Physical Symptoms First, Disease Anxiety, Conversion Syndrome and Brain Overwork

What is Somatic Symptom Disorder?

BReINPreviously, somatization disorder, somatoform disorder, and somatoform pain disorder were collectively referred to as somatic symptom disorder.

Diagnostic criteria are basically clinical diagnosis. Disruption of daily life for 6 months or more and at least one of the following applies.

  • Disproportionate and persistent thoughts about the severity of symptoms
  • Intense, persistent anxiety about health or symptoms
  • Excessive waste of time and energy on symptoms or health concerns

Of course, it is premised that no organic disease is recognized by various tests and that there is no medically rational explanation for the patient's complaint. Related to this is disease anxiety.

What is Illness Anxiety?

It was once called hypochondriasis, but this name is no longer used. This is a condition in which there is an intense fear that one must be ill or that one will become ill, and that fear limits social activities and is associated with significant distress.

Diagnosis of illness anxiety disorder is also clinically based on the following criteria:

  • Preoccupation with serious illness or development.
  • Little or no physical symptoms.
  • He has strong anxieties about his health and is wary of trifles.
  • Even though self-checks are frequent, people tend to avoid making appointments and visiting hospitals.
  • Excessive preoccupation with illness or change in specific complaints over 6 months.
  • Difficult to explain with depression or another mental disorder.

in sickness anxietymeaning of illnessanxiety, but is more pronounced in somatic symptom disordersymptoms themselvesThere is a feature (difference) that people tend to feel anxious about

What is conversion disease

It used to be called conversion hysteria or conversion disorder, but the Japanese version of DSM-5 by the American Psychiatric Association has revised the diagnosis to conversion disorder.

It is a type of somatization (a mental phenomenon that appears as a physical symptom), and it seems that there are many cases where it develops after being subjected to a great deal of stress. Impaired motor or sensory function, sometimes including tremors, seizures, loss of consciousness, and abnormal limb position.

More specific symptoms include impaired coordination, balance problems, muscle weakness, paralysis of the upper or lower extremities, sensory loss, diplopia, deafness, loss of voice, difficulty swallowing, and laryngopharyngeal sensation.
When diagnosing conversion syndrome, it is most important to differentiate it from similar diseases (the details of the symptoms do not match those of neurological disease). and able to walk on tiptoe.”

On top of that, conversion disorder is diagnosed when there is a significant impairment in all aspects of daily life. In some cases, the disappearance of symptoms with psychiatric approaches can lead to a “therapeutic diagnosis.”

In general, it is rare for patients to accept that they have the disease, so building a relationship of trust with medical professionals is extremely important.

Brain homeostasis dysfunction (BD) is deeply involved in all of these!

It has been reported in our clinical research that a considerable number of brain homeostasis dysfunctions (BD) are latent in a group of diseases called somatization.

In the various life cycles of each individual, when unavoidable conflict continues for a long time or when exposed to sudden and powerful stress, it falls into a state called brain overload. When this triggers the transition to brain homeostasis dysfunction (BD), various symptoms appear.

At this time, when unconscious emotions are not released smoothly, or when unconscious feelings cannot be smoothly verbalized, humans output in a wide variety of forms. It means that you may unconsciously show various symptoms or express yourself.

In fact, we have confirmed the same phenomenon in clinical practice at our hospital, and there are cases in which symptoms subside by stopping overload or improving brain homeostasis dysfunction (BD).

When you receive these three diagnoses from a psychiatrist or psychosomatic medicine department, please be aware that there is an option of BReIN (integrative therapy that combines multiple techniques such as listening counseling and touching) that does not rely on drugs. .

For those interested in Cognitive Science Integrated Approach (COSIA)

The Cognitive Science Integrated Approach (COSIA) is a concept that represents the “integration of cognitive science and medicine” and has its origins in pain management in musculoskeletal primary care.

In the current situation where image labeling and diagnosis of the cause of pain diverge, the International Association for the Study of Pain (IASP) has revised the definition of pain and is shifting to the "emotional origin theory of pain."

If you are interested in COSIA, please visit the "Special Site for Medical Professionals and Therapists". We look forward to your participation.