Doctor insights on:
Showing Sign Somatoform
Boyfriend showing signs of a somatoform disorder, probably serious hypochondriasis-- how to be supportive, what to do?
Supportive?: It sounds like ur already being very supportive. Until medical concerns r ruled out, don't dismiss them. It sounds like ur bf, if he does suffer from hypochondriasis, would benefit from treatment with a psychotherapist & psych MD. Medications like SSRIs can be helpful. Psychotherapy to understand normal bodily sensations as such, & to decrease overall anx helps. Perhaps offer to go with him? ...Read more
Someone I know showing signs of a somatoform disorder, probably serious hypochondriasis-- how to be supportive, what to do?
Encourage evaluation: Hypochondriasis and somatoform disorder are NOT same disorders. ...Read more
Hi docs, my friend showing signs of a somatoform disorder, probably serious hypochondriasis-- how to be supportive?
Tread carefully: Educate yourself. Look up these conditions to understand the person isn't "faking" it; there are psychological dimensions. Check in on your own level of frustration, try to be reassuring without being overly optimistic, avoid challenging denial or irrational beliefs, encourage appropriate use of doctors and mental health referrals, and avoid becoming burned out or overly involved, yourself. ...Read more
It is real, but.....: A group of disorders characterized by physical symptoms suggesting a medical disorder, however these symptoms cannot be fully explained by a medical disorder, substance use, or another mental disorder. ...Read more
Somatoform Disorder: A somatoform disorder = the presence of physical symptoms that suggest a general medical condition ("somatoform") but aren't fully explained by a general medical condition, the direct effects of a substance, or another mental disorder. The symptoms cause clinically significant distress or impairment in social, occupational, or other functional areas. Several different types & possible antecedents. ...Read more
Not defined yet: Somatoform disorder is not just one illness, but a category of several types that are linked by having physical symptoms suggesting a general medical condition -- but aren't fully explained by a general medical condition, the direct effects of a substance, or by another mental disorder like panic or other anxiety disorder. The "root cause" has not been determined, and it may differ in each type. ...Read more
Unconscious Conflict: Somatoform disorders are a group of conditions wherein individuals unconsciously manifest psychological &/or physical symptoms typically in the setting of an underlying conflict (usually outside their conscious awareness). These conditions include, but are not limited to, conversion disorders, somatization disorder, pain disorder, etc. It is important to avoid iatrogenic injury in these individual. ...Read more
Somatoform Disorder: Research has shown cognitive behavioral therapy to be the most effective treatment for somatoform disorders. These patients often interpret physical sensations as signs of dire illness, and become very anxious. Cbt can help the person reframe these experiences so that health concerns normalize. A consultation letter to the primary care physician may help also. Use of antidepressants is inconclusive. ...Read more
Can somatoform disorder cause balance trouble vision trouble an stiff muscles ect. Every day for yrs?
Yes: Somatoform Disorder is defined as a person's emotional state or emotional conflicts being manifest in physical symptoms. Therefore, anything physical including the symptoms you mention could be a result of this problem. The best way to be sure is to consult with your primary care physician. ...Read more
What's the difference between somatoform disorder and anxiety disorder? How does a dr distinguish which a patient has?
Somatoform no more: The designation "somatoform disorders" has been changed in the new dsm 5 to "somatic symptom and related disorders." it's a group of disorders sharing prominent somatic symptoms associated with significant distress and impairment. Illness anxiety d/o (hypochondriasis), conversion d/o, etc are included. Anxiety d/o's focus on features of excessive fear and anxiety ; their behavioral disturbances. ...Read more
Possible: Its possible. It depends on what the symptoms are and what the allergy testing showed. ...Read more
Is somatoform disorder an out for drs. That cant seem to find the problem. ..like headaches, an chronic fatigue or m.s. things that cant be?
Somatoform Disorder: Somatoform disorders were traditionally defined as mental illnesses that cause bodily symptoms, such as pain. This defiinition represents an increasingly outdated perspective on pain syndromes and suggests little understanding of the emerging evidence in support of the body-mind connection. Emotional stress is often the cause of physical maladies, regardless of what tests may or may not show. ...Read more
Do people with somatization or undifferentiated somatoform disorder's experience symptoms during sleep? Is it typical for a patient diagnosed with a somatoform disorder to experience symptoms of autonomic dysfunction while sleeping? The sleeping symptoms
I: I also don't think it is typical for autonomic dysfunction to occur in people with somatoform disorders during sleep. It does happen; part of differential diagnoses and workup for somatoform disorders include screening for adrenal problems which are a source of adrenaline, heart problems like atrial fibrillation. It's been said that patients with these mental health conditions have high autonomic arousal. ...Read more
Could anxiety or possibly a somatiform issue cause fasciculations all over, flank, ab + migrating joint pain and burning and buzzing/vibrating feelings in diff parts of body? I'm bipolar II w/ibs.
