SOMATIC ANXIETY alias PSIKOSOMATIK UPDATE

Summary

Dr. Andri Di discusses somatic anxiety, a condition where physical symptoms are caused by stress or anxiety. He explains common symptoms related to the gastrointestinal, cardiovascular, respiratory, musculoskeletal, and endocrine systems. Dr. Di emphasizes the importance of consulting a psychiatrist for a holistic approach to treatment, considering biological, psychological, and social factors. He stresses that while medication can provide relief, addressing the root causes and improving coping mechanisms is crucial for long-term recovery.

Takeaways

• 🧠 Somatic anxiety and psychosomatic disorders are terms used to describe physical symptoms caused by mental stress or anxiety.
• 🔍 Common somatic symptoms are related to the gastrointestinal system, cardiovascular system, respiratory system, musculoskeletal system, endocrine system, and skin.
• 🏥 It's important to differentiate between acute and chronic psychosomatic symptoms, as acute symptoms are often related to specific stressful situations.
• 🚑 Patients with chronic somatic anxiety may frequently visit hospitals due to recurring physical symptoms, even though no physical cause is found.
• 👨‍⚕️ Consulting a psychiatrist is crucial for managing psychosomatic conditions, as they specialize in understanding the mind-body interaction and stress-related bodily functions.
• 💊 Medication can help stabilize symptoms, but it's not a complete solution; addressing the psychological and social aspects of the condition is also necessary.
• 🔄 The recurrence of symptoms can be due to genetic factors, ineffective coping mechanisms, or challenging life changes that the individual has not adapted to.
• 🌐 Social factors, such as relationships and personal interactions, can significantly impact the severity and recurrence of psychosomatic symptoms.
• 🌱 Adaptation and learning new coping mechanisms are key to preventing the recurrence of psychosomatic symptoms, but this can be difficult, especially with age.
• 🌟 The focus of treatment should not only be on medication but also on improving the individual's condition and adaptability.
• 🙏 The hope is for individuals to become healthier, manage their anxiety, and eventually reduce or eliminate the need for medication.

Q & A

What is the main topic discussed in the video script?

The main topic discussed in the video script is somatic anxiety or psychosomatic disorders, which refers to physical symptoms caused by stress or anxiety.

What are some common physical symptoms associated with psychosomatic disorders?

Common physical symptoms associated with psychosomatic disorders include issues related to the gastrointestinal system, cardiovascular system, respiratory system, musculoskeletal system, endocrine system, and skin.

What is the difference between acute and chronic psychosomatic disorders?

Acute psychosomatic disorders or somatic anxiety are sudden physical symptoms that occur during stressful situations, like presentations or important meetings. Chronic psychosomatic disorders are long-term physical symptoms that persist without a specific triggering situation.

Why is it important to consult a psychiatrist for psychosomatic disorders?

It is important to consult a psychiatrist for psychosomatic disorders because they specialize in understanding the mind-body interaction and can address the biological, psychological, and social aspects of the condition.

What are some factors that can trigger a relapse in psychosomatic disorders?

Factors that can trigger a relapse in psychosomatic disorders include genetic predispositions, psychological coping mechanisms, and challenging social situations such as difficult personal relationships.

Why do some patients with psychosomatic disorders seem to be dependent on medication?

Some patients with psychosomatic disorders may seem dependent on medication because they have not yet learned or are unable to implement psychological coping strategies or because their social environment makes it difficult to change.

What is the role of medication in treating psychosomatic disorders according to the script?

Medication plays a supportive role in providing stability and helping manage symptoms quickly, but it is not a complete solution. The script emphasizes the importance of improving one's condition and adaptability.

What is the significance of the upcoming year 2025 mentioned in the script?

The upcoming year 2025 is mentioned as a time marker for the audience to consider their health and well-being, with a hopeful tone for the future and a wish for better health and happiness.

What advice does Dr. Andri Di give to patients regarding the treatment of psychosomatic disorders?

Dr. Andri Di advises patients to not solely rely on medication and to focus on improving their condition and adaptability, which includes addressing psychological and social factors.

How does the script describe the process of recovery from psychosomatic disorders?

The script describes the recovery process from psychosomatic disorders as involving not just the treatment of symptoms but also learning to adapt to stressors and potentially genetic factors that may predispose individuals to these disorders.

What is the significance of the term 'somatic anxiety' mentioned in the script?

The term 'somatic anxiety' refers to the physical symptoms that are a direct result of anxiety, highlighting the mind-body connection and the impact of psychological stress on physical health.

