41. Somatizing Patients: Part I. Practical Diagnosis - February 15, 2000 - American One study 4 estimated that patients with somatization disorder (the most severe form of the condition) generated medical costs nine times greater than those of http://www.aafp.org/afp/20000215/1073.html

Advanced Search Somatizing Patients: Part I. Practical Diagnosis DAVID SERVAN-SCHREIBER, M.D., PH.D., N. RANDALL KOLB, M.D., and GARY TABAS, M.D. University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania The phenomenon of somatization, which results in unexplained physical complaints, is ubiquitous in primary care settings although it often goes unrecognized. Medical training emphasizes the identification and treatment of organic problems and may leave physicians unprepared to recognize and address somatoform complaints. As a process, somatization ranges from mild stress-related symptoms to severe debilitation. Patients at the low end of the spectrum often respond to simple reassurance, but patients who are more impaired require interventions specifically designed to avoid unnecessary exposure to dangerous, costly and frustrating diagnostic procedures and treatments. (Am Fam Physician 2000;61:1073-8.) I n patients with somatoform disorders, emotional distress or difficult life situations are experienced as physical symptoms. Patients who somatize present with persistent physical complaints for which a physiologic explanation cannot be found. Failure to recognize this condition and manage it appropriately may lead to frustrating, costly and potentially dangerous interventions that generally fail to identify occult disease and do not reduce suffering. In patients with somatoform disorders, emotional distress is experienced as a physical symptom.

42. Care Recommendation Letter For Somatization Disorder - April 15, 2004 - American POEM. Care Recommendation Letter for somatization disorder. Clinical Question rev. (DSMIII-R) criteria for somatization disorder. A http://www.aafp.org/afp/20040415/tips/9.html

Advanced Search Tips from Other Journals Previous Next POEM Care Recommendation Letter for Somatization Disorder Clinical Question: Does a care recommendation letter improve outcomes for patients with somatization disorder? Setting: Outpatient (primary care) Study Design: Randomized controlled trial (nonblinded) Synopsis: Somatizing patients have many unexplained symptoms; evaluation of these symptoms consumes significant health care resources and is frustrating for the patient and the physician. In this study, 2,902 consecutive primary care patients were screened for the presence of at least three unexplained physical symptoms with an 11-item questionnaire derived from the Diagnostic and Statistical Manual of Mental Disorders , 3d ed., rev. (DSM-III-R) criteria for somatization disorder. A more detailed face-to-face interview was used to classify the patients (based on DSM-III-R criteria) into somatoform disorder (13 or more lifetime unexplained physical symptoms; n = 88), abridged somatization disorder (at least four unexplained lifetime physical symptoms in men or six in women; n = 183), or multisomatoform disorder (three or more current unexplained symptoms from a list of 15 in a patient with a two-year history of somatization; n = 111). The diagnostic classifications of somatoform disorder, abridged somatization disorder, and multisomatoform disorder were not mutually exclusive; 188 patients (6.4 percent) of the 2,902 patients were classified in at least one of these groups. Thus, on a typical day of outpatient care seeing 24 patients, a physician might see one or two of these patients, so this classification has face validity.

43. Somatization Disorder - New Treatments, March 2, 2004 article. somatization disorder. DSM IV Criteria. Symptoms are not intentionally produced. Clinical Features of somatization disorder. Somatization http://www.medical-library.org/journals2a/somatization_disorder.htm

Click here to view next page of this article Somatization Disorder DSM IV Criteria Many physical complaints resulting in treatment being sought or significant functional impairment. Onset is before the age of 30. Physical Complaints History of pain related to at least 4 sites or functions. Two GI symptoms. One sexual symptom. One symptom suggestive of a neurological condition (pseudoneurological). Symptoms can not be explained by organic etiology or symptoms are in excess of what is expected from the medical evaluation. Symptoms are not intentionally produced. Clinical Features of Somatization Disorder Somatization disorder is chronic problem, and it often causes frequent seeking of medical treatment or multiple concurrent treatments. Patients undergo multiple procedures, surgeries, and hospitalizations. The disorder often begins during adolescence. Frequently encountered symptoms include nausea, vomiting, extremity pain, shortness of breath, and pregnancy or menstruation associated complaints. The frequency and severity of symptoms may vary with level of stress.

