Somatoform Disorder ( Help! Whats Happening To Him! )

K_r_a_m · November 2012

^^ You can go to whichever hospital or physician you want, but you have to trust what they are saying. There is always a someone who can help you and your boyfriend. If you want further reassurance, you can seek a second or third opinion, but the more important thing is you have to have a primary physician which will handle your case. A neurologist/ psychiatrist may be the better option for him.

ilynreal · December 2012

Doc na diagnose yung bf ko nang somatoform disorder pero di siya kumbinsido na confine muna siya ng 3 days bago siya na diagnose ng somatoform disorder. ang tumingin sa kanya neuro pscyche (sorry sa spelling) pinaiinom siya ng rivotril and seroquel. ang problema niya daw kasi kapag 6 hours tulog niya nanghihina siya para siya babagsak di naman daw siya ganon.bago siya na confine nanlamig muna siya at nagtingling yung buong katawan niya na para niya gusto na matulog alam daw niya nangyayari sa paligid niya pero di daw niya gaano magalaw katawan niya yun punta kami sa makati er and confine siya.na er na siya ng ilan beses ang ecg niya laging normal siguro 1o times na siya na ecg pero lagi daw mabigat ang dibdib niya at minsan nahihilo.kahit ba ok yung ecg may posibilidad na may sakit siya sa puso o inaatake siya sa puso?sabi ng doctor na neuro psyche di na daw kelangan ng ibang test pero kung gusto daw niya pwede niya gawin pero he doubt na negative parin lalabas.minsan iniisip niya baka may hypoglycemia siya.saka inxray din siya sabi costochondritis pero hindi siya naniniwala kasi di naman nakikita sa xray ang costochonritis e.tingin niyo somatoform ba talaga sakit niya o kelangan niya mag pa 2d echo pa or heart test.neuro spec bloodtest ginawa sa kanya nung na confine siya at ecg and other blood work na di niya matandaan thanks dok

K_r_a_m · December 2012

It is a somatoform disorder if all the medical conditions have been ruled out and he still feels there is something wrong with him. I thought of it initially but I cannot say it directly because I haven't seen your bf. If a somatoform disorder is in mind, then all tests will be negative. Sometimes we do the tests just to ensure the patient that he/she has no medical condition and it is all in the mind. Somatoform disorders are difficult to treat and needs the full support of the family and friends.

ilynreal · December 2012

K_r_a_m wrote: »

It is a somatoform disorder if all the medical conditions have been ruled out and he still feels there is something wrong with him. I thought of it initially but I cannot say it directly because I haven't seen your bf. If a somatoform disorder is in mind, then all tests will be negative. Sometimes we do the tests just to ensure the patient that he/she has no medical condition and it is all in the mind. Somatoform disorders are difficult to treat and needs the full support of the family and friends.

So doc somatoform ba different from anxiety disorder or panic attacks?yung gamot na binibigay sa kanya ay .5mg rivotril 3x a day and seroquel 1/4 of 25 mg. at doc tingin niyo walang underlying cause yung nangyayari sa kanya?kasi sabi ng doctor malabong ms kasi tinignan ng neuro pscyche niya yung reflexes at sabi malabo.kaso natatakot siya sa benzo e. saka doc pano ba matretreat ang somatoform disorder at may gumaling ba dito.medication lang ba gamot dito at walang theraphy?baka kasi kidbey naman niya or other organ niya masira dahil sa gamot.doc san ang clinic niyo para makapunta kami at para madala yung napakaraming blood test at maraming files ng mrinamin yung mga test for second opinion lang doc. magpapagawa pa nga ata siya ng 2d echo dahil minsan yung puso niya parang may nakadagan daw at hirap huminga na talaga daw nakakapanghina lalo na sa likod para daw feeling niya may humahawak ng ulo niya pababa na hirap daw explain.may gumagaling ba sa somatoform disorder doc at bakit nagsisimula yun anong cause non?

