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Just because doctors don’t have an answer, doesn’t mean it’s a psychiatric problem. Somatic symptom disorder (SSD) is a diagnosis in the DSM-5-TR (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision). A missing medical explanation, on its own, is never enough to make it. The DSM-5 deliberately moved away from defining this condition by “medically unexplained symptoms.” What SSD actually requires: 1️⃣ One or more physical symptoms that are distressing or significan
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Just because doctors don’t have an answer, doesn’t mean it’s a psychiatric problem. Somatic symptom disorder (SSD) is a diagnosis in the DSM-5-TR (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision). A missing medical explanation, on its own, is never enough to make it. The DSM-5 deliberately moved away from defining this condition by “medically unexplained symptoms.” What SSD actually requires: 1️⃣ One or more physical symptoms that are distressing or significan
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Anxiety doesn’t just come from uncertainty, it also generates from mixed, unexpressed emotions. I worked in a somatic symptoms clinic in my early training, and people with all kinds of symptoms from headaches and chest pains to pseudo-seizures and mutism came through, with nearly all of them showing improvement with intensive psychotherapy that was focused on emotional activation and expression (put simply). The theory and understanding is that we have complex feelings, those make us anxious, an
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