44. Somatization Disorder somatization disorder. Definition somatization disorder is a chronic condition in which there are numerous physical complaints lasting http://www.healthscout.com/ency/article/000955.htm

Advertisement Search HealthScout Web MEDLINE Special Offers TV Specials Top Features Schizophrenia Hair Loss Liver Disease Allergies ... Impotence Resources Healthscout News 3D Interactive Human Atlas Health Videos Health Encyclopedia ... Drug Library Channels Home Today Women Men ... Drug Checker Advertisement Disease Injury Nutrition Poison ... Prevention Somatization disorder 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. Alternative Names: Briquet's syndrome 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.

45. Education World® - *Social Sciences : Psychology : Disorders : Somatization Dis Up One Level TOP *Social Sciences Psychology Disorders somatization disorder. Conversion and somatization disorder HTML publication. http://db.education-world.com/perl/browse?cat_id=5619

46. Somatization Disorder somatization disorder. Click Here. (Briquet s syndrome) Syndrome marked by the chronic experience of unpleasant or painful physical http://www.webref.org/psychology/s/somatization_disorder_briquet_s_syndrome.htm

somatization disorder (Briquet's syndrome) Syndrome marked by the chronic experience of unpleasant or painful physical symptoms for which no organic cause can be found. A somatoform disorder in which the person continually seeks medical help for recurrent and multiple physical symptoms that have no discernible physical cause, and that are often not physiologically possible, suggesting that psychological factors are involved. The medical history is complicated and dramatically presented. Compare with hypochondriasis. Back Next Search! Psychology - # ... Privacy Statement Human Mind WebRing Join Now Ring Hub Random About Us ... Tabularium™ WebRef™ Search WWW Search webref.org Digital River: Get amazing deals on great software! This site hosted by EASY CGI Web Hosting

47. Somatization Disorder - General Practice Notebook somatization disorder. somatization disorder is a specific syndrome characterised by Onset of a somatization disorder is usually before the age of 30. http://www.gpnotebook.co.uk/cache/-328531966.htm

somatization disorder Somatization disorder is a specific syndrome characterised by: multiple somatic complaints no organic pathology no autonomic overstimulation symptoms which have persisted for several years Onset of a somatization disorder is usually before the age of 30. Thereafter it runs a chronic course with repeated recurrences of symptoms. The syndrome is also referred to as multiple somatization disorder, St. Louis Hysteria and Briquet's syndrome. The syndrome was named after Briquet by a group in St. Louis, USA. Briquet was a French physician who in 1859 wrote an influential monograph on hysteria. Click here for more information...

48. Multiple Somatization Disorder - General Practice Notebook multiple somatization disorder. somatization disorder is a specific syndrome characterised by Onset of a somatization disorder is usually before the age of 30. http://www.gpnotebook.co.uk/cache/-46858207.htm

multiple somatization disorder Somatization disorder is a specific syndrome characterised by: multiple somatic complaints no organic pathology no autonomic overstimulation symptoms which have persisted for several years Onset of a somatization disorder is usually before the age of 30. Thereafter it runs a chronic course with repeated recurrences of symptoms. The syndrome is also referred to as multiple somatization disorder, St. Louis Hysteria and Briquet's syndrome. The syndrome was named after Briquet by a group in St. Louis, USA. Briquet was a French physician who in 1859 wrote an influential monograph on hysteria. Click here for more information...

