1. Somatization Disorder A medical doctor describes the signs, symptoms, and history of somatization disorder and compares them with chronic fatigue syndrome and fibromyalgia. http://www.cfsdoc.org/somat.htm

Chronic Fatigue Syndrome Long Term Health Maintenance Shaun Kerry, M.D. Home Treatment What's New Site Plan Clean Air ... Sleep Advanced Technical For Doctors Special Topics Disability Awards and Links Conclusion SOMATIZATION DISORDER Somatization disorder is a syndrome described by diagnostic criteria found in DSM-IV, the current diagnostic and statistical manual published by the American Psychiatric Association. I practiced psychiatry for 20 years and had the opportunity to evaluate and follow over many years patients with this disorder. Many patients with CFS argue that this is an illness that is invented by psychiatrists. They are partly right. The illness has quite narrow criteria. The problem is that many doctors broaden the definition to include many CFS patients thereby harming them. The patients are justifiably angry. To make matters worse, some of the doctors who do this write scholarly books to support their position. Generally, the books are very intellectual but not very mindful I could take the position that the illnesses doesn't exist, but that would be negating my experience. I saw a lady once with hysterical paralysis of her limbs. A skillful neurologist can easily tell the difference between paralysis caused by nerve damage and hysterical paralysis. I could write a book about my many experiences and distinguishing diagnostic features. The doctor must ask very specific questions in order to make the diagnosis. In addition to applying the DSM IV criteria, I used the

2. MedlinePlus Medical Encyclopedia: Somatization Disorder somatization disorder is a chronic condition in which there are numerous physical complaints somatization disorder is highly stigmatizated and patients are often dismissed by their http://www.nlm.nih.gov/medlineplus/ency/article/000955.htm

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Somatization disorder Contents of this page: Alternative names Definition Causes, incidence, and risk factors Symptoms ... Prevention Alternative names Briquet's syndrome Definition Return to top Somatization disorder is a chronic condition in which there are numerous physical complaints lasting for years and resulting in substantial impairment that are caused by psychological problems. Causes, incidence, and risk factors Return to top The disorder is marked by multiple physical complaints that persist for years involving any body system. Most frequently, the complaints involve chronic pain and problems with the digestive system, the nervous system, and the reproductive system. The disorder usually begins before the age of 30 and occurs more often in females. Somatization disorder is highly stigmatizated and patients are often dismissed by their physicians as having problems that are "all in your head." However, as researchers study the connections between the brain, the digestive system, and the immune system, these disorders are becoming better understood and should not be seen as "faked" conditions which the patient could end if he or she chose to do so. The symptoms are severe enough to lead the person to visit the doctor or take medication, and the symptoms interfere with work and relationships. A lifelong history of sickliness is often present, though no specific disease is ever identified to account for the symptoms. A greater intensity of symptoms often occurs with stress.

3. Postgraduate Medicine: Simplified Approach To Somatization Disorder Kelli L. Holloway, MD and Kathryn J. Zerbe, MD discuss how physicians can distinguish this confounding condition from real physical illness and find a balanced approach to helping the patient without burning themselves out. http://www.postgradmed.com/issues/2000/11_00/holloway.htm

Simplified approach to somatization disorder When less may prove to be more Kelli L. Holloway, MD; Kathryn J. Zerbe, MD VOL 108 / NO 6 / NOVEMBER 2000 / POSTGRADUATE MEDICINE CME learning objectives To learn the definition and epidemiology of somatization disorder To review the psychiatric conditions most frequently associated with somatization disorder To understand and be able to implement treatment strategies for patients with multiple, undiagnosed physical complaints The authors disclose no financial interests in this article. This is the third of four articles on psychiatric crises in primary care Preview : Somatization disorder is the physical manifestation of mental pain. Unlike patients with other chronic conditions, patients with somatization disorder are unlikely to cooperate in, or respond to, their treatment. In this article, Drs Holloway and Zerbe discuss how physicians can distinguish this confounding condition from real physical illness and find a balanced approach to helping the patient without burning themselves out. Holloway KL, Zerbe KJ. Simplified approach to somatization disorder: when less may prove to be more. Postgrad Med 2000;108(6):89-95

4. BehaveNet® Clinical Capsule™: Somatization Disorder DSMIV somatization disorder. This Somatoform Disorder may be diagnosed when a pattern of medically Diagnostic criteria for 300.81 somatization disorder ( cautionary statement) http://www.behavenet.com/capsules/disorders/somatizationdis.htm

