Somatoform pain disorder is a condition where the person experiences one or more severe and chronic painful sensations. The pain these individuals experience is similar to painful symptoms of any physical disorder but in this case, there is no physical cause. It is believed that the pain is attributed to psychological issues, sometimes occurring after a very stressful or traumatic event. There are 3 types of pain disorders:
• Pain from psychological causes.
• Pain from both psychological and another medical condition.
• Pain from a general medical condition.
Causes
Originally this condition was thought to be caused by emotional stress and clients were told that their pain was a fabrication of the imagination. These days, it is known that the painful
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• Pain that causes immense distress and/or impairment of functioning.
• Pain is not intentionally caused, or better accounted for from a mood or anxiety disorder.
[ Behavioral ]
• Severe anxiety.
• Depression.
• Feeling hopeless or helpless.
Treatment
Cognitive behavioral therapy – can help the client redirect their mind and identify what makes the pain worse or better. The therapist will also help the client find new ways to cope with the anxiety and the painful sensations.
Supportive therapy – this include distraction techniques, hypnosis, massage, physical therapy, exercises to reduce stress, and hot and cold applications. Group therapy at pain centers may also beneficial.
Medications
• SSRI’s – Celexa (Citalopram), Lexapro (Escitalopram), Prozac (Fluoxetine), Paxil (Paroxetine) and Zoloft (Sertraline) and Luvox (Fluvoxamine).
• SNRI’s – Effexor (Venlafaxine), Cymbalta (Duloxetine), Dalcipran (Ilnacipran) and Pristiq (Desvenlafaxine).
Treatment Goals Goal of treatment is to help manage and even reduce the painful sensations the client experiences, as well as decreasing the amount of anxiety associated with worrying about the pain.
Nursing
This feeling of struggle and pain is a common
Severe pain that interrupts a person’s ability to function in society or preform ADL’s, this is a severe form of somatization disorder. The pain felt by the person cannot be explained and does not have parameters for medical diagnosis, is caused by psychological problems.
This approach may also help them to ease away any worries or feelings they may have due to the pain and discomfort.
“Pain is much more than a physical sensation caused by a specific stimulus. An individual's perception of pain has important affective (emotional), cognitive, behavioral, and sensory components that are shaped by past experience, culture, and situational factors. The nature of the stimulus for pain can be physical, psychological, or a combination of both.” (Potter, Perry, Stockert, Hall, & Peterson, 2014 p. 141) As stated by Potter et al, the different natures of pain are dealt with differently depending on many factors. Knowing this, treating pain can be very difficult as there is no single or clear cut way of measuring it; “Even though the assessment and treatment of pain is a universally important health care issue,
1. It is important that we take into consideration, areas other than physical pain and have an holistic approach. Pain is whatever the person who is suffering it feels it to be. Physical pain can be experienced as a result of disease or injury, or some other form of bodily distress. For example childbirth. Although not associated with injury or disease, but can be an extremely painful experience. Pain can also be social, emotional and spiritual as well as just physical.
Complementary therapies. Complementary therapies aim to maximise health. If an individual is feeling discomfort an example of a complementary therapy would be acupressure. There are many other therapies that will alleviate pain: massage, music therapy, reflexology, physiotherapy.
Certain treatments can be done to help ease he pain as well. According to the National Complementary and Integrative Health, Vitamin D may be a good source for pain reducer as well as different activities like yoga, tai chi, and biofeedback. Acupuncture is also suggested, though these do not have hard evidence to prove that these things most definitely help. The activities listed normally are safe approaches, but these activities can be difficult at first to
Key Words. Pain acceptance, Pain management, Mindfulness, Chronic pain, Mindfulness Based Stress Reduction, Acceptance and Commitment Therapy, Mindfulness Based Pain Management, Mindfulness Meditation.
When pain is left untreated, it can cause a decrease in appetite and make it very hard for the patient to go to sleep. They may feel as though they have no energy or an inability to do things. Pain can also affect the patient’s mood and social relationships with others. Non-pharmacological techniques can help lessen some of the pain and possibly give the patient more control. This can improve your quality of life allowing them to be more productive.
According to WebMD, "somatic symptom disorder(SSD), formally known as somatization disorder is a form of mental illness that causes one or more bodily symptoms, including pain. These symptoms may or may not be traceable to a physical cause including general medical conditions, other mental conditions, or substance abuse. But regardless, they cause excessive and disproportionate levels of distress." The symptoms can involve one or more different organs and organ systems.
Although there have been many improvements in health care, pain in this subpopulation is often undertreated and at times it is not addressed at all. Behavioral expressions of untreated pain in this subpopulation are common and the inappropriate prescription of psychotropic medication to mask the behavioral manifestations of pain instead of addressing the pain causing the behavioral symptoms is the norm (Achterberg et. al., 2013, p. 1479).
CS has two main characteristics. Both involve a heightened sensitivity to pain and the sensation of touch. They are called ‘allodynia’ and ‘hyperalgesia.’ Allodynia occurs when a person experiences pain with things that are normally not painful. For example, chronic pain patients often experience pain even with things as simple as touch or massage. In such
The International Association for the Study of Pain defined pain as “an unpleasant sensory and emotional experience with actual or potential tissue damage, or described in terms of such damage” (Unk, 2007). Pain being described such as this allows us to see that pain is a perception, not unlike seeing or hearing. Pain is the most common reason that people seek medical attention but pain is very hard to define because it is subjective. Pain perception is the process by which a painful stimulus is relayed from the site of stimulation to the central nervous system (Freudenrich, 2008). In order to determine if pain is a perception of the mind or if it is biological we must first understand how the process of pain works.
Chronic pain can make it hard for you to do daily activities. If not treated, chronic pain can lead to other health problems, including anxiety and depression. Treatment depends on the cause and severity of your pain. You may need to work with a pain specialist to come up with a treatment plan. The plan may include medicine, counseling, and physical therapy. Many people benefit from a combination of two or more types of treatment to control
Also pain may start with a disease or injury that persists due to stress emotional problems, improper treatment, or persistent abdominal pain signals in the body. It is possible for chronic pain to occur any previous injury illness or known cause. Therefore, patients suffering with chronic pain significantly benefit from a comprehensive multidisciplinary approach to treatment. Often you achieve optimal care several different health professionals may be involved in patient care alternative care to the traditional medical phonological could include but is not limited to traditional chiropractic care nutritional diet yoga exercise acupuncture meditation support groups soft tissue therapies and network chiropractic. Often, they cannot be cured, that it can be managed well enough through these alternative disciplines of care to improve the quality of life.