49. Somatization Disorder - Encyclopedia Article About Somatization Disorder. Free A somatization disorder Mental Health Terms and Definitions by Definition for somatization disorder and other Mental Health Terms by Health Dictionary. Hospital Directory. Doc Loan s Advice. somatization disorder http://encyclopedia.thefreedictionary.com/Somatization disorder

Dictionaries: General Computing Medical Legal Encyclopedia Somatization disorder Word: Word Starts with Ends with Definition Somatization disorder is a psychiatric Psychiatry is a branch of medicine that studies and treats mental and emotional disorders (see mental illness). The term alienist is an old term for a psychiatrist. Note that psychiatry is practiced by psychiatrists, psychology by psychologists. Psychiatrists have medical training, while psychologists have extensive training in therapy and psychological testing. Mind versus brain Click the link for more information. condition, manifesting as a physical complaint. Internal psychological Psychology is a collection of academic, clinical and industrial disciplines concerned with the explanation and prediction of behavior, thinking, emotions, motivations, relationships, potentials and pathologies. It might be said that many related disciplines live under the same name including: experimental psychology, which focuses on basic and applied science; humanistic psychology, which uses Click the link for more information.

50. Healthinmind/MentalDisorders/SomatoformDisorders/Somatization Disorders somatization disorder. A somatization disorder (SD) is relatively rare, and probably more common in women than in men. No more http://healthinmind.com/english/somatiz.htm

Healthinmind Mental Health Disorders Somatoform Disorders Somatization Disorder A very specific set of symptoms defines this somatoform disorder. The individual must have a history of physical complaints beginning before he or she is 30 years old that has caused significant distress or impairment. Among the complaints there must have been at least four pain symptoms, two symptoms involving the digestive tract, one involving sexual functioning, and one symptom involving the nervous system. The symptoms could have occurred at any time prior to the examination. The pain can have occurred at any place, during any activity; similarly, there are no further restrictions on the place or time of the other three classes of symptoms. The second requirement is that the symptoms cannot be adequately explained by any observable medical condition or by the effects of a drug. Finally, it must appear that the symptoms are not produced deliberately by the examinee. Somatization Disorder (SD) is relatively rare, and probably more common in women than in men. No more than 1 man in 500, and perhaps 1 woman in 200, has SD. People with the disorder may consult multiple physicians and receive many tests, and even operations, that turn out to be unnecessary. The disorder is likely to be lifelong; patients who seek or are referred to mental health professionals are difficult to convince that their symptoms have little physical basis, given that the patient did not voluntarily produce the symptoms. Denying the validity of the symptoms simply makes the patient seek another professional who acknowledges the genuineness of the symptoms. Patients' colorful, though often inconsistent, descriptions of their symptoms may initially be convincing to the physicians that they so often consult. Maxmen and Ward

51. Somatization Disorder somatization disorder. Alternative Names Briquet s syndrome. Symptoms Some of the numerous symptoms that can occur with somatization disorder include http://lebonheur.adam.com/pages/content.asp?genId=000955&proj=1&lang=en

52. Disease - Somatization Disorder - Hartford, Connecticut , Saint Francis Care Disease somatization disorder - courtesy of Saint Francis Care of Hartford, Connecticut, contemporary medicine with major clinical concentrations in heart http://www.saintfranciscare.com/13815.cfm

@import url(main.css); About Us Health Information Adam Article Manager CareMail Signup ... Ways To Help Adam Article Manager Back Back to main Health Information page Disease - Somatization disorder 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. Alternative Names: Causes And Risk: 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.

53. PsychForums.com Index The time now is Fri May 14, 2004 959 am PsychForums.com Forum Index Somatoform Disorders, somatization disorder, View unanswered posts. somatization disorder, http://www.psychforums.com/forums/index.php?h=1&pf=104

54. DB's Medical Rants » On Hypochondria (or Somatization Disorder) 3/30/2004 On hypochondria (or somatization disorder) A New Era in Treating Imaginary Ills They make frequent doctors’ appointments http://medrants.com/archives/2004/03/30/on-hypochondria-or-somatization-disorder

