• Title/Summary/Keyword: Psychosomatic disorder

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A Case Report on Psychosomatic Disorder Cause by Maladjustment of Interpersonal Relationship (대인관계 부적응으로 유발된 심신증 환자 치험 1례)

  • Kim, Nam-Yeol;Yoo, Jong-Ho;Kim, Geun-Woo;Bae, Jae-Ik
    • Journal of Oriental Neuropsychiatry
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    • v.23 no.4
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    • pp.215-228
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    • 2012
  • Objectives : This study aims to research the effect of oriental psychotherapy and treatments for reduction of Psychosomatic disorder symptoms caused by maladjustment of interpersonal relationship. Methods : We treat a patient with Oriental medical treatment (acupuncture, moxibustion, cupping and aroma therapy, oriental psychotherapy and Herb-medication) and follow up the changes of stress index for 3 times per 8 days. Results & Conclusions : After oriental psychotherapy and treatments, clinical symptoms of the patient were improved and the patient overcoming psychosomatic disorder can go back to the workplace. It is suggested that oriental psychotherapy and treatments are effective on psychosomatic disorder.

Alcohol Use Disorder in Consultation-Liaison Psychiatry (자문 조정의학에서의 알코올 사용 장애)

  • Seo, Jeong-Seok
    • Korean Journal of Psychosomatic Medicine
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    • v.19 no.1
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    • pp.15-19
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    • 2011
  • Alcohol is so-called "a magic bullet" affecting on the various organs and central and peripheral nervous systems and causes mental illness as well as physiological and psychological dependence. Also, alcohol problem is related with serious social problems including family violence, suicide, loss of job and crimes. Because alcohol use disorder is a common cause of consultation and liaison in general hospital, we could consider alcohol use disorder of one of psychosomatic disorder. Thus, I reviewed the prevalence, rate of consultation, and general consultant and treatment issues in treating patients with substance use disorder in a psychosomatic medicine.

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Clinical Case Report of a Patient with a Psychosomatic Disorder Complaining of Hyperventilation (과호흡을 호소하는 심신증 환자 증례 보고)

  • Kim, Eun-seo;Son, Jong-seok;Bae, In-suk;Seo, Sang-il;Shin, Gil-cho
    • The Journal of Internal Korean Medicine
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    • v.37 no.5
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    • pp.876-884
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    • 2016
  • Objective: To report a case of a patient with a psychosomatic disorder who complained of hyperventilation and was treated with oriental medical treatments and emotional freedom techniques (EFTs). Methods: The patient was diagnosed as having a psychosomatic disorder through an interview and several psychological tests, such as the house-tree-person (HTP) and the person in the rain (PITR) tests. We treated the patient with oriental medical treatments that included herbal medications, western medications, moxibustion, cupping, and EFT. Results: After the treatments, the clinical symptoms of the patient were improved. Conclusions: Oriental medical treatments and EFT may be effective treatments for psychosomatic disorders.

Concept, Evaluation and Differential Diagnosis of Somatoform Disorder (신체형 장애(Somatoform disorder)의 개념, 평가, 감별진단)

  • Kim, Young-Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.2
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    • pp.254-261
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    • 1996
  • Somatoform disorders are a group of syndromes in which patients focus on and complain of physical symptoms when there is no demonstrable underlying organic pathology or when complaints are in excess of what is expected. The author reviewed concept, sociocultural etiology, differential diagnosis and methods of evaluation of somatoform disorder. The symptoms of Korean culture-specific somatizing cluster, so called Wha-Byung, are discussed.

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Somatoform Disorders of Children and Adolescents (소아 및 청소년의 신체형장애)

  • Kim, Seung-Tai P.
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.2
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    • pp.277-285
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    • 1996
  • Somatoform disorders do occur among children and adolescents. Among the seven disorders under the grouping of somatoform disorders of DSM-IV, three disorders, namely somatization disorder, pain disorder and conversion disorder are seen relatively more often than one can expect in childhood and adolescence. Pain disorders are more prevalent among children before adolescence, whereas conversion disorder and somatoform disorder are seen more often during adolescence and early adulthood. Diagnoses of somatofram disorders should not be made by the process of exclusion, but based on positive findings that positive evidence that normal functioning is possible and that a positive history of psychosocial stress and or intrapsychic conflict exists. Treatment strategy should be mindful of including collaboration with primary care health professionals and family therapy staff in addition to all the basic treatment modalities essential for the treatment of children and adolescents.

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A Clinical Report: Two Cases of Psychosomatic Disease Treated by Hwa-acupuncture (오행화침법(五行和針法)을 응용한 마목(麻木)환자 치험 2례)

  • Kim, Ju-Won;Shin, Hyun-Kwen;Chu, Ching-Nai;Kim, Hyo-Ju;Park, Se-Jin;Kong, Hyun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.17 no.2
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    • pp.245-254
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    • 2006
  • Symptoms of Psychosomatic disease are various. Mamok(麻木), one of that symptoms, is a kind of sensory disorder and similar to numbness but more complicated. In this report, we described two men diagnosed as psychosomatic disease and undifferentiated somatoform disorder. One complained Mamok of his tongue and the other complained it of his right arm and leg. And both of their symptoms were disappeared quickly after treated by Hwa-acupuncture.