K_r_a_m · December 2012

^^ Somatoform disorders are different from anxiety disorders or panic attacks. In somatoform disorder, one thinks he/she has a medical condition and yet the symptoms cannot be fully explained by the tests. The cause is unknown but some experts think it may be due to being over sensitive to physical complaints. If your bf has a normal MRI, then most likely it is not MS. The main treatment is psychotherapy, and in some, given with medications. If you are concerned with the kidney, then assurance from the psychiatrist will help in understanding that the main effect is more beneficial than the side effects. Treating these kinds of disorders are difficult and regular follow-ups with the psychiatrist will help. It is important to understand that the symptoms are psychological, hence constant consults with the psychiatrist is beneficial. I'm sorry but I do not accept consultations from online patients but I do appreciate the trust.

ilynreal · December 2012

K_r_a_m wrote: »

^^ Somatoform disorders are different from anxiety disorders or panic attacks. In somatoform disorder, one thinks he/she has a medical condition and yet the symptoms cannot be fully explained by the tests. The cause is unknown but some experts think it may be due to being over sensitive to physical complaints. If your bf has a normal MRI, then most likely it is not MS. The main treatment is psychotherapy, and in some, given with medications. If you are concerned with the kidney, then assurance from the psychiatrist will help in understanding that the main effect is more beneficial than the side effects. Treating these kinds of disorders are difficult and regular follow-ups with the psychiatrist will help. It is important to understand that the symptoms are psychological, hence constant consults with the psychiatrist is beneficial. I'm sorry but I do not accept consultations from online patients but I do appreciate the trust.

Thanks doc. pero doc meron ba kayo maiaadvice na test pa para sa kanya para ma ease ang pagkadoubt niya?sabi kasi ng doktor niya di na kailangan.pero nung time bago siya pumunta ng neuro pscyche pumunta muna siya sa internal medicine sa udmc at pinapa m.r.i ang neck niya para daw sa pituitary glands baka at pinapatest sa kanya yung hormones niya baka daw kasi low o high ang hormones biya kaya siya nagkakaganon.saka pinapa 2d echo rin siya para naman sa puso.necessary pa ba gawin mga yun?saka doc meron kaba alam na hospital na nag pscycotherapy (sorry again sa spelling) near makati area.sa makati med kasi wala ata or napakamahal.gusto na nga rin magpalit ng doktor dahil sobrang mahal yung rate sa makati med e 2000 succeeding appointment sa doctor niya every 2 weeks na napakalaki.

K_r_a_m · December 2012

I also do not advise this since it will still show a normal result and it will just make you spend more money on unnecessary tests, but if he really wants to be sure that he has a medical condition, then go ahead and do the tests. If they are normal, then it really is a somatoform disorder. By doing the tests, the patient and the relatives will hopefully believe the physician that the tests do not explain the symptoms and it is really a psychiatric disorder. I'm not familiar with any other institution within the Makati area that offers psychotherapy. Cheaper options would be at National Center for Mental Health in Mandaluyong and PGH in Taft Ave., but they are far from your place..

ilynreal · December 2012

K_r_a_m wrote: »

I also do not advise this since it will still show a normal result and it will just make you spend more money on unnecessary tests, but if he really wants to be sure that he has a medical condition, then go ahead and do the tests. If they are normal, then it really is a somatoform disorder. By doing the tests, the patient and the relatives will hopefully believe the physician that the tests do not explain the symptoms and it is really a psychiatric disorder. I'm not familiar with any other institution within the Makati area that offers psychotherapy. Cheaper options would be at National Center for Mental Health in Mandaluyong and PGH in Taft Ave., but they are far from your place..

Thanks Doc. Medyo kaya namin pumunta sa PGH kaso doc ask ko lang magkano price range ng psychotheraphy sa PGH kung out patient?. Kasi sobrang mahal ng pscychiatrist niya 2000 pesos e medyo mabigat sa bulsa na pwere pa gamot niya and sometimes 2 weeks pinababalik agad siya.paano kung gusto niya lumipat ng physician ano ang dapat niya gawin. sasabihin niya ba sa new doctor niya na may somatoform siya or hindi? hindi ba siya gagaling kapag hindi siya nag take ng medication?

K_r_a_m · December 2012

I'm sure PGH is a lot cheaper than Makati Med but it may still be expensive, but I don't know the exact cost since each physician may charge depending on the flow of the session. Having a psychiatric disease also financially drains the patient and relatives. If you want to see a new physician, you may do so. It is your right to have a second opinion. You may or may not tell your attending physician about it. Some types of somatoform disorders rely on the psychotherapy rather than medicines, meaning the sessions with the psychiatrist may be more important than the medicines, but this depends on the type of disorder. It is difficult to say if the disorder will be treated, but I do hope he gets better.