Are doctors actually physically healthy?

Live healthy : "If the body suffers, the psyche suffers"

The body and the psyche of the human being are often still considered strictly separate from one another in medicine. Last but not least, the term psychosomatic medicine suggests that the psychic and the somatic, i.e. organic, are connected.

In fact, people are still often divided into two parts - body and mind. But it is a whole, and the interrelationship is actually intuitively clear to everyone: In a stressful situation at work, the heart suddenly beats faster. In the event of emotional stress, whether positive or negative, the body also reacts with stress and releases the hormone cortisol, which increases blood pressure. Norepinephrine, the activity hormone, makes the heart beat faster. These reactions are completely normal and vital for the protection of the body. Or the other way around: If you have severe toothache, you can forget attention and ability to work. When the body suffers, the psyche suffers with it. The fact that body and mind are connected can also be seen in diseases such as depression. Both psychological symptoms - bad mood and listlessness - and physical symptoms: loss of appetite or constipation occur. There are therefore not only somatic and mental illnesses. Body and psyche rather form a continuum. Sometimes the symptoms are more psychological, sometimes more physical.

Why does medicine still consider body and psyche separately? The psychiatrists and psychotherapists are responsible for the soul, the disciplines for the organic, which are then often named after the respective organs, such as eye or ear, nose and throat doctors.

In order to understand the human being, different categories are actually necessary. Medicine is very successful in using scientific methods to find the physical causes of diseases. Laboratory tests, x-rays, and ultrasound can often help you find the problem quickly. Patients, too, like it much better when their ailments can be clearly assigned to a diseased organ than the rather unclear reference to psychological causes that are much more difficult to diagnose. It therefore makes sense to first rule out organic causes in the event of complaints. If these cannot be found, the search becomes more complicated. Because then the family doctor would first have to have a long conversation about the patient's family and workplace. Unfortunately, a general practitioner hardly has time for that. Because our health system works through individual services; longer conversations are not part of it. After the family doctor has ruled out organic causes, he will refer the patient to a specialist. However, drawing the line is often difficult for general practitioners. It should be worked out in conversation with the person concerned.

What should a patient do if the family doctor gets stuck in finding the cause?

Talk to your family doctor about whether biographical burdens could also play a role; talk to him about yourself and maybe not expect quick medical solutions through medication or the like. Often the family doctor will then arrange a referral to a specialist in mental health. You can of course organize help yourself, whereby a psychiatrist and psychotherapist is often a good contact who can also arrange further help.

You can read more about this in the magazine for medicine and health in Berlin "Tagesspiegel Gesund".

Further topics of the edition:Fact check. Exciting information about mind and soul; You have a tit. When is the psyche really sick ?; Brain research. What neuroscience can and cannot do; The path to healing. Outpatient, inpatient, rehab? The navigator shows the treatment route; Help in life crisis. Berlin addresses for emergencies. Medication. Effects, benefits and risks of psychotropic drugs; DEPRESSIONS: Get out of the bladder. The way back to life can succeed; Still live well! A victim reports from her everyday life; Winter depression. How artificial light helps against seasonal mood lows; BURNOUT: Illness with chic? Why burnout is just a fad for some; Shut down. A ski jumping legend talks about sport and illness; Burned out. A comedian tells about the dark side of success; ADDICTION: Life without drugs.Weaning is hard work; Children of addicts. A picture book deals with the effects of alcohol addiction on the family; Drug. What drugs are there and how they work; SCHIZOPHRENIA: Flood of stimuli. When the dopamine balance in the brain is out of joint; Family affair. Author Janine Berg-Peer on life with a schizophrenic daughter; MENTAL DISORDERS: Live fearlessly. A sick fear is curable; Doctor's letter. How obsessive-compulsive disorder is treated; Eating disorder. When enjoyment is lost; SLEEP DISORDERS: Self-experiment. Slumbering in the laboratory; Dream research. What our nightly head cinema reveals; SERVICE: A comparison of clinics and doctors; Column. Helmut Schümann advises taking the psyche seriously

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