@import url( /css/design.css ); ACP-ASIM Observer AMA news NY Times Health Washington Post Health ... A New Era in Treating Imaginary Ills Yet how to deal with hypochondria, a disorder that afflicts one of every 20 Americans who visit doctors, has been one of the most stubborn puzzles in medicine. Where the patient sees physical illness, the doctor sees a psychological problem, and frustration rules on both sides of the examining room. Recently, however, there has been a break in the impasse. New treatment strategies are offering the first hope since the ancient Greeks recognized hypochondria 24 centuries ago. Cognitive therapy, researchers reported last week, helps hypochondriacal patients evaluate and change their distorted thoughts about illness. After six 90-minute therapy sessions, the study found, 55 percent of the 102 participants were better able to do errands, drive and engage in social activities. Antidepressant medications, other studies indicate, are also proving effective. The biggest challenge is sorting out their hypochondriacal complaints from real disease, because even a hypochondriac can get sick. I once had a patient who came to me after having 17 negative HIV tests. He had not had any sexual relations in over 6 months, yet thought he needed another test.

55. The Brain Dynamics Centre - Neurophysiological Dysfunction In Home Publications Previous Neurophysiological dysfunction in somatization disorder, Neurophysiological dysfunction in somatization disorder. http://www.brain-dynamics.net/braindynamics/publications/pubs_abstract.jsp?PubID

56. The Brain Dynamics Centre - Neurophysiological Dysfunction In Home Publications Previous Neurophysiological dysfunction in somatization disorder? Neurophysiological dysfunction in somatization disorder?. http://www.brain-dynamics.net/braindynamics/publications/pubs_abstract.jsp?PubID

57. CJP - March 2003 BrightLight Therapy in somatization disorder. Dear Editor somatization disorder (SD) is a chronic but fluctuating disorder that rarely remits completely. http://www.cpa-apc.org/Publications/Archives/CJP/2003/march/lettersBright.asp

The Canadian Journal of Psychiatry March 2003 La revue canadienne de psychiatrie ... (PDF) Editorial In This Issue Quentin Rae-Grant (PDF) Original Research Quality of Life in OCD: Differential Impact of Obsessions, Compulsions, and Depression Comorbidity Mario Masellis, Neil A Rector, Margaret A Richter (PDF) A Pilot Study of a Parent-Education Group for Families Affected by Depression Mark Sanford, Carolyn Byrne, Susan Williams, Sandy Atley, Ted Ridley, Jennifer Miller, Heather Allin (PDF) Differentiating Symptoms of Complicated Grief and Depression Among Psychiatric Outpatients John S Ogrodniczuk, William E Piper, Anthony S Joyce, Rene Weideman, Mary McCallum, Hassan F Azim, John S Rosie (PDF) Filicidal Women: Jail or Psychiatric Ward? Line Laporte, Bernard Poulin, Jacques Marleau, Renée Roy, Thierry Webanck (PDF) Phenomenology and Comorbidity of Dysthymic Disorder in 100 Consecutively Referred Children and Adolescents: Beyond DSM-IV Gabriele Masi, Stefania Millepiedi, Maria Mucci, Rosa Rita Pascale, Giulio Perugi, Hagop S Akiskal (PDF) A Multicentre Prospective Controlled Study to Determine the Safety of Trazodone and Nefazodone Use During Pregnancy Adrienne Einarson, Lori Bonari, Sharon Voyer-Lavigne, Antonio Addis, Doreen Matsui, Yvette Johnson, Gideon Koren

58. CJP - March 2004 - Somatization And Conversion Disorder that incorporate the concept of somatization include body dysmorphic disorder, conversion disorder, hypochondriasis, somatization disorder, pain disorder http://www.cpa-apc.org/Publications/CJP/current/hurwitz.asp

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59. Somatization Disorder (Briquet’s Syndrome) First Previous Next Last Index Text. Slide 3 of 12. http://campus.houghton.edu/orgs/psychology/abn7a/sld003.htm

60. Somatization Disorder (Briquet’s Syndrome) somatization disorder (Briquet’s syndrome). Many physical complaints. Beginning before age 30. Must include. Four different pains; http://campus.houghton.edu/orgs/psychology/abn7a/tsld003.htm

Somatization Disorder (Briquet’s syndrome) Many physical complaints Beginning before age 30 Must include Four different pains Two gastrointestinal symptoms One sexual symptom One pseudoneurological symptom Symptoms are unfounded or exaggerated Previous slide Next slide Back to first slide View graphic version

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