Psühhogeenne

Psühhogeenne is a term used in psychology and medicine to describe symptoms or disorders that arise primarily from psychological factors rather than identifiable organic disease. It is commonly used to refer to conditions in which distress or psychological conflict manifests as physical or neurological symptoms. The term covers a range of presentations, including functional neurological symptom disorders, psychogenic pain, and dissociative symptoms, where symptoms are real to the patient even though no clear biomedical cause is found.

Etiology and mechanisms are thought to involve interactions between emotional distress, coping styles, and social factors, sometimes following trauma or chronic stress. While psychological factors play a central role, there may also be complex brain network changes. Importantly, psychogenic symptoms are not intentionally produced or feigned; patients are typically aware of their symptoms and experience genuine impairment.

Diagnosis relies on thorough clinical evaluation to rule out organic disease. Diagnostic criteria are provided in classifications such as DSM-5-TR for functional neurological symptom disorder or related guidelines in ICD-11. A key aim is to establish that there is no plausible medical explanation for the symptom and to distinguish psychogenic origins from other etiologies, while recognizing the patient’s real suffering.

Treatment is usually multidisciplinary, combining psychotherapy (for example cognitive-behavioral or trauma-focused approaches), education and reassurance, and physical or occupational therapy to improve function. Addressing comorbid mood or anxiety disorders, stress management, and social support are important for prognosis, which varies among individuals. The term emphasizes mind–body interactions and the real impact of psychological factors on health.