Question 88 · LEK · Bodily distress disorders
For several years a 35-year-old woman has been treated by her GP for numerous gastroesophageal symptoms (flatulence, nausea, occasionally abdominal pain), frequent urination, recurrent dyspnea not related to physical exercise. The symptoms occur in various constellations with variable intensity and are not related to her life events. She does not suspect any particular disease, but she is doing worse and worse. The patient was consulted by the gastroenterologist and cardiologist who did not find any diseases after performing necessary tests. She used various OTC pain-killers and muscle relaxants without a noticeable effect. The above picture corresponds to the diagnostic criteria of:
- A. hypochondriasis (illness anxiety disorder).
- B. somatization disorder (somatic symptom disorder).
- C. psychogenic pain.
- D. neurastenia.
- E. mixed conversion disorder.
Hint
Note the many changing bodily complaints from several organ systems over years, without fear of any specific named disease.
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