Somatization disorder is characterized by pain or physical symptoms in more than four body regions or systems with no pathology; treatment is which?

• A. Medication only.
• B. Psychotherapy.
• C. Surgery.
• D. Antibiotics.

Answer: (B)

Somatization disorder involves many physical symptoms across multiple body systems without an identifiable medical illness. Because these symptoms stem from psychological distress and maladaptive coping rather than a treatable medical condition, the focus of treatment is on addressing those psychological factors. Psychotherapy helps patients recognize how thoughts, emotions, and stress contribute to somatic sensations, develop healthier coping strategies, and reduce unnecessary medical testing and physician visits. It can also address any coexisting anxiety or depression to improve overall functioning. Medications alone don’t resolve the pattern, since there is no underlying pathology to treat, and surgery or antibiotics would not address the psychological drivers behind the symptoms.