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Healthcare

Psycho Medical Treatment
The concept of Psychomedical Treatment - that is, the approach that emphasis the interrelation of mind and body in the genesis of symptom and disorder calls for a greatly sharing of responsibility among various profession. If one views disease from a multicausal point of view, every disease can be considered psychosomatic, since every disorder is affected in some fashion by emotional factors. Anxiety, depression and hostility, in varying proportions, are at the root of most psychosomatic disorders. Psychosomatic medicine is principally concerned with those illnesses that present primarily somatic manifestations.
The presenting complain is usually physical as you know very well; patients rarely complain of their anxiety or depression or tension, but, rather, of their vomiting or diarrhea or anorexia or premature ejaculation to their respective consultants.

Types of patients
A special evaluation of the psychological and somatic factors of three major groups of medical patients is generally observed.
Psychosomatic Illness Group
Patients in this group suffer from such disorders as peptic ulcers, asthma, ulcerative colitis, irritable bowel syndrome etc. or children suffering from learning disability or nocturnal enuresis. In these disease processes one cannot foist a strictly psychogenic explanation, since the particular set of emotional factors found, for example, in the typical ulcer case may also appear in patient with no history of ulcer.


Reactive Group
Patients in this group do have actual organic disorders, but they also suffer from an associated psychological disturbance. For example, a patient with a heart disease or renal disease or with menopausal symptoms may have a reactive anxiety or depression regarding their condition. The anxiety, in turn, may produce physical manifestations that complicate the somatic situation.


Psychiatric Group

Patients in this group suffer from physical disturbances caused by psychological illness, rather than physical illness. Their somatic disabilities may be real (objective) or unreal. When real, the disability involves the voluntary nervous system and is termed a conversion disorder, previously called a conversion hysteria. Among the unreal disabilities are hypochondriasis and delusional preoccupation with physical functioning, which is often seen in schizophrenic patients.


In case of any query or questions please contact :
NATIONAL INSTITUTE OF BEHAVIOURAL SCIENCES (NIBS)

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