{"id":1490,"date":"2026-04-18T14:50:24","date_gmt":"2026-04-18T11:20:24","guid":{"rendered":"https:\/\/drhamidyousefi.com\/when-the-heart-is-sad-the-body-also-becomes-weak\/"},"modified":"2026-04-30T11:14:51","modified_gmt":"2026-04-30T07:44:51","slug":"when-the-heart-is-sad-the-body-also-becomes-weak","status":"publish","type":"post","link":"https:\/\/drhamidyousefi.com\/en\/when-the-heart-is-sad-the-body-also-becomes-weak\/","title":{"rendered":"\u201cWhen the heart is sad, the body also becomes weak.\u201d"},"content":{"rendered":"<h3 lang=\"en\">About Psychosomatic Psychiatry<\/h3>\n<p lang=\"en\"><strong>(Psychosomatic Medicine)<\/strong><\/p>\n<p lang=\"en\">When we say,<\/p>\n<blockquote>\n<p lang=\"en\"><em>\u201cThe heart is sad and the body becomes weak,\u201d<\/em><\/p>\n<\/blockquote>\n<p lang=\"en\">we are in fact pointing precisely to the core concept of <strong>Psychosomatic Medicine<\/strong> \u2014<\/p>\n<p lang=\"en\">an interdisciplinary field of medicine that studies the relationship between the <strong>mind, emotions, and the body<\/strong>.<\/p>\n<p lang=\"en\">This field shows that psychological experiences can manifest as real physical symptoms.<\/p>\n<hr \/>\n<h2 lang=\"en\">1. Definition of Psychosomatic<\/h2>\n<p lang=\"en\">The word <em>psychosomatic<\/em> comes from two Greek roots:<\/p>\n<ul lang=\"en\">\n<li><strong>Psyche<\/strong> = mind<\/li>\n<li><strong>Soma<\/strong> = body<\/li>\n<\/ul>\n<p lang=\"en\">Thus, psychosomatic refers to:<\/p>\n<blockquote>\n<p lang=\"en\">The interaction of psychological processes (thoughts, emotions, stress) with the physiological functioning of the body.<\/p>\n<p lang=\"en\">Physical signs and symptoms whose primary cause or aggravating factor is psychological.<\/p>\n<\/blockquote>\n<p lang=\"en\">In this approach, illness is neither purely biological nor purely psychological; rather, it is the result of the <strong>interaction of three levels<\/strong>:<\/p>\n<ul lang=\"en\">\n<li><strong>Biological factors<\/strong> (genetics, neurobiology)<\/li>\n<li><strong>Psychological factors<\/strong> (emotions, conflicts, coping styles)<\/li>\n<li><strong>Social factors<\/strong> (relationships, environmental pressures)<\/li>\n<\/ul>\n<p lang=\"en\">This is the <strong>Biopsychosocial Model<\/strong>, proposed by <strong>George Engel<\/strong> in the 1970s.<\/p>\n<hr \/>\n<h2 lang=\"en\">2. Biological Mechanisms Linking Mind and Body<\/h2>\n<p lang=\"en\">How do emotions turn into physical symptoms? There are several main pathways:<\/p>\n<h3 lang=\"en\">1. Hypothalamic\u2013Pituitary\u2013Adrenal Axis (HPA Axis)<\/h3>\n<p lang=\"en\">Psychological stress \u2192 activation of the hypothalamus \u2192 release of CRH \u2192 ACTH \u2192 cortisol<\/p>\n<p lang=\"en\"><strong>Results:<\/strong><\/p>\n<ul lang=\"en\">\n<li>Immune suppression<\/li>\n<li>Chronic inflammation<\/li>\n<li>Metabolic changes<\/li>\n<\/ul>\n<hr \/>\n<h3 lang=\"en\">2. Autonomic Nervous System<\/h3>\n<p lang=\"en\">Chronic stress leads to:<\/p>\n<ul lang=\"en\">\n<li>Increased sympathetic activity<\/li>\n<li>Increased heart rate<\/li>\n<li>Elevated blood pressure<\/li>\n<li>Muscle tension<\/li>\n<\/ul>\n<hr \/>\n<h3 lang=\"en\">3. Immune System<\/h3>\n<p lang=\"en\">Negative emotions can:<\/p>\n<ul lang=\"en\">\n<li>Increase inflammatory cytokines<\/li>\n<li>Exacerbate inflammatory diseases<\/li>\n<\/ul>\n<p lang=\"en\">The field that studies this interaction is called <strong>Psychoneuroimmunology<\/strong>.