Somatic Symptom Disorder

Somatic Symptom Disorder (SSD) is a complex psychiatric illness wherein individuals present with salient bodily symptoms that are not fully explainable by medical diseases.

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These symptoms cause distress and impact daily functioning, typically leading to recurrent visits to doctors and health-related anxiety. An understanding of SSD is necessary to differentiate it from other similar disorders and get proper treatment.

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  • Chronic unexplained pain
  • Persistent fatigue or dizziness
  • Digestive issues without medical cause
  • Excessive health-related anxiety
  • Frequent doctor visits despite reassurance

  • Overactive autonomic nervous system
  • Genetic predisposition to anxiety disorders
  • Past trauma or unresolved stress
  • Co-occurring depression or PTSD
  • Cultural stigma and health misinformation
  • Cognitive Behavioural Therapy (CBT)
  • Acceptance and Commitment Therapy (ACT)
  • SSRIs/SNRIs for mood regulation
  • Yoga, mindfulness, and nutrition therapy
  • Holistic rehab with lifestyle support
    • In-Patient Services
    • Out-Patient Services
    • Rehabilitation

    About 1%

    of the world's population suffers from Somatic Symptom Disorder

    3 in 1000

    Estimated number of Indians
    who suffer from Somatic Symptom Disorder

    400+

    Somatic Symptom Disorder patients reintegrated back into society every year

    25+

    Professionals specializing
    in Somatic Symptom Disorder treatment

    Our Professionals in Bangalore and Hyderabad

    Dr. B. R. Madhukar

    MBBS, DPM

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    Dr. R. Priya Raghavan

    MBBS, MRC-Psychiatry, CCT (Old Age Psychiatry)

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    Dr. Vishal Kasal

    MBBS, M.D. (Psychiatry)

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    Dr. Arun Kumar

    MBBS, M.D. (Psychiatry)

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    Dr. Keerthi Sagar

    MBBS, M.D. (Psychiatry)

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    Dr. Vijayalakshmi Kashi

    MBBS, DPM

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    Dr. Raja Hiremani

    MBBS,M.D. (Psychiatry - NIMHANS), FRANZCP (AUS)

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    Gayathri Krotha

    M. Phil (RCI) in Clinical Psychology

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    Shabdita Ritu Sarmah

    M. Phil (RCI) in Clinical Psychology

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    Aparna Rani

    M.Phil (RCI) in Clinical Psychology

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    Dr. Swarupa M U

    Ph.D. (RCI) in Psychiatric Social Work

    M.Phil in Psychiatric Social Work (NIMHANS)

    Masters in Social Work (Medical & Psychiatry)

    Bachelor in Home Science

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    Dr. Anusuya Devi M

    MBBS, DPM

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    Lakshmi Venugopal

    MPhil Clinical Psychology

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    Ms. Sufia Nusrat

    M.Phil (RCI Certified)

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    Kanchana Musrif

    MPhil - Clinical Psychology, MA - Clinical Psychology

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    Here's everything else you need to know about Somatic Symptom Disorder

    What is Somatic Symptom Disorder (SSD)?

    Somatic Symptom Disorder involves an intense focus on physical symptoms causing distress. Though tests may show no clear cause, the pain feels real. Understanding somatic symptoms and seeking support can help manage the emotional impact. It's a genuine condition needing care, not just medical, but emotional too.

    Definition and Overview 

    SSD is characterised by excessive focus on physical symptoms, such as pain or fatigue, leading to emotional distress and impaired daily life. Unlike hypochondriasis, which is rooted in a fear of illness, SSD centres on the distress caused by the symptoms themselves. 

    Prevalence and Demographics 

    Although somatic symptom disorders can affect young children, adolescents, and adults, they often start around the age of thirty.  

    The diagnosis of somatic symptom disorder is ten times more common in women. About 5% to 7% of adults experience somatic symptom disorder, making it a very prevalent condition.  

    The Role of the Nervous System in SSD 

    The nervous system plays a crucial role in SSD by amplifying bodily sensations. Research indicates that individuals with SSD may have an overactive autonomic nervous system, leading to heightened pain perception and increased distress.

    This nervous system overactivity often worsens multiple somatic symptoms, intensifying discomfort and emotional distress experienced by individuals with somatic symptom disorder.

    Complications of Somatic Symptom Disorder 

    Untreated SSD can lead to serious life disruptions, strained relationships, work absenteeism, emotional burnout, and increased healthcare dependency. Individuals often feel isolated and misunderstood, especially when multiple somatic symptoms persist without clear answers. Over time, this can reduce quality of life, damage self-esteem, and make recovery harder without timely intervention, strong social support, and an integrated treatment approach addressing both mind and body.

