15
You know you're in trouble when you blame yourself for everything that goes wrong .When you want to have everything & lose nothing.When you try to reach the extreme of everything .When you can't be satisfied because you think you still do nothing.Sometimes you need to learn to relax when it goes out of control.Clap for those little steps you're taking. Be patient for whatever goes wrong because somethings are out of your hands..
Psychosomatic Illness
Dr Amira Ibrahim
Hala Essam(Power point maker)
Nagwa Mohamed(Presenter)
Ghada Mosaad(Data collector)
Joud Yousef(Data collector)
Mahmoud Yehia(Presenter)
Fatema Adel(Data collector)
Mohamed Hesham (Presenter)
Khaled Khairi(Presenter )
Menna Elmetwaly(Data collector)
Hamza Abo Abboud(Data collector)
Mohamed Ruzaini(Handout)
Sultan Alzahrani(Handout)
Zainab (Presenter & script writer)
Nurul Iman(Presenter)
Nur Izzah (Handout)
Nour Sallem(Handout)
Pbl 14
Definition
- Psychosomatic means mind (psyche) and body (soma).
- A psychosomatic disorder is a disease which involves both mind and body.
Definition
- Some physical diseases are thought to be particularly prone to be made worse by mental factors such as stress and anxiety.
• Genetic traits, such as pain sensitivity.
•Having negative affectivity, a personality trait that involves negative emotions and poor self-image
• Difficulty dealing with stress.
Causes
•Decreased emotional awareness, which can make you focus more on physical issues than emotional ones.
•learned behaviors, such as getting attention from having an illness or increasing immobility from pain behaviors.
-Stress stimulates the hypothalamus, which would stimulate the release of Epinephrine, Cortisol and Nor epinephrine (Physiological).
Mechanism
-Prolonged imbalance of these hormone concentrations could induce somatic disorders such as cortisol weakening the immune system (Pathological).
1-Pain:
-Most commonly reported symptom.
-Areas of reported pain can include chest,
arms, legs, joints, back, abdomen, and
other areas.
2-Neurological symptoms:
Symptoms
Such as headaches, movement disorders,
weakness, dizziness, fainting
3-Digestive symptoms:
Such as abdominal pain or bowel problems, diarrhea, incontinence, and constipation.
.
1-Experiencing a stressful event such as violence or trauma.
2-Having a low-level of education.
3-Lower socioeconomic status.
4-History of anxiety or depression.
Risk factors
5-Family history of chronic or terminal disease.
-After ruling out the presence of any disease,your doctor will refer you to a mental health professional .
-He will ask you questions about your symptoms & how long you've had them ,family history & sources of stress & history of substance abuse.
Diagnosis
-Final diagnosis & treatment is based on dsm-5.
How to differentiate between somatization & undifferentiated somatoform disorder?
Think
1-Yoga:
Can help manage psychosomatic disorders.
Treatment
2-Medications:
Most doctors also recommend patients to psychologist/psychotherapists for therapy as the drugs only provide temporary relief.
3-Hypnosis therapy:
Aims to find the solution to the physical symptoms within the patient’s subconscious.
4-Fasting therapy:
It makes the body re-establishes its balance for both mental health and physical health .
5-Cognitive behavioural therapy:
-Directs how individuals behave in a particular situation and how their thought process influences their physical state.
Quiz
Quiz
1-Regarding psychosomatic disorders:
a-Related to both mind & body.
b-Pain is a commonly reported symptom.
c-May be caused due to genetic traits.
d-Experiencing a stressful event is a risk factor.
e-All of the above.
2-Regarding the mechanism of psychosomatic illness,Which is wrong:
a-Stress stimulates hypothalamus.
b-Weakening immune system due to prolonged imbalance of hormones.
2
c-CRH stimulates adrenal gland.
d-Nothing is wrong.
e-Pituitary gland releases ACTH
3-For treatment ,which is right:
a-Yoga
b-Fasting therapy
c-Cognitive behavioural therapy
d-Hypnosis therapy
3
e-All of the above