On 4/7, Dr. Nguyen Viet Chung, head of the Mental Health Department at E Hospital, reported that the patient had previously consulted various specialists, including gastroenterologists, cardiologists, and neurologists, and undergone gastroscopy, but no physical abnormalities were found.
The patient's symptoms included a rapid heartbeat, acid reflux, upper abdominal discomfort, dizziness, and loss of balance whenever he had to meet with his superiors. Although diagnosed with vertigo, treatment proved ineffective.
This prolonged condition led to decreased productivity, difficulty concentrating, and avoidance of social activities. He gradually lost confidence, abandoned his hobbies, experienced sleep disturbances, and suffered a decline in his quality of life.
Dr. Chung diagnosed the patient with somatoform disorder, a condition typically seen in young, intellectual, perfectionistic, and anxious individuals. Those with this disorder experience physical symptoms such as persistent pain or discomfort, but these cannot be fully explained by any known medical condition, substance use, or other mental disorder.
Several factors contribute to this condition, including genetics, personality traits, and environmental stressors.
Treatment includes cognitive behavioral therapy to address negative thoughts about health. In cases of persistent anxiety, doctors may prescribe low-dose antidepressants, combined with relaxation techniques and emotional regulation guidance. Increased light exercise, reduced workload, and learning to accept imperfections are also recommended.
Dr. Chung warned that if left untreated, somatoform disorder can lead to prolonged depression and severely impact quality of life. Effective treatment requires collaboration between psychiatrists, general practitioners, and psychotherapists to ensure a comprehensive approach.
Thuy Quynh
