Stages of assessment of psychosomatic disorder
are a meticulous and gradual process aimed at understanding the complex relationship between psychological and physical factors, determining the extent to which psychological stress affects physical symptoms, making the correct diagnosis, and developing an effective and comprehensive treatment plan. This assessment requires a systematic, consistent process that allows for systematic data collection and thorough analysis to obtain a clear picture of the patient’s condition.
1) The first stage is the collection of initial data, medical and psychological anamnesis. At this stage, complete information about the patient’s health status is collected, including medical history, current physical symptoms, and history of previous medical conditions. Psychological and social anamnesis is also collected, such as stress levels, trauma suffered, lifestyle, and social relationships. This procedure aims to distinguish between symptoms caused solely by physical causes and those associated with psychological factors and to identify potential factors that contribute to the onset of psychosomatic symptoms.
2) The second stage is Psychological assessment. In this phase, the focus is on examining the patient’s psychological patterns, including levels of anxiety, depression, anger, and mood swings. This includes using psychological scales and standardized questionnaires to determine the severity of psychological stress and its impact on physical health, as well as evaluating the techniques and psychological strategies a person uses to manage stress.
3) The third stage is Physiological assessment. In this stage, body functions associated with psychosomatic disorders are examined, such as blood pressure, heart rate, digestive and respiratory systems, and muscle and hormonal activity. The purpose of this assessment is to identify the organic effects caused by psychological stress and to determine the extent to which they relate to individual neurological characteristics such as nervous system strength, neuroplasticity, neurological balance, and neurological endurance.
4) Fourth stage – Analysis of psychosomatic interdependence: After collecting psychological and physical data, the relationship between emotions, psychological stress and physical symptoms is analyzed to determine the severity of the psycho-bodily connection. This stage helps to classify the psychosomatic disorder according to the degree of its psychological connection with the body: weak, moderate or strong. This determines the choice of the most appropriate treatment strategy for each case.
5) The fifth stage is the development of a diagnosis and treatment plan. At this final stage, the results of the psychological and physical examination, as well as the psychosomatic correlation analysis, are combined to establish the final diagnosis of the psychosomatic disorder. A comprehensive treatment plan is also developed. Individual characteristics of the nervous system and adaptive abilities are taken into account. The program includes psychological, behavioral, medical, and social interventions. A follow-up plan is also developed to assess the effectiveness of treatment and adjust strategies as needed.