BehaveNet DSM-IV: Somatization Disorder This Somatoform Disorder may be diagnosed when a pattern of medically unexplained complaints of multiple physical symptoms begins before age 30. The diagnostic criteria further specify a minimum number of complaints from several organ systems. Diagnostic criteria for 300.81 Somatization Disorder cautionary statement A. A history of many physical complaints beginning before age 30 years that occur over a period of several years and result in treatment being sought or significant impairment in social, occupational, or other important areas of functioning. B. Each of the following criteria must have been met, with individual symptoms occurring at any time during the course of the disturbance: (1) four pain symptoms: a history of pain related to at least four different sites or functions (e.g., head, abdomen, back, joints, extremities, chest, rectum, during menstruation, during sexual intercourse, or during urination) (2) two gastrointestinal symptoms: a history of at least two gastrointestinal symptoms other than pain (e.g., nausea, bloating, vomiting other than during pregnancy, diarrhea, or intolerance of several different foods) (3) one sexual symptom: a history of at least one sexual or reproductive symptom other than pain (e.g., sexual indifference, erectile or ejaculatory dysfunction, irregular menses, excessive menstrual bleeding, vomiting throughout pregnancy)

5. On The Misdiagnosis Of Somatization Disorder On The Misdiagnosis of somatization disorder. © 1996, MCS Referral Resources, Inc. By Albert Donnay Symptoms of somatization disorder. http://www.gulfweb.org/doc_show.cfm?ID=416

6. Psych Central: Somatization Disorder Symptoms General symptoms of somatization disorder. somatization disorder. SYMPTOMS. A history of many physical complaints beginning before age 30 are not intentionally feigned or produced (as in Factitious Disorder or Malingering http://psychcentral.com/disorders/sx94.htm

home resource directory disorders quizzes ... support forums Somatization Disorder SYMPTOMS A history of many physical complaints beginning before age 30 years that occur over a period of several years and result in treatment being sought or significant impairment in social, occupational, or other important areas of functioning. Each of the following criteria must have been met, with individual symptoms occurring at any time during the course of the disturbance: four pain symptoms: a history of pain related to at least four different sites or functions (e.g., head, abdomen, back, joints, extremities, chest, rectum, during menstruation, during sexual intercourse, or during urination) two gastrointestinal symptoms: a history of at least two gastrointestinal symptoms other than pain (e.g., nausea, bloating, vomiting other than during pregnancy, diarrhea, or intolerance of several different foods) one sexual symptom: a history of at least one sexual or reproductive symptom other than pain (e.g., sexual indifference, erectile or ejaculatory dysfunction, irregular menses, excessive menstrual bleeding, vomiting throughout pregnancy) one psuedoneurological symptom: a history of at least one symptom or deficit suggesting a neurological condition not limited to pain (conversion symptoms such as impaired coordination or balance, paralysis or localized weakness, difficulty swallowing or lump in throat, aphonia, urinary retention, hallucinations, loss of touch or pain sensation, double vision, blindness, deafness, seizures; dissociative symptoms such as amnesia; or loss of consciousness other than fainting)

7. Mental Health - Somatization Top Links Stability of somatization disorder and Somatization Symptoms Among Primary Care Patients Mental Health Net somatization disorder Symptoms - General symptoms of the ailment http://www.mental-health-resources.com/Top_Health_Mental_Health_Disorders_Somato

Sub Categories Related Healthcare Subjects Reproductive Health Senior Health Senses Support Groups ... Women's Health Somatization Web Site Links Stability of Somatization Disorder and Somatization Symptoms Among Primary Care Patients Article by Gregory E. Simon, MD, MPH and Oye Gureje, MMBS, PhD, FRANZCP describing a study on recall in this ailment. Adolescent Medicine - Conversion and Somatization Disorders Vanderbilt Medical Center offers a short essay. Mental Health Net - Somatization Disorder Symptoms General symptoms of the ailment. American College of Occupational and Environmental Medicine Offers an online seminar for CME credits entitled "Somatization - What You Really Need to Know" by Michael Wise, MD. How do Physicians Recognise Somatization? Offers a guide for the layperson on how doctors formulate their opinions on diagnosing Briquet's disorder. Postgraduate Medicine: Simplified Approach to Somatization Disorder Kelli L. Holloway, MD and Kathryn J. Zerbe, MD discuss how physicians can distinguish this confounding condition from real physical illness and find a balanced approach to helping the patient without burning themselves out. Somatization Disorder An article describing the misdiagnosis of the condition among physicians and the history of it.

