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Somatization disorder - Treatment

Alternative Names

Briquet syndrome

Treatment:

The goal of treatment is to help you learn to control your symptoms.

Having a supportive relationship with a health care provider is the most important part of treatment.

  • You should have only one primary care provider, to avoid having too many tests and procedures.
  • Schedule regular appointments to review your symptoms and how you are coping. The health care provider should explain any test results.

Finding a mental health provider who has experience treating somatization disorders with talk therapy (psychotherapy) can be helpful. Cognitive behavioral therapy (CBT), a kind of talk therapy, can help you deal with your pain. During therapy, you will learn:

  • To recognize what seems to make the pain worse
  • To develop methods of coping with the symptoms
  • To keep yourself more active, even if you still have pain

If you have depression or an anxiety disorder, it may respond to antidepressant medications.

You should not be told that your symptoms are imaginary. Many health care providers now recognize that real physical symptoms can result from psychological stress.

Complications:

You can become dependent on pain relievers or sedatives.

Calling your health care provider:

Having a good relationship with your primary health care provider is helpful. Call for an appointment if you notice a major change in your symptoms.

  • Reviewed last on: 8/9/2010
  • Linda Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Michelle Benger Merrill, MD, Instructor in Clinical Psychiatry, Department of Psychiatry, Columbia University Medical Center, New York, NY. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Greenberg DB, Braun IM, Cassem NH. Functional somatic symptoms and somatoform disorders. In: Stern TA, Rosenbaum JF, Fava M, Biederman J, Rauch SL, eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 1st ed. Philadelphia, Pa: Mosby Elsevier;2008:chap 24.

Witthöft M, Hiller W. Psychological approaches to origins and treatments of somatoform disorders. Annu Rev Clin Psychol. 2010;6:257-283.

deGruy FV. The somatic patient. In: Rakel RE, ed. Textbook of Family Medicine. 7th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 61.

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The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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