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Adverse Effect of Newer Antidepressant : Nausea and Vomiting, Weight Gain, Sexual Dysfunction - Mechanisms, Epidemiology, and Pharmacological Management - (새로운 항우울제의 부작용: 오심 및 구토, 체중증가, 성 기능장애 - 발병기전, 역학, 약물학적 처치를 중심으로 -)

  • Lee, Kyung-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.2
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    • pp.81-92
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    • 2013
  • Newer antidepressants are commonly used in clinical practice to treat psychiatric disorder and psychosomatic disorder including chronic pain syndrome, fibromyalgia, headache. However there are many unexpected adverse effects of these drugs such as nausea and vomiting, weight gain, sexual dysfunction. These are 3 most well-recognized common adverse effects of newer antidepressant and are most common causes of treatment failure. I reviewed mechanisms, epidemiology, and pharmacological management of these adverse effects of newer antidepressants. In this paper, newer antidepressants include selective serotonin reuptake inhibitor(fluoxetine, fluvoxamine, citalopram, escitalopram, sertraline, paroxetine), serotonin norepinephrine reuptake inhibitor(venlafaxine, duloxetine), norepinephrine and dopamine reuptake inhibitor(bupropion), noradrenergic and specific serotonergic antidepressant(mirtazapine), and reversible inhibitor of MAO-A(moclobemide). I suggest that psychiatrists and clinicians in the psychosomatic field should know mechanisms, epidemiology, and management of these common and well-recognized adverse effects of newer antidepressants. Therefore it will be helpful to recognize easily and treat well for patients with psychiatric disorder and psychosomatic disorder using newer antidepressants.

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A Clinical Study of Patients Developing the Other Psychiatric Disorder During the Course of Social Phobia (사회공포증 경과중 타 정신질환이 발병한 환자들에 대한 연구)

  • Lee, Si-Hyung;Shin, Young-Chul;Yang, Sang-Joong
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.1
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    • pp.79-84
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    • 1996
  • We have studied 16 patients diagnosed of social phobia among the hospitalized patients for 1 year, from September 1994 to August 1995, to evaluate whether serial phobic symptoms are the prodromal symptoms of the other psychiatric disorder or concomitant disorder. The results were as follows; 1) In the subject of this study, the mean age of onset of social phobic symptoms was 17.3, and the mean age of inital hospital visit was 27.4. 2) The proportion of offensive type was higher than the simple type : 7 cases of the subjects classified as simple type, 9 cases as offensive type. 3) According to the type of social phobia, they developed different type of psychiatric disorder. Majority of patients with simple type had final diagnosis of mood disorder. Patients with offensive type had schizophrenia spectrum disorder, such as schizophrenia, delusional disorder, and schizophrenia, personality disorder. 4) Social phobic symptoms have taken various courses according to the final diagnosis. In the patients who developed major depression and delusional disorder, social phobic symptoms have not been changed during the course. Patients with the final diagnosis of schizophrenia and schizotypal personality disorder have showed various social phobic symptoms. In the patients with the final diagnosis of bipolar disorder, their social phobic symptoms disappeared with improvement of depression.

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The Psychosomatic Disorders Pertaining to Dental Practice with Revised Working Type Classification

  • Shamim, Thorakkal
    • The Korean Journal of Pain
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    • v.27 no.1
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    • pp.16-22
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    • 2014
  • Psychosomatic disorders are defined as disorders characterized by physiological changes that originate partially from emotional factors. This article aims to discuss the psychosomatic disorders of the oral cavity with a revised working type classification. The author has added one more subset to the existing classification, i.e., disorders caused by altered perception of dentofacial form and function, which include body dysmorphic disorder. The author has also inserted delusional halitosis under the miscellaneous disorders classification of psychosomatic disorders and revised the already existing classification proposed for the psychosomatic disorders pertaining to dental practice. After the inclusion of the subset (disorders caused by altered perception of dentofacial form and function), the terminology "psychosomatic disorders of the oral cavity" is modified to "psychosomatic disorders pertaining to dental practice".

A Case of Cognitive-Behavioral Therapy for a Patient with Panic Disorder (공황 장애 환자의 인지-행동 치료 1례)

  • Kang, Dong-Woo;Choi, Young-Hee;Lee, Jung-Hum;Chung, Young-Cho
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.2
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    • pp.245-253
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    • 1996
  • In spite of its prominent effects on reduction of panic attacks and preveniton of relapse, cognitive-behavioral therapy(CBT) for panic disorder is seldomly utilized and studied in this country. for the past year, authors have modified CBT program for panic disorder that was based on PCT(panic control program) designed by Dr. Barlow and Dr. Craske. Our program is composed of informational component, somatic management skills, cognitive restructuring, interoceptive exposure and in vivo exposure. One patient has significantly improved by this program and satisfied with the treatment result. The aim of this article is to present our experience of treating a panic patient with CBT.

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