8. Mental Health Net - Somatization Disorder Symptoms General symptoms of the ailment. http://mentalhelp.net/disorders/sx94.htm

9. Somat Disord HISTORY OF somatization disorder Early in my psychiatric career I noticed that some patients who were depressed, responded in a dramatic positive way to http://www.cfsdoc.org/HxSD.htm

Chronic Fatigue Syndrome Long Term Health Maintenance Shaun Kerry, M.D. Home Treatment What's New Site Plan Clean Air ... Sleep Advanced Technical For Doctors Special Topics Disability Awards and Links Conclusion HISTORY OF SOMATIZATION DISORDER Early in my psychiatric career I noticed that some patients who were depressed, responded in a dramatic positive way to antidepressants, while others not only did not respond, they were hypersensitive to the side effects. A significant percentage of non-responders turned out to have somatization disorder. Since this condition is easy to diagnose if the interview is structured properly, many patients can be spared the agonies of unsuccessful medication trials. Somatization disorder is a disease presenting with multiple emotional and somatic symptoms seen predominately in young females. The condition tends to have a long chronic course, but generally improves somewhat after the age of 40. The patients NEVER fully recover. Somatization disorder was known by other names as long as 4,000 years ago by the Egyptians. They conceived of the disease as caused by a wandering uterus which wandered up to the shoulder and caused shoulder pain, and down to the knee and caused knee pain, and to the back, causing back pain, etc. They thought the uterus was not properly attached in place and put various sweet smelling poultices between the legs to entice the uterus back to the correct position.

10. Medical Encyclopedia: Somatization Disorder (Print Version) Medical Encyclopedia somatization disorder. Symptoms. Some of the numerous symptoms that can occur with somatization disorder include http://www.nlm.nih.gov/medlineplus/print/ency/article/000955.htm

To print this page, use the print option from your browser. To close this window, click on the "x" in the upper right hand corner of the window. Medical Encyclopedia: Somatization disorder URL of this page: http://www.nlm.nih.gov/medlineplus/ency/article/000955.htm Alternative names Briquet's syndrome Definition Somatization disorder is a chronic condition in which there are numerous physical complaints lasting for years and resulting in substantial impairment that are caused by psychological problems. Causes, incidence, and risk factors The disorder is marked by multiple physical complaints that persist for years involving any body system. Most frequently, the complaints involve chronic pain and problems with the digestive system, the nervous system, and the reproductive system. The disorder usually begins before the age of 30 and occurs more often in females. Somatization disorder is highly stigmatizated and patients are often dismissed by their physicians as having problems that are "all in your head." However, as researchers study the connections between the brain, the digestive system, and the immune system, these disorders are becoming better understood and should not be seen as "faked" conditions which the patient could end if he or she chose to do so. The symptoms are severe enough to lead the person to visit the doctor or take medication, and the symptoms interfere with work and relationships. A lifelong history of sickliness is often present, though no specific disease is ever identified to account for the symptoms. A greater intensity of symptoms often occurs with stress.

11. THE MERCK MANUAL, Sec. 15, Ch. 186, Somatoform Disorders General somatization disorder. Conversion Disorder. Hypochondriasis. Pain Disorder 191), are commonly associated with somatization disorder. If patients with persistent, recurring http://www.merck.com/pubs/mmanual/section15/chapter186/186b.htm

This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 15. Psychiatric Disorders Chapter 186. Somatoform Disorders Topics [General] Somatization Disorder Conversion Disorder Hypochondriasis ... Body Dysmorphic Disorder Somatization Disorder A chronic, severe psychiatric disorder characterized by many recurring clinically significant physical complaints (including pain and GI, sexual, and neurologic symptoms) that cannot be explained fully by a physical disorder. The disorder is often familial, and etiology is unknown. A narcissistic personality (ie, marked dependency and intolerance of frustration) contributes to the physical complaints, which appear to represent an unconscious somatized plea for attention and care. The disorder is reported to occur predominantly in women. Male relatives of women with the disorder tend to have a high incidence of antisocial personality and substance-related disorders. Symptoms Symptoms begin in adolescence or early adulthood with many vague physical complaints. Any part of the body may be affected, and specific symptoms and their frequency vary among different cultures. In the USA, typical symptoms include headaches, nausea and vomiting, bloating, abdominal pain, diarrhea or constipation, dysmenorrhea, fatigue, fainting, dyspareunia, loss of sexual desire, and dysuria. Men frequently complain of erectile or ejaculatory dysfunction. A wide variety of neurologic symptoms are common. Although symptoms are primarily physical, anxiety and depression also occur. Typically, patients are dramatic and emotional when recounting their symptoms, often referring to them as "unbearable," "beyond description," or "the worst imaginable."

