Persistent Somatoform Pain Disorder 2 in Case | Breast Pain Blog

Somatoform Disorder

A technical executive with 52 years of making an application for disability retirement because of chronic pain. Freiburger list and the short version of Giessen Complaint arc he reached a high degree of severity of pain in almost all areas covered. Various specialists can find the cause of his discomfort organic require somatoform pain disorder is assumed. He is always sick, why he has so often in the past two years on sick leave, he immediately had to take into account termination and subsequent unemployment if he can not get a pension. He suffered for at least three years, primarily from back pain, neck pain, joint pain and abdominal pain. In addition to pain killers antidepressants him from her neurologist. He was really depressed for a long time because he wished that he had would belong to the next worker because of his age who wants to reduce his company. Although he had previously been very tense, which he visited masseuse confirmed, but for several years it was very bad. Of history proved that the wife had been diagnosed with breast cancer four years ago and had relapsed six months ago. These can be symptoms of somatoform pain also strengthened as demotivation in the workplace, where he had lost a previous job with the company's restructuring. A decline in cognitive performance and Mnemic where patients have complained to the neurological examination done before, is the psychological examination is not visible, but sensorimotor retardation and poor sustained attention capacity.

A woman 35 years complained for three years on chronic pelvic pain. You have visited a total of five gynecologists in the course of time, but no one could help her. They continue to draw a pain in the abdomen and lower waist without organic cause, which has once again, sometimes less obvious. In addition, they suffer in varying degrees from headaches, back pain, circulatory problems, loss of libido and pain during sexual intercourse. A female doctor who persuaded him to psychotherapy, although he could not imagine what it would be changed by it. It turns out her husband for several years now have alcohol addiction treatment without insight. He wanted to sleep more often drunk with it. He could not escape him, because when they have tried this once, he had beaten her. They endure all just because kids. You can also financial reasons, but also separate.

Pain Disorder - Chronic Pain | Breast Pain Blog

Fibromyalgia

As part of my work in the field of psychosomatic medicine State Psychiatric Hospital Wagner-Jauregg in Linz, Austria, since 2002 I have specialized in addition to the treatment of eating disorders, especially in the treatment (SFD) pain disorders. In contrast to patients with anxiety disorders, fatigue and depression almost people come up with what is called "persistent somatoform pain disorder" in my practice. This may be related to the fact that people with chronic pain - even if it does not find a specialist or not there is significant reason for this - can not imagine that the psychological and social factors that cause pain at the tumor boundary, maintain, reinforce and exacerbate.

The following report is intended to give of my book "Somatoform Disorders" better understanding (SFD) pain disorders.

Persistent somatoform pain disorder

A 39-year experience with car repairs in a traffic accident. He got up in the fog on the already squeezed together car and pinned in her car. Because he was wearing a seat belt, worse can be prevented. As it turned out, he did not sprain his right leg and injured. He is always awake. The biggest problem is the uncertainty on the one hand how hard it got him on the other hand, the total narrowing with the feeling that there is no air. He had to wait half an hour to be carved out of the car was a fireman. At the hospital bothering especially foot sprains and abrasions illness but rather unbearable in the chest area. He believes that there are no broken ribs, it hardly. The next day he tells visitors at the hospital accident. He got cramps in the chest area with radiating pain in the left arm. He thought he had a heart attack and developed a fear of death. Organic causes for this attack could not be found. Then he repeatedly complained of severe pain in the chest, which does not have an organic cause also in subsequent studies in other hospitals. Due to the ongoing chest pain, he two months sick leave until he went to work for fear of losing their jobs again. She began taking painkillers increased so far. At night he needed even sleeping pills, because if not, it will not hurt thin and could sleep. After half a year, chest pain is still there, often in conjunction with neck pain. A drug does not bring improvement, and treatment by specialist doctors and masseurs do not cause lasting pain.