Not Mystical! Physical Pain Without a Medical Diagnosis, IPB University Medical Faculty Lecturer: Could Be a Psychosomatic Disorder

Feeling short of breath or chest pain without a clear medical cause? It could be that it’s not a physical problem, but rather a psychosomatic disorder. 

Psychiatrist and lecturer at the Faculty of Medicine, IPB University, dr Riati Sri Hartini, MSc, SpKJ, explains that psychosomatic disorders are conditions where an individual experiences physical symptoms involving various parts of the body, from head to toe. 

Interestingly, medical examinations do not show any significant physical abnormalities, as these symptoms are more closely related to psychological conditions. “Psychosomatic disorders are typically caused by distressing conditions, such as family issues, work-related stress, or a mismatch between an individual’s circumstances and environmental demands,” dr Riati stated in the IPB Pedia program on the IPB TV YouTube channel.

Symptoms arising from psychosomatic disorders are highly varied and can mimic physical illnesses. For example, someone experiencing anxiety may feel symptoms like a racing heart, nausea, chest pain, or a heavy sensation in the chest. However, after undergoing tests like an electrocardiogram (ECG), no actual heart abnormalities are found.

In addition to anxiety, psychosomatic disorders can also arise from depression. “Symptoms may include severe fatigue despite not engaging in excessive physical activity, or insomnia not caused by physical factors such as caffeine consumption.”

In cases of depression, insomnia typically occurs at night, when a person can fall asleep but wakes up and cannot return to sleep. Meanwhile, insomnia caused by anxiety generally occurs early in the evening due to tension and excessive vigilance.  

Furthermore, dr Riati emphasized that to reduce the risk of psychosomatic disorders, stress management and meeting physical needs are of utmost importance. “The first step is to manage emotions effectively. Effective stress management prevents the buildup of negative emotions,” she said.

She also recommended maintaining a healthy diet and a regular lifestyle. Nutritious food, adequate sleep, and regular exercise are key activities in building optimal physical and mental resilience. “When the body is in good condition, the response to emotional stress becomes more adaptive, thereby minimizing the risk of psychosomatic issues,” she added.

However, if psychosomatic symptoms persist over a long period and begin to interfere with daily activities, dr Riati advises seeking consultation with a healthcare professional. Appropriate treatment and therapy tailored to the individual’s condition are essential to prevent further complications. (dr) (IAAS/EXC)