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Histeria clásica - Treatment

Nombres alternativos

Síndrome de Briquet

Tratamiento:

El objetivo del tratamiento es ayudarle para que usted aprenda a controlar sus síntomas.

Tener una relación de apoyo con un médico es la parte más importante del tratamiento.

  • Usted debe tener sólo un médico de atención primaria para evitar que le hagan demasiados exámenes y procedimientos.
  • Programe citas médicas regulares para revisar los síntomas y cómo los está manejando. El médico debe explicarle cualquier resultado de los exámenes.

Encontrar un profesional en salud mental con experiencia en el tratamiento de este trastorno con psicoterapia puede servir. La terapia conductual cognitiva (TCC), un tipo de psicoterapia, le puede ayudar a manejar el dolor. Durante la terapia, usted aprenderá:

  • A reconocer lo que parece empeorar el dolor
  • A desarrollar métodos para manejar los síntomas
  • A mantenerse más activo, incluso si todavía tiene dolor

Si usted tiene depresión o un trastorno de ansiedad, puede responder a los medicamentos antidepresivos.

A usted no le deben decir que los síntomas son imaginarios. Muchos médicos ahora reconocen que los síntomas físicos reales pueden resultar del estrés psicológico.

Complicaciones:

Usted puede volverse dependiente de analgésicos o sedantes.

Situaciones que requieren asistencia médica:

Tener una buena relación con el médico de atención primaria ayuda. Solicite una cita si nota un cambio mayor en sus síntomas.

  • 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.

Referencias

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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