Psychosomatic Disorders: Types, Symptoms, and Psychological Factors

Psychosomatic disorders are characterized by psychological conflict significantly altering somatic functions. It can be acute or chronic and, through mechanisms of repression and conversion, are translated into the body.

Genitourinary

  • Enuresis
  • Impotence
  • Frigidity
  • Premature Ejaculation
  • Amenorrhea
  • Dysmenorrhea

Respiratory

  • Asthma

Cardiovascular

  • Tachycardia
  • Hypertension

1 – Somatoform Disorders:

Somatic complaints or dysfunctions that are not under conscious control and for which there is no demonstrable organic cause.

2 – Psychophysiologic Disorders:

(Affecting the development or recurrence of involvement demonstrable physical pathological aspects.)

3 – Factitious Disorder:

(Somatic complaints and psychological dysfunctions controlled, conscious, and self-induced.)

Alexithymia: Lack or absence of reading emotion. A work characterized by operational thinking (meaning). No fantasy world. Difficulty with appropriate expression of emotions. Lack of capacity to find appropriate words to describe feelings.

STRESS: The warning and long-term care can produce physiological and organ pathology.

Reaction to stress:
  • Normal: The warning is followed by a defensive action.
  • Neurotic: The alert and anxiety are so great that the defense becomes ineffective.
  • Psychotic: The alarm may be poorly received and even ignored.
  • Psychophysiologic: The defense fails; psychic and somatic systems overload, causing change.

Hyperthyroidism is a pathological increase in the activity of the thyroid gland with excessive secretion of thyroid hormones T3 and/or T4.

The symptoms are:
  • Cardiovascular manifestations (tachycardia, palpitations).
  • Skin manifestations (dryness, vasodilation and sweating, clammy hands, and hot).
  • Muscle manifestations (weakness, fine tremor in fingers and hands, fatigue).
  • Nervous manifestations (restlessness, irritability, emotional lability, insomnia).

IBS is a disorder that is often misunderstood to relate to “nerves.” It is a disease of exclusion. Depending on the severity, for one person, it may mean only minor discomfort, and for others, problems can cause serious personal, social, and/or labor issues. Severe pain, gas, diarrhea, constipation, alternating bouts of diarrhea and constipation, incomplete evacuation of stools, malaise, especially in the early hours of the day.

Rheumatoid arthritis (RA) is a systemic disease characterized by chronic inflammation, primarily of the joints, which produces progressive destruction with varying degrees of deformity and functional disability. Sometimes, its behavior is extraarticular: It may cause damage to cartilage, bones, tendons, and ligaments of the joints and can affect various organs.

Essential hypertension: This condition is often associated with the coexistence of contradictory trends. On the one hand, there would be an activation of the cardiovascular system and muscle groups associated with the production of assertive, aggressive behavior. Secondly, the need to control and inhibit those impulses, fearing the loss of affection from others. Cardiovascular disease is associated with trauma (discouraged, reversal of heart, “broken heart”) or inhibition of the experience of deep love, in which muscle tensions in the service of preventing the operation and heart rate are determined by the state for carrying out the object of love.

Psychosis and schizophrenia: Mental disorders have a profound disorganization of the personality. Alteration of critical thought and the relationship with reality are manifested by delusions and hallucinations.

Delusions are defined as false beliefs about external reality, based on incorrect inferences that, despite strongly arguing, others may disagree and undeniable proof and evidence obtained against them.

Delusions of persecution are characterized because the person believes that they are following, observing, deceiving, or abusing in any manner. In delusions of reference, the person believes that gestures or comments of others or on television or radio are messages.

In thought insertion, thoughts are experienced as not the person’s own; they are placed in their mind by an external agent.

The retransmission of thought is the experience that thoughts are transmitted so that other people know.

In the theft of thought, the person believes an external force has taken their thoughts.

Somatic passivity is characterized by the person believing they are a passive recipient of bodily sensations imposed upon them by an external agent. Delusions of control are characterized by the belief that one’s body and actions are controlled by an external force.

In delusions of love, the person believes they are loved by a person of high status.

Delusions: These are ideas rooted in the mind of the patient from which they claim they have evidence, but that are not real: Paranoid, Grandeur.

A. Characteristic symptoms:

Two (or more) of the following, each present for a significant part of a period of 1 month (or less if treated successfully):

  1. Delusional ID
  2. Hallucinations
  3. Disorganized language (e.g., frequent derailment or incoherence)
  4. Grossly disorganized or catatonic behavior
  5. Negative symptoms, i.e., affective flattening

B. Social/occupational dysfunction