Outlines

00:00

📚 Understanding Somatic Anxiety

Dr. Andri Di discusses somatic anxiety, a condition he has studied for nearly 20 years. He explains that somatic anxiety involves physical symptoms caused by stress or anxiety. These symptoms can affect various body systems, including the gastrointestinal, cardiovascular, respiratory, musculoskeletal, endocrine, and skin systems. Dr. Di emphasizes that these symptoms are common and not unusual. He differentiates between acute and chronic somatic anxiety, explaining that acute symptoms often occur during stressful situations, such as meetings or presentations, while chronic symptoms persist without a specific triggering event. He also mentions that anyone can experience these symptoms, not just those currently undergoing psychiatric treatment.

05:01

🩺 Seeking Help for Somatic Anxiety

The script suggests that individuals experiencing somatic anxiety should seek help from a psychiatrist. Psychiatrists specialize in understanding the mind-body connection and can address the biological, psychological, and social aspects of stress-related conditions. Dr. Di shares his experience that some patients see significant improvements in their symptoms after treatment, but the challenge lies in preventing relapses. He explains that while treating the symptoms is relatively straightforward, preventing a recurrence requires addressing genetic factors, psychological adaptation patterns, and social circumstances. Dr. Di also touches on the importance of not just relying on medication but also working on improving one's condition and adaptability.

10:02

💊 Overcoming Medication Dependence

Dr. Di addresses the issue of patients becoming dependent on medication for somatic anxiety. He explains that while medication can help manage symptoms, it is not a long-term solution. Patients may need to learn new coping mechanisms and adapt to changes in their lives. The doctor also discusses the role of social factors, such as difficult relationships or life changes, which can hinder recovery. He emphasizes that overcoming medication dependence is a personal choice and effort, and it depends on the individual's willingness to make changes and improve their condition. Dr. Di concludes by wishing his audience good health and happiness, hoping that they can overcome their anxiety and live a better life.

Keywords

💡Somatic

Somatic refers to anything relating to the body, especially the physical aspect. In the context of the video, it is used to describe 'somatic anxiety,' which are physical symptoms caused by anxiety. The video discusses how these symptoms can manifest in various body systems like the gastrointestinal, cardiovascular, respiratory, musculoskeletal, and endocrine systems. An example from the script is the mention of gastrointestinal symptoms related to anxiety.

💡Psychosomatic

Psychosomatic is a term used to describe physical symptoms that are caused or exacerbated by mental stress or emotional factors. The video speaker has spent nearly 20 years studying this area and discusses how psychosomatic symptoms can be related to different mental health disorders. The script mentions that these symptoms are not just limited to those undergoing psychiatric treatment but can affect anyone.

💡Anxiety

Anxiety is a feeling of worry, nervousness, or unease about something with an uncertain outcome. The video discusses 'somatic anxiety,' which is a type of anxiety that manifests physically. The speaker uses examples such as increased heart rate or gastrointestinal issues to illustrate how anxiety can physically manifest.

💡Gastrointestinal

Gastrointestinal refers to the system that includes the stomach and intestines. In the video, gastrointestinal issues are highlighted as common symptoms of psychosomatic disorders. The speaker mentions that anxiety can lead to gastrointestinal symptoms, which are a significant part of the discussion on somatic anxiety.

💡Cardiovascular

Cardiovascular relates to the heart and blood vessels. The script mentions that cardiovascular symptoms, such as heart palpitations, can be a result of anxiety. These physical manifestations are part of the broader conversation on how anxiety can impact various body systems.

💡Respiratory

Respiratory pertains to the system that involves breathing, including the lungs and airways. The video discusses how anxiety can affect the respiratory system, leading to symptoms like shortness of breath. This is another example of somatic anxiety where physical symptoms are linked to mental stress.

💡Musculoskeletal

Musculoskeletal refers to the system that includes muscles, bones, and joints. The video touches on how anxiety can cause musculoskeletal symptoms, such as muscle tension or pain. This illustrates the wide-ranging impact of anxiety on the body.

💡Endocrine

Endocrine relates to the system of glands that produce hormones. The video mentions the endocrine system, particularly the thyroid and pancreas, as being affected by anxiety. This is discussed in the context of how hormonal imbalances can be a result of psychosomatic disorders.

💡Genetic factors

Genetic factors are elements inherited from one's parents that can influence the likelihood of developing certain conditions. The video speaker discusses how genetic factors can make some individuals more susceptible to anxiety disorders, indicating a biological predisposition to these conditions.

