Psychosomatic disorders
נבדק על ידי Dr Krishna Vakharia, MRCGPעודכן לאחרונה על ידי Dr Caroline Wiggins, MRCGP Last updated 22 Sept 2023
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Psychosomatic means mind (psyche) and body (soma). A psychosomatic disorder is a disease which involves both mind and body.
At a glance
Psychosomatic disorders involve distressing physical symptoms caused by an incorrectly functioning autonomic nervous system.
Many diseases involve both mind and body, and mental factors can worsen some physical illnesses.
Sometimes, mental factors cause physical symptoms even when no physical disease is found.
A doctor diagnoses these conditions, sometimes requiring specialist input and medical tests.
Treatments can include medication, therapy, or stress-reducing strategies.
במאמר זה:
המשך לקרוא למטה
What are psychosomatic disorders?
Psychosomatic disorders are conditions which cause troublesome, distressing physical symptoms, caused by the autonomic nervous system not functioning correctly. The autonomic nervous system controls involuntary actions within the body - such as your heart rate, blood pressure, digestion as well as other functions. There are many different symptoms and types of conditions which can result from this.
Which diseases are psychosomatic?
חזרה לתוכןTo an extent most diseases are psychosomatic - involving both mind and body. There is a mental aspect to every physical disease. How we react to disease and how we cope with disease vary greatly from person to person There can be physical effects from mental illness. For example, with some mental illnesses you may not eat, or take care of yourself, very well which can cause physical problems.
Some physical diseases are thought to be particularly prone to be made worse by mental factors such as stress and anxiety. For example, these include:
It is thought that the actual physical part of the illness (the extent of a rash, the level of the blood pressure, etc) can be affected by mental factors. Many people with these and other physical diseases say their mental state can affect how bad their physical disease is at any given time.
Some people also use the term psychosomatic disorder when mental factors cause physical symptoms but where there is no physical disease found. For example, a כאבים בחזה may be caused by stress and no physical disease can be found.
See the separate leaflet called Somatisation and Somatoform Disorders for more details.
המשך לקרוא למטה
How can the mind affect physical diseases?
חזרה לתוכןIt is well known that the mind can cause physical symptoms. For example, when we are afraid or anxious we may develop symptoms of anxiety. These are good examples of psychosomatic symptoms.
How are psychosomatic disorders diagnosed?
חזרה לתוכןThese conditions are diagnosed by a doctor. Sometimes you may need to see a specialist to be diagnosed.
You may need medical tests, depending on your symptom or condition. These conditions can be difficult to diagnose and it may take some time for your medical team to make the diagnosis to help you start the right treatment.
המשך לקרוא למטה
What are the treatments for psychosomatic disorders?
חזרה לתוכןEach disease or symptom has its own treatment options. In these conditions it is often important to take into account physical, mental and social factors which may be contributing to a disease. Therefore, treatments such as medication, seeing a therapist, occupational therapist or starting treatments to ease רגשי, חרדה, דיכאון, may help if they are thought to be contributing to your symptoms.
Can psychosomatic disorders be prevented?
חזרה לתוכןAt present, we don't think they can be prevented. Hopefully further research looking at this will help us to understand if this might be possible in the future.
What is the outlook for people with psychosomatic disorder?
חזרה לתוכןThese conditions and symptoms can improve or go away completely with the right treatment. It depends on the condition or symptom you have, and relies on finding what treatments work for you. This is where working together with your medical team can make a big difference to your condition.
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בריאות הנפש
Self-harm
Self-harm is common and can occur at any age, but tends to occur more in young people. It is not known accurately how many people self-harm or how often because it is a problem that is often hidden. However, a recent national UK study found that about 7 in 100 girls aged 11-16, and 3 in 100 boys aged 11 to 16, had self-harmed or attempted suicide at some point. For 17- to 19-year-olds, 21 in 100 girls and 9 in 100 boys, had self-harmed or attempted suicide. For some people, self-harm is a one-off episode but it is also common to self-harm repeatedly. People who self-harm are much more likely to attempt suicide.
מאת ד"ר קולין טיידי, MRCGP

