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Psychosomatic Medicine

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Soamy Ivonne Rivera Alvarez

on 2 October 2014

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Transcript of Psychosomatic Medicine

Medical Conditions Associated with Psychological Symptoms
Surgical Patient

Renal Dialysis Patient

ICU/CCU Patient

AIDS Patient

Chronic Pain Patients
Freud's Psychodynamic Theory

Somatization is a dramatic defense mechanisms that characterize somatoform disorders.

The somatoform disorders are a group of conditions that present with physical symptoms without sufficient biological basis.

DSM-IV Diagnosis
What is it?
Psychosomatic Medicine treats disorders in which mental factors play a role in the development, expression, and/or resolution of a physical illness.

This medical field looks at the relationship between social, psychological and behavioral factors on bodily processes & quality of life.
Body and Mind


Stressful life events
Psychosomatic Medicine
Psyche (Mind)

Soma (Body)
Psychosomatic Medicine

Soamy Rivera Alvarez
Mathurrah Karunalingam

The DSM-IV has identified a few psychological factors that will affect the course or treatment of a person's medical illness including:

Psychiatric Illness
Poor Health Behaviors
Stress Related Physiological Response
Maladaptive Personality Traits
Coping Styles
Effects of Stress on Physiologic Functions
release of catecholamines

release of cortisol

Somatic symptom disorder (SSD) is characterized by somatic symptoms that are either very distressing or result in significant disruption of functioning, as well as excessive and disproportionate thoughts, feelings and behaviors regarding those symptoms. To be diagnosed with SSD, the individual must be persistently symptomatic (typically at least for 6 months).
Establishment of a strong and supportive doctor–patient relationship.

Schedule regular appointments and provide reassurance to the patient.

Help the patient to identify and decrease social situations in the patient’s life that may aggravate the symptoms.
Other types of Treatment:

Hypnosis (maybe helpful)
Psychiatry/ Psychology
Behavioral Sciences
Full transcript