💡Adaptation

Adaptation refers to the process of adjusting to new conditions or changes in one's environment. The script mentions that individuals may struggle with adaptation to new life events or stressors, which can trigger or exacerbate anxiety symptoms. The speaker emphasizes the importance of improving one's ability to adapt as part of the healing process.

💡Social factors

Social factors are aspects of one's environment and relationships that can influence mental health. The video discusses how social factors, such as difficult interpersonal relationships or life events like divorce, can contribute to anxiety and the recurrence of psychosomatic symptoms. These factors are highlighted as part of the complex interplay between mental health and one's social context.

Highlights

The discussion is about somatic anxiety or psychosomatic disorders, a topic the speaker has studied for nearly 20 years.

Psychosomatic disorders are related to physical symptoms caused by anxiety.

Common symptoms include issues with the gastrointestinal, cardiovascular, respiratory, musculoskeletal, endocrine, and skin systems.

The speaker emphasizes that anyone can experience anxiety disorders, not just those currently undergoing psychiatric treatment.

Acute psychosomatic symptoms often occur during stressful situations like presentations or important meetings.

Chronic somatic anxiety can persist without a specific triggering situation.

Cases of generalized anxiety disorder involve patients experiencing recurring physical symptoms without any identifiable medical cause.

It's crucial for such conditions to be addressed by a psychiatric specialist.

Psychiatric specialists focus on the mind-body interaction and the role of stress in bodily functions.

Treatment should consider biological, psychological, and social aspects.

The speaker shares that some patients experience significant relief from psychosomatic symptoms within 1 to 2 weeks of treatment.

However, preventing relapse is challenging due to genetic factors and psychological coping mechanisms.

The speaker discusses the importance of improving self-condition and adaptability rather than just treating symptoms.

Some patients may have a genetic predisposition to anxiety disorders.

Psychological factors include ineffective coping patterns that may not adapt well to new stressors.

Social factors, such as difficult personal relationships, can also contribute to anxiety disorders.

The speaker mentions that medication is just a small part of the treatment and should not be the sole focus.

The speaker has seen patients who have been on medication for over 10 years, indicating that medication alone is not always sufficient.

The speaker encourages patients to explore various techniques and methods to improve their condition and adaptability.

The speaker hopes that patients will be willing to make an effort to improve their health and reduce reliance on medication.

The speaker concludes with well-wishes for the audience's health and happiness.

