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General Description
The main features are multiple, recurrent and frequently changing physical symptoms of at least two years' duration. Most patients have a long and complicated history of contact with both primary and specialist medical care services, during which many negative investigations or fruitless exploratory operations may have been carried out. Symptoms may be referred to any part or system of the body. The course of the disorder is chronic and fluctuating, and is often associated with disruption of social, interpersonal, and family behaviour.

	F45.0 SOMATIZATION DISORDER
	General Description The main features are multiple, recurrent and frequently changing physical symptoms of at least two years' duration. Most patients have a long and complicated history of contact with both primary and specialist medical care services, during which many negative investigations or fruitless exploratory operations may have been carried out. Symptoms may be referred to any part or system of the body. The course of the disorder is chronic and fluctuating, and is often associated with disruption of social, interpersonal, and family behaviour.
	FURTHER INFORMATION The disorder usually begins before the age of 30 and occurs more often in females. Somatization disorder is highly stigmatizated and patients are often dismissed by their physicians as having problems that are "all in your head." However, as researchers study the connections between the brain, the digestive system, and the immune system, these disorders are becoming better understood and should not be seen as "faked" conditions which the patient could end if he or she chose to do so.
	Examples The symptoms are severe enough to lead the person to visit the doctor or take medication, and the symptoms interfere with work and relationships. A lifelong history of sickliness is often present, though no specific disease is ever identified to account for the symptoms. A greater intensity of symptoms often occurs with stress.

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