Somatic Symptom Disorder
Somatic symptom disorder (SSD) is a mental health condition characterized by one or more chronic physical symptoms that cannot be fully explained by a medical condition, substance use, or other mental health condition. These symptoms cause significant distress and result in substantial disruption of daily life.
Diagnostic Criteria
The diagnostic criteria for somatic symptom disorder, as outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), include:
- One or more chronic physical symptoms that are distressing and result in significant disruption of daily life.
- Excessive thoughts, feelings, or behaviors related to the somatic symptoms or associated health concerns.
- At least one of the following:
- Disproportionate and persistent thoughts about the seriousness of one's symptoms.
- Persistently high level of anxiety about health or symptoms.
- Excessive time and energy devoted to these symptoms or health concerns.
Symptoms
The physical symptoms associated with somatic symptom disorder can vary widely and may include:
- Pain
- Fatigue
- Gastrointestinal symptoms, such as abdominal pain or bowel changes
- Neurological symptoms, such as numbness, tingling, or tremors
- Cardiovascular symptoms, such as palpitations or chest pain
Treatment
Treatment for somatic symptom disorder typically involves a combination of psychotherapy and medication. Cognitive-behavioral therapy (CBT) is often used to help individuals identify and change negative thought patterns and behaviors associated with their symptoms. Medications, such as antidepressants or anti-anxiety medications, may be prescribed to help manage symptoms of anxiety or depression that often co-occur with SSD.
Prognosis
The prognosis for somatic symptom disorder varies depending on the individual and the severity of their symptoms. With appropriate treatment, many people are able to manage their symptoms and improve their quality of life. However, some individuals may experience persistent or recurring symptoms, and ongoing treatment may be necessary to maintain improvement.
Frequently Asked Questions (FAQs)
What is Somatic Symptom Disorder?
A mental health condition characterized by excessive thoughts and anxiety about physical symptoms.
What are common symptoms of Somatic Symptom Disorder?
Pain, fatigue, gastrointestinal issues, and other bodily complaints that may or may not be associated with a medical condition.
How is Somatic Symptom Disorder diagnosed?
Through a comprehensive psychological evaluation and medical assessment to rule out underlying medical conditions.
What is the difference between Somatic Symptom Disorder and Illness Anxiety Disorder?
Somatic Symptom Disorder focuses on distressing physical symptoms, while Illness Anxiety Disorder involves excessive worry about becoming ill.
Can Somatic Symptom Disorder be treated?
Yes, with cognitive-behavioral therapy, medication, and other interventions to manage symptoms and improve quality of life.
Is Somatic Symptom Disorder related to stress?
Stress may exacerbate or contribute to the development of Somatic Symptom Disorder in some individuals.
Can Somatic Symptom Disorder co-occur with other mental health conditions?
Yes, it can co-occur with depression, anxiety disorders, and other mental health conditions.
How common is Somatic Symptom Disorder?
Estimated to affect approximately 5-7% of the general population, although prevalence may vary depending on the study.
Is Somatic Symptom Disorder more common in women or men?
Research suggests it may be more common in women, but more studies are needed to confirm this finding.
What is the prognosis for individuals with Somatic Symptom Disorder?
Varies depending on individual circumstances, treatment response, and presence of co-occurring conditions.
Article last updated on: 18th October 2025.
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