or take care of yourself, very well which can cause physical problems.
Some physical diseases are thought to be particularly prone to be made worse by mental factors such as stress and anxiety. For example, these include:
It is thought that the actual physical part of the illness (the extent of a rash, the level of the blood pressure, etc) can be affected by mental factors. Many people with these and other physical diseases say their mental state can affect how bad their physical disease is at any given time.
Some people also use the term psychosomatic disorder when mental factors cause physical symptoms but where there is no physical disease found. For example, a toracico may be caused by stress and no physical disease can be found.
See the separate leaflet called Somatisation and Somatoform Disorders per maggiori dettagli.
How can the mind affect physical diseases?
It is well known that the mind can cause physical symptoms. For example, when we are afraid or anxious we may develop symptoms of anxiety. These are good examples of psychosomatic symptoms.
How are psychosomatic disorders diagnosed?
These conditions are diagnosed by a doctor. Sometimes you may need to see a specialist to be diagnosed.
You may need medical tests, depending on your symptom or condition. These conditions can be difficult to diagnose and it may take some time for your medical team to make the diagnosis to help you start the right treatment.
What are the treatments for psychosomatic disorders?
Each disease or symptom has its own treatment options. In these conditions it is often important to take into account physical, mental and social factors which may be contributing to a disease. Therefore, treatments such as medication, seeing a therapist, occupational therapist or starting treatments to ease lo stress, ansia, depressione, may help if they are thought to be contributing to your symptoms.
Can psychosomatic disorders be prevented?
At present, we don't think they can be prevented. Hopefully further research looking at this will help us to understand if this might be possible in the future.
What is the outlook for people with psychosomatic disorder?
These conditions and symptoms can improve or go away completely with the right treatment. It depends on the condition or symptom you have, and relies on finding what treatments work for you. This is where working together with your medical team can make a big difference to your condition.
Scelte del paziente per Altri problemi di salute mentale

Salute mentale
Disturbo da dismorfismo corporeo
Il disturbo da dismorfismo corporeo (o dismorfia corporea) è un problema comune di salute mentale. Le persone con BDD trascorrono un tempo eccessivo a pensare a un difetto minore o immaginario nel loro aspetto fisico e ne sono angosciate. I trattamenti usuali sono la terapia cognitivo-comportamentale (CBT), un antidepressivo inibitore selettivo della ricaptazione della serotonina (SSRI) o entrambi. Il trattamento spesso funziona bene per ridurre notevolmente i sintomi e l'angoscia.
di Dr Toni Hazell, MRCGP

Salute mentale
Psicosi
La psicosi è un sintomo ma non è una diagnosi di per sé. La psicosi può essere causata da diverse condizioni di salute mentale, come la schizofrenia o il disturbo bipolare, da malattie fisiche o da altre cause, come il lutto o la mancanza di sonno.
di Dr Hayley Willacy, FRCGP
Domande frequenti
What is the difference between specific psychosomatic disorders and the psychosomatic aspects of other diseases?
The article explains that 'most diseases are psychosomatic' to some extent, meaning there's a mental aspect to every physical illness. However, the term psychosomatic disorder is also used specifically when mental factors cause physical symptoms, but no underlying physical disease can be found.
Is it true that anxiety can cause physical symptoms?
Yes, the article states that it's 'well known that the mind can cause physical symptoms.' For example, when individuals are afraid or anxious, they may develop physical symptoms of anxiety. These are considered good examples of psychosomatic symptoms.
How long does it take for psychosomatic disorders to be diagnosed?
Diagnosing these conditions can be challenging, and it 'may take some time' for a medical team to make a diagnosis. This process is important to ensure that the correct treatment can be started.
Do psychosomatic disorders always require medication for treatment?
Not necessarily. The article states that treatments vary depending on the specific disease or symptom. While medication may be part of the treatment plan, other approaches like seeing a therapist, an occupational therapist, or starting treatments to ease stress, anxiety, or depression can also be helpful if these mental factors are contributing to the symptoms.
Ulteriori letture e riferimenti
- Aybek S, Perez DL; Diagnosi e gestione del disturbo neurologico funzionale. BMJ. 24 gennaio 2022;376:o64. doi: 10.1136/bmj.o64.
- Maggio J, Alluri PR, Paredes-Echeverri S, et al; Briquet syndrome revisited: implications for functional neurological disorder. Brain Commun. 2020 Sep 23;2(2):fcaa156. doi: 10.1093/braincomms/fcaa156. eCollection 2020.
- Bennett K, Diamond C, Hoeritzauer I, et al; Una revisione pratica del disturbo neurologico funzionale (FND) per il medico generico. Clin Med (Lond). 2021 Gen;21(1):28-36. doi: 10.7861/clinmed.2020-0987.
Informazioni sull'autoreVisualizza il profilo completo

Dr Caroline Wiggins, MRCGP
Medico di base, Autore medico
Laurea in Medicina e Chirurgia con Lode, MRCGP (2016), MSc.SEM con Lode, BSc con Lode
La Dott.ssa Caroline Wiggins è un medico di base supplente attualmente nel sud-ovest dell'Inghilterra.
Informazioni sul recensoreVisualizza il profilo completo

Dr Krishna Vakharia, MRCGP
Direttore Sanitario per la Salute, Optum UK
MBChB, MRCGP(2013), BMedSci (hons), DFSRH, DRCOG, PGDipDerm (Distn)
La Dott.ssa Krishna Vakharia è un medico di base del NHS. È anche un'esaminatrice regolare per il Diploma post-laurea in Dermatologia Pratica presso l'Università di Cardiff, oltre ad essere il Direttore Medico per la salute presso Optum UK.
Storia dell'articolo
Le informazioni su questa pagina sono scritte e revisionate da clinici qualificati.
Articolo disponibile anche in Inglese, Tedesco, Spagnolo, Francese, Italiano, Portoghese, Hindi, Ebraico, Arabo, and Svedese.
Prossima revisione prevista: 20 Set 2028
22 Set 2023 | Ultima versione

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