F45.8

Clinical Causes: Psychological stress or emotional trauma Anxiety and depressive disorders History of chronic illness or medical conditions Personality factors and coping styles Increased awareness or focus on bodily sensations Familial or environmental influences

Key Symptoms: Psychogenic dysmenorrhea (painful menstruation with no identifiable physical cause) Psychogenic dysphagia (difficulty swallowing without physical abnormalities) Globus hystericus (feeling of a lump in the throat not due to physical obstruction) Psychogenic pruritus (itching that persists without an apparent dermatological cause) Psychogenic torticollis (abnormal neck movement or pain without physical basis) Somatoform autonomic dysfunction (irregularities in autonomic functions like heart rate or blood pressure) Teeth grinding (bruxism) often linked to stress or anxiety

Diagnosis Path: Diagnosis involves a comprehensive medical evaluation to rule out underlying physical causes of symptoms. Clinicians assess psychological factors and explore the patient's history. Diagnostic criteria include persistent symptoms that cause distress or impairment, absence of identifiable medical explanations, and evidence of psychological influences. Collaboration across specialties, including psychiatry and neurology, may be necessary to confirm the diagnosis and rule out other conditions.

Treatment Protocols: Psychotherapy, especially cognitive-behavioral therapy (CBT), to modify thought patterns and coping mechanisms Stress management techniques, such as relaxation therapy and mindfulness Medication may be prescribed for accompanying mental health conditions like anxiety or depression Patient education to foster understanding and reduce distress related to symptoms Interdisciplinary care involving mental health professionals, neurologists, and primary care providers