Somatization disorder in family practice

Although often difficult to recognize, somatization disorder--the presence of multiple physical symptoms but no apparent physical or psychiatric disease--is a common problem in primary care practices. Onset is usually before age 30. The disorder manifests as a myriad of symptoms, including gastrointestinal complaints, various types of pain, cardiopulmonary symptoms, pseudoneurologic complaints, sexual problems and complaints related to the female reproductive system. Vigilance is necessary, because somatization disorder may mimic numerous physical and psychiatric ailments.