    FAQs 

    What are the common symptoms of Somatic Symptom Disorder? 

    SSD symptoms include chronic pain, fatigue, digestive issues, dizziness, and weakness. Psychological symptoms like health anxiety, frequent doctor visits, and heightened awareness of bodily sensations also occur. These symptoms cause distress and impact daily functioning despite no clear medical explanation. 

    How is Somatic Symptom Disorder treated? 

    SSD is treated through psychotherapy, particularly Cognitive Behavioural Therapy (CBT), medications like antidepressants for underlying anxiety or depression, and lifestyle modifications. Alternative approaches like mindfulness, yoga, and nutrition management also help reduce symptom severity and improve overall well-being. 

    Can Somatic Symptom Disorder affect children or adolescents? 

    Yes, SSD can affect children and adolescents, often manifesting as frequent stomach aches, headaches, or fatigue without medical cause. Emotional distress, anxiety, and family dynamics play a role. Early psychological intervention and support help in managing symptoms effectively. 

    Do somatic symptoms go away? 

    Somatic symptoms can be cured with appropriate therapy, but can linger if hidden psychological issues are not treated. Stress management, therapy, and changes in lifestyle can decrease symptoms significantly, allowing people to control their health and lives again. 

    Is somatic dysfunction curable? 

    Somatic dysfunction is manageable but not always "curable" in the traditional sense. With therapy, medication, and self-care strategies, individuals can significantly reduce symptoms and distress, leading to a better quality of life and improved daily functioning. 

    How to get rid of somatic symptoms? 

    Decreasing somatic symptoms includes therapy (CBT), stress management, exercise, and treating emotional issues. Mindfulness, relaxation, and healthy nutrition also contribute. Professional advice guarantees a complete approach to managing symptoms successfully.

    Key Symptoms of Somatic Symptom Disorder (SSD) 

    Common symptoms of SSD include chronic pain, digestive issues, fatigue, and heightened sensitivity to bodily sensations. Recognising these symptoms early can aid in seeking timely intervention. 

    Common Physical Symptoms 

    Even though individuals experience their pain differently, there are some common physical symptoms like 

    Chronic Pain 

    Persistent pain without a clear medical cause is a hallmark symptom of SSD, leading to frequent healthcare visits. Chronic pain in somatic symptom disorder frequently leads to functional impairment, making it crucial to address both physical discomfort and associated emotional distress for comprehensive patient care and improved outcomes.

    Digestive Problems 

    Unexplained gastrointestinal symptoms, often linked to stress and anxiety, are prevalent in individuals with SSD. These symptoms can severely disrupt daily life, and managing the underlying psychological factors is essential for reducing somatic symptoms and improving gastrointestinal health in affected individuals.

    Dizziness, Fatigue, and Weakness 

    Generalised fatigue and dizziness can contribute to distress, further fuelling health anxiety.
    These symptoms often exacerbate emotional distress, making holistic treatment approaches vital to address both physical sensations and the psychological impact of somatic symptom disorder effectively.

    Psychological and Behavioural Indicators 

    Somatic Symptom Disorder doesn’t just affect the body- it also influences thoughts, emotions, and behaviours. Individuals often experience heightened anxiety, excessive health concerns, and emotional distress that amplify their physical symptoms. Understanding these psychological and behavioural patterns is crucial for effective diagnosis and treatment.

    Anxiety About Health & Frequent Doctor Visits 

    Individuals with SSD often exhibit excessive concern over their health, seeking multiple medical opinions despite reassurance. This ongoing health-related fear often stems from multiple somatic symptoms, leading to emotional burnout, strained relationships, and difficulty trusting medical assessments, complicating the path to effective mental health intervention.

    Increased Sensitivity to Body Sensations 

    Minor bodily changes can be perceived as severe health threats, intensifying distress. This heightened awareness often amplifies somatic symptoms, causing individuals to misinterpret harmless sensations as dangerous, fueling a cycle of worry, discomfort, and emotional overwhelm that disrupts daily life.

    Emotional Distress & Catastrophic Thinking 

    SSD individuals may engage in worst-case scenario thinking, exacerbating their symptoms and distress. Such thought patterns are often rooted in unresolved trauma or the causes of somatic symptom disorder, intensifying emotional reactivity and hindering the ability to rationally evaluate physical sensations or perceived health threats.

    Causes and Risk Factors of Somatic Symptom Disorder (SSD)

    SSD arises due to an interplay of biological, psychological, and environmental influences. This flowchart breaks down key contributors: 

    Biological Factors 

    The brain plays a crucial role in processing pain and bodily sensations, sometimes amplifying discomfort beyond its actual severity. Genetic predisposition also contributes, as individuals with a family history of SSD or anxiety disorders may be more susceptible to developing similar conditions. 

