Somatization disorder: A case report

Pages: 1454-1456
Madhvi Vijra and Manpreet Ola (Amity Institute of Clinical Psychology, Amity University, Haryana)

Somatization disorders can be seen as concealed psychiatric problem or developed personal perception or as soliciting care for emotional distress or a response to health care aid. It can be explained as the tendency to experience and communicate somatic discomfort and symptoms lacking any pathological causes. As the symptoms are not intentionally presented hence it contrasts with malingering or factitious disorder. The causes could be genetic factors, cognitive perspectives, personality dynamics, abuse, socio-cultural factors, and patho-physiological system. The current case report presents a clinical picture and management plan of somatization disorder with dysthymia. The case is that of 35 years old male, air force officer, belonging to high socio-economic status, reported of back pain, difficulty swallowing food, bloated stomach, burning sensation around forehead, lips, tongue and jaw for past 2 and half years for which he repeatedly consulted various doctors for his problems despite all reports being normal. The primary diagnosis was that of somatization disorder (F45.0) along with co-morbid dysthymia (F34.1). The management was pursued with cognitive behavior therapy. After attending the therapy session, the client could gain a better understanding of his symptoms and deal with his problems effectively, resulting in decreased levels of anxiety and distress.