Transcripts

Halo berjumpa kembali dengan Dr Andri Di

sini kita mau berbicara tentang hal yang

saya sudah sekian lama tekuni hampir 20

tahun yaitu somatic

anxiety atau Istilahnya psikosomatik ya

Jadi teman-teman mungkin tahu bahwa

dalam YouTube channel saya ini Andri

psikosomatik itu banyak dibahas tentang

masalah gangguan

kecemasan gejala-gejala psikosomatik

yang berhubungan dengan kondisi gangguan

kejiwaan lainnya nah ini saya mau

memberikan update perkembangan terkait

dengan apa yang kita sebut sebagai

gejala psikosomatik itu Jadi selain

psikosomatik teman-teman di dalam

Googling juga mungkin bisa menemukan

istilah somatik anxiety ya dan somatic

anxiety ini sebenarnya adalah istilah

yang merujuk pada suatu kondisi gejala

fisik yang diakibatkan oleh kecemasan

atau anxiety dan tentunya kita sudah

bertahun-tahun ya membahas hal ini di

antaranya gejala yang paling sering

muncul terkait dengan sistem

gastrointestinal atau gejala-gejala yang

terkait dengan lambung dan pencernaan

kemudian

juga gejala yang berkaitan dengan sistem

kardiovaskular yaitu dengan jantung dan

pembuluh darah kemudian adalah sistem

respiratori atau

pernafasan kemudian

muskuloskeletal atau sistem yang

berkaitan dengan otot dan tulang

endokrin sistem yaitu yang berkaitan

dengan hormonal termasuk dalam hal ini

adalah tiroid dan pankreas di mana yang

dikaitkan

dengan Gan dalam gula ya produksi gula

yang berhubungan dengan penyakit

diabetes

militus kemudian juga ada yang berkaitan

dengan skin atau kulit ya dan penyakit

yang berkaitan dengan autoimun Nah

mungkin yang sering kita bahas itu kan

tiga organ besar yaitu jantung lambung

dan

paru-paru kita akan melihat bahwa

perspektif pada kondisi

anxiety sebenarnya kita tahu bahwa

kondisi gangguan yang mengalami

kecemasan itu bisa saja semua orang jadi

bukan cuma teman-teman yang saat ini

lagi dalam pengobatan psikiater nih tapi

semua orang bisa saya pernah memberikan

suatu video kepada teman-teman yang

berkaitan bagaimana membedakan gejala

psikosomatik yang akut yang baru saja

terjadi dan psikosomatik kronis atau

psikosomatik yang lama atau panjang

kejadiannya Kalau kita lihat

psikosomatik akut atau gejala somatic

anxiety yang akut itu sering terjadi

pada saat kita dalam kondisi yang

sehari-hari kita mau ketemu sama orang

yang penting kita mau presentasi di

depan orang-orang di depan Bos di depan

teman guru ya kemudian juga pada saat

kita

melakukan aktivitas yang baru mungkin

kita lakukan sebelumnya enggak pernah

nih tiba-tiba kita melakukan jadi agak

deg-degan gitu ya atau rasanya perut

enggak enak kayak gitu bolak-balik ke

kamar mandi ingin kencing g Itu segala

sesuatu yang berkaitan dengan yang

namanya somatic anxiety

atau gejala fisik akibat cemas gitu dan

ini bukanlah sesuatu yang EE Luar biasa

ini satu hal yang biasa nah menjadi

menarik adalah

ketika kita melihat gejala somatic

anxiety ini

kemudian menjadi kronis atau

berkepanjangan yang tadinya hanya

berkaitan dengan situasi tertentu tapi

ini tidak ada situasi tertentu dia

terus-terusan berlanjut ya contohnya

adalah pada Kak kasus-kasus gangguan

kecemasan menyeluruh di mana pasiennya

itu mengalami gejala-gejala fisik yang

berulang ya bolak-balik ke rumah sakit

ngecek ini ngecek itu gitu ya tapi

ternyata dasarnya itu tidak ada gejala

yang terkait dengan lambungnya

jantungnya paru-parunya ketika diperiksa

tidak mengalami suatu masalah dan ini

yang penting untuk diperhatikan sama

teman-teman

Bagaimana situasi kondisi sakit seperti

ini harus segera mendapatkan pertolongan

seorang dokter spesialis kedokteran jiwa

Mengapa karena dokter spesialis

kedokteran jiwa adalah spesialisasi

yang khusus membahas kasus-kasus terkait

dengan peran dari kondisi stres terkait

dengan fungsi tubuh itu sendiri

pendekatannya mind and body

Interaction bio biologi psiko psikologi

sosial sosial jadi kalau kita bicara

tentang konteks pengobatannya sendiri

perlu kita perhatikan Sisi biologinya

kita perlu perhatikan Sisi psikologinya

dan

sosialnya kalau dalam pengalaman praktik

saya teman-teman pasien-pasien yang

pernah berkunjung dan berkonsultasi

pasti saya sudah pernah berkali-kali

mengatakan kalau untuk urusan gejala itu

bisa segera

sembuh berikan saya waktu 1 sampai 2

minggu gejala yang dialami secara

psikosomatik itu secara social anxiety

itu bisa berkurang bahkan hilang sama

sekali dan sudah Beberapa pasien

juga punya buktinya itu ya di praktik

tapi saya tidak bisa menjamin kalau itu

kambus lagi ya kambuhan itu kenapa

Karena kalau soal mengobati gejalanya

saja tidak terlalu sulit karena memang

ada petunjuk pelaksanaan

