Diagnosis and treatment of somatoform disorder with gastroenterological symptoms
A. S. Sarsenbaeva,
E. V. Malinina,
A. E. Mityushkin,
V. A. Chinarev,
V. C. Mikhailina,
A. V. Pokidusheva https://doi.org/10.31146/1682-8658-ecg-228-8-251-257
Abstract
Somatic symptoms, under the guise of which mental disorders can be hidden, are a problem for patients, psychiatrists and doctors of other specialties who are faced with this in the first place. Anxiety for one’s health and subjectively experienced bodily sensations force the patient to repeatedly seek medical help, which can aggravate maladjustment and cause significant damage to resources, causing additional stress, closing a vicious circle. Purpose of the study: to analyze the clinical manifestations, problems of diagnosis and treatment of psychopathological disorders using the example of clinical observation of somatoform disorder in a young man with gastroenterological symptoms. Materials and methods: the patient’s diagnosis corresponded to ICD-10 code F45.3 Somatoform dysfunction of the autonomic nervous system. Clinical-anamnestic, clinical-psychopathological, laboratory and instrumental methods were used. This clinical case demonstrates certain difficulties in diagnosing and treating somatoform disorders due to the need to exclude somatic pathology, nonspecific and difficult to differentiate symptoms that are not subjectively realized by the patient, individual selection of therapy and low compliance with it, and the need for psychotherapeutic assistance.
About the Authors
A. S. Sarsenbaeva
South Ural State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
E. V. Malinina
South Ural State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
A. E. Mityushkin
South Ural State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
V. A. Chinarev
South Ural State Medical University of the Ministry of Health of the Russian Federation; Regional Clinical Specialized Psychoneurological Hospital No. 1
Russian Federation
Russian Federation
V. C. Mikhailina
South Ural State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
A. V. Pokidusheva
South Ural State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
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For citations:
Sarsenbaeva A.S., Malinina E.V., Mityushkin A.E., Chinarev V.A., Mikhailina V.C., Pokidusheva A.V. Diagnosis and treatment of somatoform disorder with gastroenterological symptoms. Experimental and Clinical Gastroenterology. 2024;(8):251-257. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-228-8-251-257
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