Key Takeaways
- Anxiety disorders and somatoform disorders are two distinct conditions that frequently co-occur. People with a somatoform disorder are more than three times more likely to have an additional mental health condition like an anxiety disorder.
- Anxiety disorders can cause painful physical symptoms brought on by mental distress. People with somatoform disorders experience painful symptoms that are not fully explained by an underlying medical cause.
- Treatment for anxiety disorders and somatoform disorders typically involves self-care, therapy, and (sometimes) medication. However, your treatment will be based on your unique diagnosis and needs.
Somatoform disorders and anxiety disorders are two different types of mental health conditions that can involve similar symptoms. For example, they can both lead to intense worries and uncomfortable physical symptoms. It’s also possible for these conditions to co-occur, meaning a person could have both an anxiety disorder and somatoform disorder at the same time.
Anxiety disorders can cause physical symptoms due to mental distress, while somatoform disorders involve physical symptoms that can’t be fully explained by a medical issue, making them two distinct conditions.
Left untreated, these conditions can interrupt your ability to function in daily life. But by learning more about them, including their similarities and differences, you’ll be better prepared to ask for help. While these conditions can be challenging to live with, it’s possible to manage them with the right support.
Can anxiety cause physical symptoms?
A person with an anxiety disorder may have debilitating fears that something bad might happen. These uncontrolled worries can revolve around many different things, depending on the type of anxiety disorder a person has. In response, their minds and bodies act as if they’re in very real danger.
This can cause uncomfortable physical symptoms, like:
- Rapid heart rate
- Breathing trouble
- Unexplained aches and pains
- Sweating
- Shakiness
- Dizziness
- Digestive problems
- Sleep disturbances
- Fatigue
- Muscle tension
One of the main reasons it can be difficult to differentiate between anxiety disorders and somatoform disorders is that they both involve physical symptoms. But it’s important to remember that different underlying factors drive these symptoms.
Can somatoform disorders cause anxiety?
In the case of anxiety disorders, physical symptoms are caused by overwhelming worries and a sense of dread. But with somatoform disorders, a person may feel intensely anxious about physical symptoms, whether or not they have an identifiable medical cause. Their focus on these symptoms and the associated worry can be so intense that it negatively impacts their mental health and daily functioning.
People with somatoform disorders may not be aware that they have a mental health condition. They might visit several different doctors in an attempt to receive a diagnosis to explain their physical symptoms. This can lead to unnecessary and costly medical appointments, tests, and procedures.
For example, imagine that a person with a somatoform disorder experiences chest pain or heart palpitations. In response, they feel intense anxiety because they think they’re having a life-threatening cardiac event. As their panic and fixations increase, they begin calling every cardiologist in their area to get the quickest appointment available. When they finally receive a medical evaluation, they might not believe their doctor when they tell them their heart looks healthy. Without adequate mental health support, this cycle may continue, and the person’s anxiety and physical symptoms could get worse.
Managing symptoms of anxiety and somatoform disorders
Research shows that people with somatoform disorders are more than three times more likely to also have a mental health condition like an anxiety disorder. As these conditions co-occur so frequently, it’s important to receive integrated treatment that addresses each of your mental health concerns.
If you think you might have an anxiety disorder, somatoform disorder, or both, there are a few steps you can take to better understand your experience.
- Seek a medical evaluation. If you’re experiencing painful or uncomfortable physical symptoms, don’t hesitate to seek medical care. Anxiety can sometimes be a symptom of a serious health condition that may require treatment.
- Review the results. If your medical provider gives you a clean bill of health but your anxiety persists, they may provide a referral to a mental health professional. You may be living with a somatoform disorder, anxiety disorder, or both.
- Track your symptoms. Write down when you experience symptoms and how intense they are. See if you can notice any thoughts, feelings, or behaviors that might trigger them. This can help you identify patterns and give your providers valuable insights about your mental health.
- Manage stress. Depending on the severity of your symptoms, you may require professional mental healthcare. But in the meantime, practicing stress-reduction strategies can help reduce your anxiety. This could include breathwork, physical exercise, or any other healthy activity that grounds you.
- Reach out for support. Don’t hesitate to talk to trusted friends or family members about your experiences. Having a support system can make a significant difference in your life.
Break the cycle with treatment
There are multiple types of anxiety disorders and somatoform disorders. So your treatment experience will be based on your unique diagnosis. However, know that both conditions can be managed with the right support. This typically involves a combination of self-management strategies, therapy, and medication, if needed.
Because anxiety disorders and somatoform disorders share some symptoms, there’s a risk of misdiagnosis. That’s why it’s so important to be open and honest with your providers about what you’re experiencing. If you don’t feel heard by your provider, don’t be afraid to seek a second opinion. Be sure to request a thorough evaluation and share any notes you’ve taken to help your providers better understand your symptoms.
Find care with Rula
On the surface, somatoform disorders and anxiety disorders can look very similar. They can both be characterized by uncomfortable physical symptoms and intense worries about your physical health. While these symptoms are driven by different factors, they can negatively impact your ability to function in everyday life if left untreated. Because of this overlap, getting an accurate diagnosis is a critical step in managing these conditions.
If you’re concerned that you might be living with an anxiety disorder, somatoform disorder, or both, help is just a few clicks away, and effective treatment options are available to support your journey toward healing and well-being. At Rula, we’re here to make it easier to find specialized, affordable mental healthcare, no matter the challenges you’re facing. When you need support, we invite you to explore our therapist-matching program. With our extensive network, you can quickly find the right provider for your needs and schedule your first appointment as soon as tomorrow.
About the author
Liz Talago
Liz Talago, M.ed. is a mental health professional turned content writer and strategist based in the Detroit metro area. As an independent consultant for mental health organizations, Liz creates meaningful connections between brands and their audiences through strategic storytelling. Liz is known for championing diverse perspectives within the mental health industry and translating bold ideas into inspiring, affirming digital experiences. In her free time, you can find her hiking with her two German Shepherds, puttering around her dahlia garden, or spending time with her family.
Rula's editorial process
Rula's editorial team is on a mission to make science-backed mental health insights accessible and practical for every person seeking to better understand or improve mental wellness. Rula’s clinical leadership team and other expert providers contribute to all published content, offering guidance on themes and insights based on their firsthand experience in the field. Every piece of content is thoroughly reviewed by a clinician before publishing.
