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Transcript
Trauma, Somatization and Depression Andrei Novac, M.D., F.A.P.A. Clinical Professor Director, Traumatic Stress Program University of California, Irvine Somatization in Clinical Practice (Noyes, Holt, Kathol 1995) • Patients with multiple unexplained complaints (somatizers) • Patients excessively worried about serious illness (hypochondriasis) • Patients with psychiatric disorders with somatic symptoms (depression; anxiety) Somatization (Noyes, R., Holt, C., Kathol, R. 1995) • Abnormal illness behavior (i.e., failure to respond to treatment; unusual side effects) • Psychological distress (a mixture of psychosocial stressors -- trauma and symptoms of anxiety and depression) Somatic Presentation of Traumatic Disorders • Mood Disorders: Low energy, fatigue, motoric retardation/agitation, changes in weight, changes in sleep patterns, poor concentration and memory • Anxiety Disorders: Restlessness/ agitation, fatigue, muscle tension & myalgia, poor concentration, sleep disturbances, trembling, perspiration, palpitations, nausea, dizziness, paresthesias, chills or hot flashes Somatic Presentation of Traumatic Disorders (cont’d) • PTSD & ASD: Symptoms—GI, CV, Neuro, Muscular-Skeletal, SOB, Headaches, Back Pain + Startle Response, agitation, insomnia, poor memory/concentration, symptoms of hypertension & Diabetes • Conversion Disorders: A. With motor deficit; B. With sensory deficit; C. With seizures; D. Combined Somatoform Disorders (DSM -IV) • • • • Somatization Disorder Undifferentiated Somatoform Disorder Conversion Disorder Pain Disorder: 1.With psychological factors; 2. With both psychological factors and medical condition • Hypochondriasis • Body Dysmorphic Disorder • Somatoform Disorder, NOS For additional information regarding this subject, please contact Dr. Novac at [email protected]