    Psychological Factors 

    Mental health conditions like anxiety and depression are closely linked to SSD. Heightened stress and past trauma, especially PTSD, can intensify physical symptoms, making individuals more aware of bodily sensations. These psychological factors often create a cycle of distress, worsening the symptoms over time. 

    Environmental and Social Factors 

    Cultural stigma around mental health can discourage individuals from seeking psychological support, leading them to focus solely on physical symptoms. Additionally, media exposure often fuels health anxiety by promoting medical fears and misinformation, which can further reinforce somatic concerns in vulnerable individuals.

    Recognising these risk factors can help in early identification and better management of SSD.

    How Somatic Symptom Disorder (SSD) is Diagnosed 

    Somatic Symptom Disorder is diagnosed based on specific criteria outlined in the DSM-5. Proper diagnosis is crucial to differentiate SSD from related conditions and ensure appropriate treatment. 

    DSM-5 Criteria Overview for SSD 

    The DSM-5 outlines that SSD involves one or more distressing physical symptoms, excessive thoughts or behaviours related to health concerns, and persistent symptoms lasting over six months. The somatic symptom disorder DSM 5 guidelines also stress psychological responses, helping clinicians distinguish SSD from similar overlapping conditions.

    Differentiating from Related Disorders

    The somatic symptom disorder DSM 5 criteria provide clear distinctions from similar conditions like illness anxiety disorder and conversion disorder. While symptoms may overlap, SSD focuses on the emotional response to physical symptoms rather than the presence of illness or neurological impairment, making accurate diagnosis essential for effective treatment. 

    How Cadabam’s Mental Health Experts Assess SSD

    Cadabam’s specialists assess SSD through clinical interviews, behavioural analysis, and DSM-5 guidelines. By identifying emotional triggers and the causes of somatic symptom disorder, they distinguish SSD from similar conditions, ensuring each patient receives an accurate diagnosis and a comprehensive, individualised care plan rooted in psychological and functional needs.

    Why Many SSD Patients Don’t Get Proper Treatment 

    Many individuals struggling with SSD cases go undiagnosed due to a lack of awareness about the condition, symptoms being mistaken for other issues, or the stigma surrounding mental health. 

    SSD is often misunderstood, leading to inadequate treatment and support. Many individuals struggling with SSD are dismissed or misdiagnosed, causing delays in receiving proper care. This stigma reinforces the misconception that SSD is not a legitimate condition, preventing those affected from seeking timely intervention and worsening their distress over time. 

    Living with Somatic Symptom Disorder 

    It is difficult to live with Somatic Symptom Disorder, as the physical symptoms and emotional distress tend to affect daily life. But with proper coping mechanisms, support systems, and professional treatment, one can effectively manage their symptoms and enhance their quality of life. 

    Knowing how to cope with SSD is the key to taking control and regaining well-being. 

    Coping Mechanisms 

    Mindfulness, journaling, and stress management techniques can help individuals navigate their symptoms effectively. Incorporating creative outlets, physical activity, and routine-based structure further enhances emotional stability and fosters a sense of control during flare-ups, supporting long-term emotional regulation and daily functioning.

    Support Systems and Resources 

    Support groups, therapy, and educational resources are essential in helping individuals with SSD feel validated and supported. Consistent engagement with these resources can reduce isolation, promote self-advocacy, and connect individuals to others facing similar challenges, reinforcing emotional strength and improving overall outcomes in long-term mental health care.

    Effective Treatment and Management of Somatic Symptom Disorder (SSD) 

    SSD treatment combines CBT, mindfulness, and psychiatric support to reduce emotional distress. Cadabam’s offers tailored care plans that target psychological roots and promote long-term healing, stability, and better quality of life.

    Psychotherapy and Counselling 

    Psychotherapy and counselling are key to managing SSD, as they address the emotional and behavioural responses that intensify physical discomfort and distress.

    • Cognitive Behavioural Therapy (CBT): CBT targets distorted health-related thoughts and behaviours. It equips individuals with tools to reframe catastrophic thinking, reduce symptom monitoring, and regain daily functioning.
    • Acceptance and Commitment Therapy (ACT): ACT helps individuals develop psychological flexibility. By accepting discomfort rather than resisting it, patients can shift focus to valued actions and long-term wellbeing.
    • Mindfulness-Based Therapies: These approaches teach individuals to observe sensations without judgment, helping break the cycle of anxiety and hypervigilance around bodily cues.

    Pharmacological Treatments 

    Pharmacological treatments are considered when distress severely disrupts daily life or co-occurs with depression or anxiety. SSRIs and SNRIs are commonly prescribed to stabilise mood. These medications work best when combined with therapy, which helps patients build emotional resilience and address underlying thought patterns and behavioural responses.

