• Somatic Symptom Disorder

    (SSD; Somatization Disorder; SD; Briquet’s Syndrome)


    Individuals with somatic symptom disorder report suffering constantly and often for many years from many physical illnesses. However, they do not have any specific, diagnosed medical illnesses that can explain the presence or severity of their symptoms. Still, these symptoms cause distress and negatively impact their ability to function day to day.


    The cause of somatic symptom disorder is not known.
    There is no medical illness to explain the symptoms, so the disorder is believed to be related to mental and emotional causes. Somatic symptom disorder may also be associated with brain processing.

    Risk Factors

    Somatic symptom disorder is more common in American women, but incidence varies among different cultures. Other factors that may increase your chance of developing somatic symptom disorder include:
    • Family history of somatic symptom disorder
    • History of psychological trauma or early experiences with physical illness, hospitalization, and medical treatment
    • Individuals with antisocial personality disorder, substance abuse disorders, anxiety, depression, or panic disorder
    • Difficulty coping
    • Individuals who may be extremely emotional (also known histrionic)
    • Individuals who are unable to express their emotional distress through language (due to neurological disorders or intellectual disability), or in cultures that discourage the communication of emotional distress


    The physical suffering that people with somatic symptom disorder experience usually begin in the early adult years. It can also begin during the teenage years. Individuals suffer for years, often leading to many unnecessary medical tests and treatments.
    People with somatic symptom disorder complain about many physical illnesses that involve many different parts of their body. A diagnosis of somatic symptom disorder requires experiencing an assortment of symptoms that occur over several years.
    Somatic symptom disorder may cause:
    • Pain symptoms in any part of the body, such as back, joints chest, or head
    • Gastrointestinal symptoms other than pain, such as nausea, vomiting, bloating, or diarrhea
    • Sexual symptoms other than pain, such as erectile difficulty, irregular menstrual periods, or excessive menstrual bleeding
    • Neurological symptoms, such as:
      • Being off-balance
      • Paralysis
      • Weakness
      • Trouble swallowing
      • Loss of voice
      • Inability to control the need to urinate
      • Delusions or hallucinations
      • Loss of touch
      • Unable to feel pain
      • Amnesia
      • Temporary blindness or deafness
      • Seizures
    Nervous System
    Nervous system posterior 3D
    An emotional event may trigger physical symptoms, sometimes through peripheral nerves (yellow).
    Copyright © Nucleus Medical Media, Inc.
    Individuals with somatic symptom disorder may:
    • Complain about these symptoms in a very dramatic way, yet describe the symptoms in very vague or unclear terms
    • Visit more than one doctor for diagnosis and treatment for the same symptoms
    • Have test results that do not confirm any medical illness to explain their symptoms
    It is important to understand that a person with somatic symptom disorder is not intentionally producing or pretending to experience these physical complaints.


    There are no specific tests to determine whether or not a person has somatic symptom disorder.
    Your doctor will ask about your symptoms, medical history, and mental health history. A physical exam will be done. It is important for your doctor to rule out other diagnoses that are sometimes misdiagnosed as somatic symptom disorder.
    Diagnosis is made by the following criteria:
    • One or more symptoms that are severe enough to interfere with daily life
    • Excessive thoughts, feelings, or behaviors associated with symptoms or concerns about health by one or more of the following:
      • Persistent thoughts about the seriousness of symptoms
      • Persistent anxiety about symptoms and/or overall health
      • Using excessive time and energy thinking about symptoms and/or overall health


    The goal of treatment is to make you feel like you can control the symptoms and help you begin to function properly in work and social situations. Talk with your doctor about the best treatment plan for you. It is important to have a long-term relationship with your doctor, who should be empathetic and caring about your issues.
    Other treatment options your doctor may suggest include:
    • Psychotherapy—Talking with a psychiatrist, psychologist, social worker, or licensed counselor to figure out ways to deals with stressful or painful issues.
    • Cognitive behavioral therapy—A mental health professional will work with you to focus on practical ways to cope with symptoms.
    • Medications—If you have another disorder, such as depression or anxiety, it may be treated with medications.


    There are no current guidelines to prevent somatic symptom disorder.


    American Psychiatric Association https://www.psychiatry.org

    American Psychological Association http://www.apa.org


    Canadian Psychiatric Association http://www.cpa-apc.org

    Mental Health Canada http://www.mentalhealthcanada.com


    Diagnostic and Statistical Manual of Mental Disorders (DSM-5). American Psychiatric Association; 2013.

    LaFrance WC Jr. Somatoform disorders. Semin Neurol. 2009;29(3):234-246.

    Kurlansik SL. Maffei MS. Somatic symptom disorder. Am Fam Physician. 2016;93(1):49-54.

    Somatic symptom disorder. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T116198/Somatic-symptom-disorder. Updated February 11, 2016. Accessed June 9, 2016.

    Somatic symptom disorder. Merck Manual Professional Version website. Available at: http://www.merckmanuals.com/professional/psychiatric-disorders/somatic-symptom-and-related-disorders/somatic-symptom-disorder. Updated November 13, 2013. Accessed June 9, 2016.

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