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Disturbi psicosomatici

Psicosomatico significa mente (psiche) e corpo (soma). Un disturbo psicosomatico è una malattia che coinvolge sia la mente che il corpo.

At a glance

  • Psychosomatic disorders involve distressing physical symptoms caused by an incorrectly functioning autonomic nervous system.

  • Many diseases involve both mind and body, and mental factors can worsen some physical illnesses.

  • Sometimes, mental factors cause physical symptoms even when no physical disease is found.

  • A doctor diagnoses these conditions, sometimes requiring specialist input and medical tests.

  • Treatments can include medication, therapy, or stress-reducing strategies.

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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.

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.

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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.

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.

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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.

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.

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.

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Domande frequenti

What is the main difference between psychosomatic disorders and other physical illnesses?

Psychosomatic disorders are conditions where distressing physical symptoms are primarily caused by the autonomic nervous system not working correctly, often influenced by mental factors. While most diseases have a 'mind and body' connection, in psychosomatic disorders, the mental aspect plays a significant role in causing or worsening physical symptoms, sometimes even in the absence of a detectable physical disease.

Are there specific examples of common physical reactions caused by anxiety that are considered psychosomatic symptoms?

Yes, symptoms of anxiety are good examples of psychosomatic symptoms. When you are afraid or anxious, your mind can directly cause physical symptoms as a reaction.

If I have physical symptoms and my doctor can't find a physical disease, does that mean my symptoms are psychosomatic?

The term psychosomatic disorder is sometimes used when mental factors cause physical symptoms but no physical disease can be found. For instance, stress might cause chest pain even when there's no underlying heart condition.

How long does it usually take to get a diagnosis for a psychosomatic disorder?

These conditions can be difficult to diagnose, and it might take some time for your medical team to make a diagnosis. This process helps ensure you get the right treatment for your specific symptoms or condition.

What kinds of healthcare professionals are involved in treating psychosomatic disorders?

Treatment might involve various healthcare professionals. Depending on your symptoms, medication might be prescribed, or you could see a therapist or occupational therapist. The approach often considers physical, mental, and social factors contributing to the condition.

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.

About the authorView full bio

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Dr Caroline Wiggins, MRCGP

Medico di base, Autore medico

MBBS Honours (with Distinction), MRCGP (2016), MSc.SEM (with Distinction), BSc (Hons)

Dr Caroline Wiggins is a GP locum currently in the South-West of England. 

About the reviewerView full bio

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Dr Krishna Vakharia, MRCGP

Chief Medical Officer for Health, Optum UK

MBChB, MRCGP(2013), BMedSci (hons), DFSRH, DRCOG, PGDipDerm (Distn)

Dr Krishna Vakharia is an NHS GP. She is also a regular examiner for the postgraduate Diploma in Practical Dermatology at Cardiff University as well as being the Chief Medical Officer for health at Optum UK.

Storia dell'articolo

Le informazioni su questa pagina sono scritte e revisionate da clinici qualificati.

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