    Holistic Rehab Interventions

    Holistic rehab interventions focus on the mind-body connection through therapies like yoga, art therapy, nutrition counselling, and mindfulness. These approaches promote emotional balance, reduce stress, and support recovery by addressing lifestyle, trauma, and self-awareness, complementing traditional treatment for a more sustainable, whole-person approach to healing.

    Lifestyle and Self-Care Strategies 

    Simple lifestyle changes and self-care routines can significantly ease distress and support long-term recovery in individuals living with SSD.

    • Yoga & Breathwork for SSD Symptoms: Yoga and breathwork techniques can help regulate the nervous system, reducing stress and alleviating somatic symptoms. Practices like deep breathing, mindfulness, and gentle movement promote relaxation and improve overall well-being, making them effective tools in managing SSD symptoms. 
    • The Role of Nutrition & Gut Health: A balanced diet plays a crucial role in managing SSD. Nutrient-rich foods support brain health and gut microbiome balance, reducing inflammation and stabilising mood. Avoiding processed foods, excessive caffeine, and sugar can help minimise symptom exacerbation and improve overall mental and physical health.

    When to Seek Professional Help for Somatic Symptom Disorder (SSD)

    If physical symptoms persist despite medical reassurance, cause significant distress, or interfere with daily life, seeking professional help is essential. A mental health specialist can help determine if underlying psychological factors contribute to your symptoms and provide tailored treatment for better management and relief. 

    Recognising the Need for Evaluation 

    Timely evaluation is crucial when unexplained physical symptoms persist, impacting daily life. Identifying emotional triggers early can lead to an accurate diagnosis and effective intervention strategies.

    Preparing for a Medical Consultation 

    You should prepare for the medical consultation by doing the following steps  

    • Keep a symptom diary. 
    • List previous medical tests. 
    • Discuss mental health concerns. 
    • Be open to psychological evaluation. 

    Why Choose Cadabam’s for Managing Somatic Symptom Disorder 

    Cadabam’s offers a multidisciplinary approach, integrating psychotherapy, medication management, and holistic care to provide personalised treatment for SSD. Our experienced professionals ensure compassionate, evidence-based care, empowering individuals to regain control over their health and well-being. 

    If you are searching for a solution to your problem, Cadabam’s Rehabilitation Centre can help you with its team of specialised experts. We have been helping thousands of people live healthier and happier lives for 30+ years. We leverage evidence-based approaches and holistic treatment methods to help individuals effectively manage their Somatic Symptom Disorder. Get in touch with us today. You can call us at +91 96111 94949 to book an appointment with our experts.

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    Frequently Asked Questions

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    How to get rid of somatic symptoms?

    Decreasing somatic symptoms includes therapy (CBT), stress management, exercise, and treating emotional issues. Mindfulness, relaxation, and healthy nutrition also contribute. Professional advice guarantees a complete approach to managing symptoms successfully.

    Is somatic dysfunction curable?

    Somatic dysfunction is manageable but not always "curable" in the traditional sense. With therapy, medication, and self-care strategies, individuals can significantly reduce symptoms and distress, leading to a better quality of life and improved daily functioning.

    Do somatic symptoms go away?

    Somatic symptoms can be cured with appropriate therapy, but can linger if hidden psychological issues are not treated. Stress management, therapy, and changes in lifestyle can decrease symptoms significantly, allowing people to control their health and lives again.

    Can Somatic Symptom Disorder affect children or adolescents?

    Yes, SSD can affect children and adolescents, often manifesting as frequent stomach aches, headaches, or fatigue without medical cause. Emotional distress, anxiety, and family dynamics play a role. Early psychological intervention and support help in managing symptoms effectively.

    How is Somatic Symptom Disorder treated?

    SSD is treated through psychotherapy, particularly Cognitive Behavioural Therapy (CBT), medications like antidepressants for underlying anxiety or depression, and lifestyle modifications. Alternative approaches like mindfulness, yoga, and nutrition management also help reduce symptom severity and improve overall well-being

    What are the common symptoms of Somatic Symptom Disorder?

    SSD symptoms include chronic pain, fatigue, digestive issues, dizziness, and weakness. Psychological symptoms like health anxiety, frequent doctor visits, and heightened awareness of bodily sensations also occur. These symptoms cause distress and impact daily functioning despite no clear medical explanation.

    Why Cadabam's?

    Cadabam’s is the best rehab centre for Somatic Symptom Disorder treatment. With over three decades of experience, we focus on patient experience and provide excellent, solution-oriented treatment plans to meet the needs of you and your loved ones. With a wide range of evidence-based techniques, we stay with you every step of the way to give you the best Somatic Symptom Disorder treatment.

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