Somatization disorder

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Briquet's syndrome

Once other causes have been ruled out and a diagnosis of somatization disorder is secured, the goal of treatment is to help the person learn to control the symptoms. There is often an underlying mood disorder which can respond to conventional treatment, such as antidepressant medications. Unfortunately, persons with this disorder rarely admit that it can be caused, at least in part, by mental health problems, and will usually refuse psychiatric treatment.

A supportive relationship with a sympathetic health care provider is the most important aspect of treatment. Regularly scheduled appointments should be maintained to review symptoms and the person's coping mechanisms. Test results should be explained.

You should not be told that your symptoms are imaginary. With the current understanding of the complex interactions between the brain and other body parts, scientists recognize that true physical symptoms can result from psychological stress.

• Complications may result from invasive testing and from multiple evaluations that are performed while looking for the cause of the symptoms.
• A dependency on pain relievers or sedatives may develop.
• A poor relationship with the health care provider seems to worsen the condition, as does evaluation by many providers.

A good relationship with a consistent primary health care provider is helpful. Call for an appointment if there is a significant change in symptoms.

Review Date: 07/25/2006
Reviewed By: Paul Ballas, D.O., Department of Psychiatry, Thomas Jefferson University Hospital, Philadelphia, PA. Review provided by VeriMed Healthcare Network.