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P02-316 - Somatization -Diagnostic Dilemma

Published online by Cambridge University Press:  17 April 2020

A. Pavešić Radonja
Affiliation:
Department of Psychiatry, University Hospital Rijeka, Kastav
T. Grahovac
Affiliation:
Department of Psychiatry, University Hospital Rijeka, Rijeka, Croatia
I. Rončević Grežeta
Affiliation:
Department of Psychiatry, University Hospital Rijeka, Rijeka, Croatia

Abstract

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Introduction

Somatization (Greek, soma = body) is a disorder in which the psychological and emotional problems are expressed in physical symptoms. People prone to somatization tend to complain about the pain within the multiple organic systems although it cannot be find any organic cause.

Objectives

Somatization as a separate diagnostic entity exists in the Somatoform disorder, but it occurs in a number of other psychopathological entities, such as mood disorders, panic disorder (in the attack), generalized anxiety disorder, delusions in schizophrenia, dependence on psychoactive substances, etc. Also, some personality disorders are more related to the expression of somatization. There is usually referred Histrionic, borderline, antisocial personality disorder etc.

Aims

Because of possible multiple access to somatization as a symptom of psychopathological entity, the case of patient who expressed somatization was selected for presentation. Focus was on the course of hospitalization and differential diagnostic dilemmas with which we encountered in the diagnostic procedure according to DSM-IV.

Methods

Psychiatric interview, mental status, EEG, Psychological Testing, SCID I DSM-IV.

Results and conclusion

According to the used methods it was selected -Unspecific Somatoform disorder- as solution to the dilemma in our case.

Type
Psychosomatic disorders / Eating disorders / Somatoform disorders
Copyright
Copyright © European Psychiatric Association 2010
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