SOMATIZATION

unexplained stomachache, headache, nausea
 

The nausea you feel about an upcoming exam, your palms sweating before a presentation, and your heart rate increasing when you are running late—all of these are somatic symptoms. Simply put, somatization is stress manifesting in your body as physical symptoms. While the reasons for these symptoms are psychological, the sensations we experience are very much real. Somatic symptoms are often our body’s way of warning us that something is not right.

Common Somatic Symptoms

  • Physical Pain: Headaches, back pain, joint pain, and other types of pain

  • Digestive Issues: Stomachaches, constipation, diarrhea

  • Fatigue: Persistent tiredness and lack of energy

  • Cardiovascular Symptoms: Rapid heart rate, chest pain

  • Respiratory Symptoms: Shortness of breath, difficulty breathing

  • Other: Sweating, shaking, and difficulty walking

While we all experience somatization, its effects vary. Somatic symptoms are usually considered a disorder when they significantly impact one’s ability to live their life. You may be someone affected by pain and mobility issues diagnosed as psychosomatic, feeling ashamed and thinking that they are all in your head. You might feel as though it is your fault that you are experiencing pain. While these symptoms are primarily psychological, they are real sensations. They are not your fault, you are not alone, and there are steps you can take.

Why Does Somatization Occur?

  • Unprocessed Emotions: Suppressed emotions can build up and manifest physically.

  • Trauma: Past traumatic experiences can lead to long-term physical symptoms.

  • Anxiety and Stress: Chronic stress can wear down the body.

  • Difficulty Expressing Emotions: Some people may find it challenging to verbalize their feelings. I have noticed a pattern among those I have worked with; many individuals affected by somatization grew up with a "keep calm and carry on" mentality. Parents often say things like, “He never complains,” and then ask me, “Where did these Somatic symptoms come from?”

  • Illnesses or Past Injuries: Sometimes medical illnesses or past injuries can cause stress that exacerbates symptoms. Other times, past injuries can create ongoing stress responses.

Seeking Help

If you're struggling with somatization, therapy can provide valuable tools to help you:

  • Identify and Process Emotions: Learn healthy ways to connect with, express, and manage your feelings.

  • Develop Coping Strategies: Gain skills to reduce stress and anxiety.

  • Improve Physical Health: Explore mindfulness techniques and relaxation practices.

Integrated Care: While we can explore some of these strategies in counseling, I advise working with your doctor(s) to continue any necessary medical testing or treatment. I also encourage you to communicate any new symptoms to your doctor. In the past, I have witnessed first hand the benefits of clients’ receiving care from multiple professionals including doctors, specialists, physiotherapists, and massage therapists.

If you're experiencing somatization, seeking professional help could improve your quality of life. I invite you to consider booking a 15-minute free consultation today to start your journey toward emotional well-being.