penggomatannya ada guidelines baik dari

Indonesia maupun dari luar ya baik dari

pengalaman praktik yang sudah begitu

lama saya sudah bisa melihat banyaknya

pasien-pasien psikosomatik yang datang

yang susah itu adalah Bagaimana mencegah

jangan sampai balik lagi sehingga tidak

heran Pasien itu sering datang

bolak-balik udah baik nih setahun tidak

minum obat eh dia datang

lagi kenapa dia bisa datang lagi karena

kondisi kecemasannya terpicu kembali

oleh sesuatu yang belum bisa diadaptasi

oleh orang tersebut Jadi mungkin dia

mendapatkan sesuatu tangangan kehidupan

yang baru Atau Dia mungkin menjalani

suatu hal yang baru yang belum dia bisa

segera adaptasi dan itu wajar kalau

terjadi sesuatu yang berkaitan dengan

pola adaptasi

tersebut Namun mungkin teman-teman kesal

kan Ah kenapa dia berulang lagi sih Ya

ini kayaknya penyakit saya jadi

ketergantungan

obat jangan salah tangkap teman-teman

itu bukan ketergantungan obat tapi

sebenarnya memang punya masalah tersebut

secara biologis itu ada namanya genetic

factors atau faktor genetik yang

menyebabkan teman-teman lebih rentan

daripada orang lain mengalami gangguan

cemas kedua secara psikologi mungkin

pola adaptasi yang dipakai oleh

teman-teman tidak bekerja saat itu

kondisinya datang stres baru yang datang

tapi kemudian harus belajar dan

kadang-kadang belajar itu kan enggak

cepat

ya mungkin teman-teman sudah usianya 40

50 tahun sehingga mau belajar agak sulit

kalau yang masih muda aja kadang-kadang

malas apalagi yang sudah usia segitu ini

yang menyebabkan hambatan pada proses

penyembuhan kemudian aspek lainnya

adalah sosial terkadang kita tidak bisa

pungkiri hidup kita tidak terlalu

beruntung berada pada situasi sosial

yang sulit berada pada situasi interaksi

personal yang tidak tidak baik tidak

mudah misalnya punya pasangan yang tidak

bagus atau tidak Oke baik perempuan

maupun laki ya kita sudah berjodoh

dengan dia tapi kadang-kadang dalam

perjalanan kehidupan kita kok dia

berubah atau mungkin kitanya juga

berubah sehingga pasangan kita ikut

berubah dan kita sulit beradaptasi

dengan kondisi seperti itu ya jadi

enggak heran itu banyak orang bisa

disebabkan faktor-faktor perceraian

segala macam menjadi salah satu masalah

yang sering kita temukan Jadi kalau

demikian teman-teman Begitu banyaknya

faktor yang mempengaruhi bukan cuma

sekedar obat jadi saya suka-suka bilang

ya sama pasien saya jangan cuma mikirnya

obat terus ya obat lagi Dok Aduh kalau

dokter sakit kayak kemarin 2 minggu saya

pusing Dok kenapa obat saya sudah mau

habis obat itu hanya sebagian kecil aja

dia punya fungsi membantu stabilitas

segera Nah kenapa jadinya banyak orang

ketergantungan obat itu karena dia

enggak punya cara lain dia belum siap

melakukan hal-hal yang berkaitan dengan

faktor psikologis Mungkin dia juga malas

mungkin lingkungan sosialnya susah

berubah jadi mau enggak mau dia makan

obat karena apa supaya dia bisa

berfungsi dengan baik sehari-hari

Salahkah itu tidak saya enggak bilang

salah karena memang ada beberapa pasien

saya yang seperti itu saya sudah 16

tahun berpraktik ya dan ada beberapa

pasien yang lebih dari 10 tahun dia

menggunakan obat Walaupun mungkin tidak

terus-menerus kadang-kadang dia bisa

stop S 2 tahun Dia kemudian berulang

lagi jadi itu adalah hal yang biasa ya

saya Walaupun mungkin pengalamannya baru

16 tahun total 20 tahun saya menangani

pasien-pasien e psikiatri itu fokus saya

di dalam 16 tahun terakhir ini ke bidang

psik somatik dan gangguan cemas sudah

sering sekali menemukan pasien-pasien

seperti itu berulang bolak-balik pengin

coba cara yang lain ya pengin

menggunakan teknik inilah teknik inilah

hipnoterapilah teknik macam-macam tapi

sebenarnya fokus utamanya bukan itu

teman-teman tapi memperbaiki kondisi

diri dan kemampuan adaptasinya itu yang

harus diperhatikan sama teman-teman

semuanya oke mudah-mud mudahan pengingat

kita ini di jelang kita sudah mau tahun

2025 ya enggak lama lagi ya dan

pemerintahan bapak presiden Prabowo akan

segera tahun ini di Oktober nanti

mudah-mudahan semuanya lancar

teman-teman juga semakin sehat siap

berjuang dan kalau lagi makan obat

mudah-mudahan segera lepas supaya bisa

menjadi lebih baik lagi kalau

kasus-kasus gangguan anxiety atau cem

itu psikosomatik terutama itu sebenarnya

bisa lepas obat tinggal tergantung

teman-teman mau melakukannya atau tidak

mau mengusahakan lebih atau tidak

mudah-mudahan teman-teman bersedia kita

sehat bersama semuanya mudah-mudahan

tetap dalam lindungan Tuhan yang Mang

Esa Semoga semua makhluk berbahagia

salam ikhlas sabar dan sadar Salam sehat

jiwa bye bye