Possibly: But - medical causes need to be ruled in or out. One can not assume that problems are psychiatric in nature without thorough medical assessment. ...Read more
Gi workup=no ibd/celiac. Pain, bloody stool, fevers persist. Fingers clubbing. Bipolar ii; 2 yr sober; mentally doing great, but could physical problems be somatiform disorder? Sick of feeling sick.
Unlikely but...: Possibly, but just because your docs haven't found the cause does not mean it's all in your head. It's not unusual for docs to have difficulty finding the cause of GI problems. You may well have food sensitivities (most with gluten sensitivity don't have celiac) ;/or parasites- common ; not easy to diagnose. You might have overgrowth of unfriendly flora- again hard to diagnose. See my comment:. ...Read more
Yes: It tends to be a chronic, indolent and recurring infection. ...Read more
Was taught that showing emotion was a sign of weakness. I have finally found it is not. How do I apologize to exes for being that way?
Make sure that making the apology isn't going to cause harm (like negatively impacting their current relationship). Then hand write a letter or see them in person, maybe over coffee. Email won't cut it if you truly mean to make amends. And this is no time for "cc", "bcc" or posting on facebook.
If you want to make it right, do it in person and with feeling. ...Read more
My baby ate expired rice ceral, should I be concerned? He isn't showing any signs of discomfort. I noticed the date after when looking thru the box.
Unlikely: The expiration date on food products is more meaningful for taste and consistency (freshness?) than safety. As long as there was no bugs in it, it should be safe. ...Read more
I am 43 yrs old and was told I might have keratoconus when I was 30. My vision is showing the normal signs of age. Should I be doing anything special?
Recheck: Keratoconus is progressive. You should get repeated examinations by an ophthalmologist (preferably, the same one over time). ...Read more
Loss of muscle tone: My theory is that people who become sedentary and incapacitated lose global muscle tone, which potentiates them to greater expression of musculoskeletal instability leading to widespread chronic muscle spasms and trigger point development. They develop pain to palpation of motor points in spastic muscles. One solution is aquatherapy and regaining of muscle tone. ...Read more
Screen for diabetes: There are a number of options here, but they need to be done by your doctor so they can order exactly what you need based on your symptoms. If there is concern about diabetes, a fasting blood sugar and/or a hgba1c to see how your blood sugars have been trending may be useful. But other things can lead to similar symptoms, so it's best you discuss all your symptoms with your doc to help decide. ...Read more
Neurologist: This is not normal. She should see a neurologist because this is a neurological disorder. ...Read more
Time for a visit: First the reason for the problem should be sorted out. Some medications or medical problems can lead to this process and treatment may depend on the findings. If no treatable issues are involved, a cosmetic surgeon can remove any residual glandular tissue and or do liposuction to remove fat. ...Read more
Clarify question: Not sure what you mean by "all test came back negative" and "signs". Please clarify what tests and signs you are talking about. ...Read more
May need injection: If it is truly a pimple, you may need a steroid injection from your dermatologist to help the pimple to resolve. Another possibility is a cyst which will require medical help in order to get it to resolve. ...Read more
How does one deal with an aging parent who is showing signs of abnormal behaviour / extreme obstinacy?
Evaluation: Your parent should have an evaluation by a qualified physician. There could be many causes for such a decline and good treatments available. Good luck. ...Read more
My friends and I were in a car wreck roughly 1 hour ago and I believe he has a concussion. He is showing multiple signs of one?
Concussion: Concussion is also called mild traumatic brain injury. It is a transient loss of brain function after injury, often with a loss of consciousness. Symptoms can include headache, nausea, vomiting, dizziness, cognitive changes or confusion, but no structural changes are seen in the brain on CT, MRI or at autopsy. Medical evaluation by an experienced physician or healthcare provider is recommended. ...Read more
Aspergers syndrome. I feel my son is showing many signs of this condition. How do I go about getting a diagnosis (we are in uk).
Please start: W/family doctor who may refer you to a clinical psychologist or neurologist. If that is indeed the case search around for programs that work with folks w/aspergers. Early intervention can be very helpful. Great plains laboratory in us but works world wide may be helpful w/info and testing. They very best to you. ...Read more