What diagnoses does psychosomatic medicine deal with?

Psychosomatic conditions can be divided into different diagnostic groups according to their main characteristics. There are always areas of overlap between the syndromes. In individual cases, it is typical for a person to fulfill the criteria of several diagnoses at the same time. The following list shows a selection of common conditions that always affect the person as a whole.

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Hypersensitivity syndromes

Fibromyalgia syndrome, atypical thoracic pain, chronic pelvic pain syndrome, irritable bowel syndrome, functional dyspepsia, chronic tension headache, chronic migraine, chronic low back pain and other forms of chronic primary pain with central hypersensitivity.

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Stress-associated cardiovascular complaints

Non-adjustable high blood pressure, stress-induced palpitations, Takotsubo syndrome, postural tachycardia syndrome, etc.; severe and prolonged stress can ultimately contribute to structural degenerative changes in the blood vessels and to an increased risk of heart attack.

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Neurofunctional disorders

Dissociative and conversive disorders, complex vertigo disorders, complex tinnitus syndromes, non-epileptic seizure disorders, chronic (post-infectious) fatigue syndrome, etc.

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Biographically induced psychosomatic illnesses

Vegetative physical complaints in the context of acute stress, persistent physical complaints in the context of trauma disorders, attachment disorders, interactional problems, chronic conflicts, bullying, workaholism, burnout syndrome, etc.

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Stress- and infection-modulated inflammatory diseases

Neurodermatitis, psoriasis, multiple sclerosis, ulcerative colitis, Crohn’s disease, chronic polyarthritis, bronchial asthma, etc.

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Anxiety and other affect-associated body symptom disorders

Panic disorder, somatic stress disorder, hypochondriacal disorder, “somatoform” headaches and abdominal pain, etc. in children.

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Somatically induced secondary disorders

Secondary depressive developments in chronic pain or other chronic illnesses, illness processing disorder after medical interventions or after intensive treatment, illness acceptance problems, adjustment disorder after a cancer diagnosis or other serious illnesses.

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Eating disorders

Anorexia, bulimia, binge eating, orthorexia.

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