12. Somatization Disorder: Description, Criteria, Causes, Symptoms, Treatments And M , Criteria, Causes, Symptoms, Treatments and Medications. somatization disorder. Also known as Description.......somatization disorder http://www.mental-health-matters.com/disorders/dis_details.php?disID=96

13. Somatization Disorder Resources somatization disorder. See The Complete Resource List. FEATURED LINKS. A Mood Journal, Derek Wood s A Mood Journal is a unique journaling http://www.mental-health-matters.com/disorders/dis_resources.php?disID=96

14. THE MERCK MANUAL--SECOND HOME EDITION, Somatization Disorder In Ch. 99, Somatofo The Merck Manual of Medical InformationSecond Home Edition somatization disorder Conversion Disorder Hypochondriasis Body Dysmorphic Disorder. somatization disorder. somatization disorder http://www.merck.com/pubs/mmanual_home2/sec07/ch099/ch099b.htm

Section 7. Mental Health Disorders Chapter 99. Somatoform Disorders Topics: Introduction Conversion Disorder Hypochondriasis Body Dysmorphic Disorder Somatization Disorder Somatization disorder is a chronic, severe disorder characterized by many recurring physical symptoms, particularly some combination of pain and digestive, sexual, and neurologic symptoms, that cannot be explained by a physical disorder. Somatization disorder often runs in families and occurs predominantly in women. Male relatives of women with the disorder tend to have a high incidence of socially disapproved behavior (antisocial personality (see Section 7, Chapter 105 )) and substance-related disorders. People with somatization disorder tend to also have personality disorders and exaggerated dependence on others (dependent personality (see Section 7, Chapter 105 The physical symptoms that people with somatization disorder experience appear to be a way of communicating a plea for help and attention. The intensity and persistence of the symptoms reflect the person's intense desire to be cared for in every aspect of life. The symptoms may also serve other purposes, such as allowing the person to avoid the responsibilities of adulthood. The symptoms tend to be uncomfortable and prevent the person from engaging in many enjoyable pursuits, suggesting that the person also suffers feelings of worthlessness and guilt. Symptoms Symptoms appear first in adolescence or early adulthood. A person with somatization disorder has many vague physical complaints, often described as "unbearable," "beyond description," or "the worst imaginable." Any part of the body may be affected, and specific symptoms and their frequency vary among different cultures. Typical symptoms include headaches, nausea and vomiting, abdominal pain, diarrhea or constipation, painful menstrual periods, fatigue, fainting, pain during intercourse, and loss of sexual desire. Men frequently complain of erectile or other sexual dysfunction. Anxiety and depression also occur.

15. Somatization Disorder Refer to conditions of use. somatization disorder. The most pain disorder. somatization disorder is also known as Briquet s Syndrome. http://www.psychnet-uk.com/dsm_iv/somatization_disorder.htm

16. Somatoform Disorders - Conversion Disorder 3/5. Click Here somatization disorder (Briquet s Syndrome). Diagnostic Criteria for somatization disorder. 2/5. On The Misdiagnosis of somatization disorder. 3/5. http://www.psychnet-uk.com/clinical_psychology/clinical_psychology_somatoform1_c

17. InteliHealth: Somatization Disorder referenced in an AZ format. somatization disorder. Health A to Z, Reviewed by the Faculty of Harvard Medical School somatization disorder http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/10774.html

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18. InteliHealth: Reviewed by the Faculty of Harvard Medical School somatization disorder http://www.intelihealth.com/IH/ihtIH/WSIHW000/8271/25759/187986.html?d=dmtHealth

19. THE MERCK MANUAL, Sec. 15, Ch. 186, Somatoform Disorders Pain Disorder. Body Dysmorphic Disorder. click here for navigation help. somatization disorder. 191), are commonly associated with somatization disorder. http://www.merck.com/mrkshared/mmanual/section15/chapter186/186b.jsp

20. THE MERCK MANUALSECOND HOME EDITION, Somatization Disorder In Ch somatization disorder. somatization disorder disorder. somatization disorder often runs in families and occurs predominantly in women. Male http://www.merck.com/mrkshared/mmanual_home2/sec07/ch099/ch099b.jsp

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