Psicosomatica – Quando il corpo parla di noi
La psicosomatica è quella branca della medicina che mette in relazione corpo e mente ovvero il nostro mondo emozionale ed affettivo con il soma (disturbo).
Nello specifico, la psicosomatica si occupa di rilevare e capire quale sia l’influenza che la mente (emozione) ha sul disturbo (corpo). Il meccanismo di azione dei disturbi psicosomatici avviene quando il corpo si difende da emozioni dolorose e intollerabili e manifesta il proprio disagio su alcuni organi, denominati “organi bersaglio”.
Disturbi di tipo psicosomatico trovano la loro via di scarico preferibilmente nell’apparato gastrointestinale ( colite spastica psicosomatica, ulcera peptica, gastrite psicosomatica…); nell’apparato cardiocircolatorio ( tachicardia, ipertensione essenziale, aritmie…); nell’apparato uro-genitale ( dolori mestruali, anorgasmia, eiaculazione precoce, impotenza…); nel sistema cutaneo ( psoriasi, acne, dermatite psicosomatica, orticaria, sudorazione profusa…); nel sistema muscolo-scheletrico (cefalea muscolo tensiva, crampi muscolari, fibromialgia, dolori cervicali, stanchezza cronica…).
Per arrivare a comprendere meglio come si arrivi al sintomo partendo da una base psichica farò un esempio. Secondo la moderna visione della psicosomatica, le difese contro lo stress e/o emozioni intollerabili intervengono a fasi successive:
- pensiero ed emozioni
- reazioni corporee determinate dal sistema neurovegetativo
- alterazione del sistema immunitario.
Se un individuo si trova in una situazione stressante ripetuta (malumore e tensioni sul lavoro), mette in atto per primo il filtro emotivo e cognitivo: si dispera, è spesso triste, piange, chiede aiuto, spera di trovare comprensione, di trovare delle risposte o vie d’uscita dalla situazione ansiogena…ma tutto ciò non aiuta e non risolve nulla. Allora subentra il sistema neurovegetativo: il soggetto inizia ad avere alcuni disturbi psicosomatici come, ad esempio, disturbi gastroenterici, disturbi del sonno, tachicardie frequenti… situazione questa che dovrebbe portare ad una presa di posizione e conseguentemente ad una decisione di cambiamento. Ma ancora non ce la fa a saltarne fuori a trovare una via d’uscita! Subentra infine il terzo filtro, quello immunitario, che porta alla vera malattia psicosomatica (psoriasi, peggioramento dei disturbi gastrici fino ad arrivare ad un’ulcera. Tutto ciò per sottolineare che ogni situazione anomala che condiziona fortemente la nostra vita, merita attenzione, una presa in carico e risposte per attuare un cambiamento evitando così che ristagni e porti ad una malattia vuoi psichica vuoi somatica.
Un esempio frequente che faccio ai miei pazienti è quello della palla schiacciata nell’acqua: più la schiaccio verso il fondo maggiore sarà la forza propulsiva con la quale verrà fuori rischiando di farci male. Allo stesso modo se non riusciamo ad affrontare al più presto situazioni anomale della nostra vita per arrivare ad attuare un cambiamento, rischieremo col passare del tempo, di farci molto più male!
Come si cura una malattia psicosomatica
Innanzi tutto diventa essenziale creare una rete tra medici e psicologi. Nel caso si sospetti che una malattia possa avere un’origine psicosomatica è fondamentale, in primo luogo, eseguire tutti gli accertamenti diagnostici sotto la guida del proprio medico e/o dei medici specialisti per indagare probabili cause organiche. Se tutti gli esiti dovessero risultare negativi ci si potrà rivolgere ad uno psicologo/psicoterapeuta per risalire alla situazione stressante all’inizio del disturbo e lavorare sui vissuti e le emozioni non ancora metabolizzati perché è da ciò che le somatizzazioni hanno origine.
La forza e la maturità di un individuo si misura anche dalla sua capacità di non negare le sue difficoltà e di saper chiedere aiuto là dove ci si rende conto di non farcela da solo perché è normale non riuscire a capire e risolvere tutto e subito!
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