בריאות הנפש
Somatisation and functional disorders
Somatisation is no longer a commonly used term. What used to be considered somatising symptoms or somatoform disorders are now more commonly termed "functional disorders" or "functional symptoms". Terminology can be confusing; lots of different terms are used and some terms have been changed in recent years. Illness is what we experience when we feel unwell. Sometimes this is caused by a disease process that can be tested for and found. Sometimes this is caused by other factors - social, psychological or biological - that don't arise out of a disease but that nonetheless can cause significant symptoms and significant illness.
מאת ד"ר פיליפה וינסנט, MRCGP
שאלות נפוצות
What is the main difference between psychosomatic disorders and other physical illnesses?
Psychosomatic disorders are conditions where distressing physical symptoms are primarily caused by the autonomic nervous system not working correctly, often influenced by mental factors. While most diseases have a 'mind and body' connection, in psychosomatic disorders, the mental aspect plays a significant role in causing or worsening physical symptoms, sometimes even in the absence of a detectable physical disease.
Are there specific examples of common physical reactions caused by anxiety that are considered psychosomatic symptoms?
Yes, symptoms of anxiety are good examples of psychosomatic symptoms. When you are afraid or anxious, your mind can directly cause physical symptoms as a reaction.
If I have physical symptoms and my doctor can't find a physical disease, does that mean my symptoms are psychosomatic?
The term psychosomatic disorder is sometimes used when mental factors cause physical symptoms but no physical disease can be found. For instance, stress might cause chest pain even when there's no underlying heart condition.
How long does it usually take to get a diagnosis for a psychosomatic disorder?
These conditions can be difficult to diagnose, and it might take some time for your medical team to make a diagnosis. This process helps ensure you get the right treatment for your specific symptoms or condition.
What kinds of healthcare professionals are involved in treating psychosomatic disorders?
Treatment might involve various healthcare professionals. Depending on your symptoms, medication might be prescribed, or you could see a therapist or occupational therapist. The approach often considers physical, mental, and social factors contributing to the condition.
קריאה נוספת והפניות
- Aybek S, Perez DL; Diagnosis and management of functional neurological disorder. BMJ. 2022 Jan 24;376:o64. doi: 10.1136/bmj.o64.
- Maggio J, Alluri PR, Paredes-Echeverri S, et al; Briquet syndrome revisited: implications for functional neurological disorder. Brain Commun. 2020 Sep 23;2(2):fcaa156. doi: 10.1093/braincomms/fcaa156. eCollection 2020.
- Bennett K, Diamond C, Hoeritzauer I, et al; A practical review of functional neurological disorder (FND) for the general physician. Clin Med (Lond). 2021 Jan;21(1):28-36. doi: 10.7861/clinmed.2020-0987.
About the authorView full bio

Dr Caroline Wiggins, MRCGP
General Practitioner, Medical Author
MBBS Honours (with Distinction), MRCGP (2016), MSc.SEM (with Distinction), BSc (Hons)
Dr Caroline Wiggins is a GP locum currently in the South-West of England.
About the reviewerView full bio

Dr Krishna Vakharia, MRCGP
Chief Medical Officer for Health, Optum UK
MBChB, MRCGP(2013), BMedSci (hons), DFSRH, DRCOG, PGDipDerm (Distn)
Dr Krishna Vakharia is an NHS GP. She is also a regular examiner for the postgraduate Diploma in Practical Dermatology at Cardiff University as well as being the Chief Medical Officer for health at Optum UK.
היסטוריית המאמר
המידע בעמוד זה נכתב ונבדק על ידי קלינאים מוסמכים.
Next review due: 20 Sept 2028
22 Sept 2023 | הגרסה האחרונה

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