<\/p>\n<hr \/>\n<h2 lang=\"en\">3. Classical Psychosomatic Diseases<\/h2>\n<p lang=\"en\">In traditional medicine, the term was used for conditions clearly linked to stress, such as:<\/p>\n<ul lang=\"en\">\n<li>Asthma<\/li>\n<li>Peptic ulcer<\/li>\n<li>Ulcerative colitis<\/li>\n<li>Rheumatoid arthritis<\/li>\n<li>Hyperthyroidism<\/li>\n<li>Neurodermatitis<\/li>\n<li>Essential hypertension<\/li>\n<\/ul>\n<p lang=\"en\">Today, a broader spectrum is recognized:<\/p>\n<ul lang=\"en\">\n<li>Irritable Bowel Syndrome (IBS)<\/li>\n<li>Tension headaches<\/li>\n<li>Fibromyalgia<\/li>\n<li>Chronic pain<\/li>\n<li>Chronic fatigue<\/li>\n<li>Certain skin disorders (psoriasis, eczema)<\/li>\n<\/ul>\n<hr \/>\n<h2 lang=\"en\">4. Psychosomatic Disorders in Psychiatry<\/h2>\n<p lang=\"en\">In <strong>DSM-5<\/strong>, the terminology has evolved and includes:<\/p>\n<h3 lang=\"en\">Somatic Symptom Disorder<\/h3>\n<p lang=\"en\">Real physical symptoms + excessive preoccupation with illness<\/p>\n<h3 lang=\"en\">Illness Anxiety Disorder<\/h3>\n<p lang=\"en\">Fear of having a disease without significant symptoms<\/p>\n<h3 lang=\"en\">Conversion Disorder<\/h3>\n<p lang=\"en\">Conversion of psychological conflict into neurological symptoms, such as:<\/p>\n<ul lang=\"en\">\n<li>Paralysis<\/li>\n<li>Blindness<\/li>\n<li>Non-epileptic seizures<\/li>\n<\/ul>\n<hr \/>\n<h2 lang=\"en\">5. The Role of Repressed Emotions<\/h2>\n<p lang=\"en\">Early psychoanalysts such as <strong>Franz Alexander<\/strong> believed that certain emotions, if not expressed, are transferred to the body.<\/p>\n<p lang=\"en\">For example:<\/p>\n<ul lang=\"en\">\n<li>Repressed anger \u2192 hypertension<\/li>\n<li>Chronic anxiety \u2192 gastrointestinal problems<\/li>\n<li>Unresolved grief \u2192 fatigue and pain<\/li>\n<\/ul>\n<p lang=\"en\">Today, this view is considered somewhat simplified and has been replaced by more complex models.<\/p>\n<hr \/>\n<h2 lang=\"en\">6. The Emotional Brain and the Body<\/h2>\n<p lang=\"en\">Brain regions involved in this connection include:<\/p>\n<ul lang=\"en\">\n<li><strong>Amygdala<\/strong> \u2192 fear processing<\/li>\n<li><strong>Hypothalamus<\/strong> \u2192 stress response<\/li>\n<li><strong>Insula<\/strong> \u2192 bodily awareness<\/li>\n<li><strong>Cingulate cortex<\/strong> \u2192 pain processing<\/li>\n<\/ul>\n<p lang=\"en\">For this reason, pain or illness is not only a physical experience, but also an <strong>emotional experience<\/strong>.<\/p>\n<p lang=\"en\">In everyday life we observe:<\/p>\n<p lang=\"en\">When we are happy, even if ill, we perceive less pain.<\/p>\n<hr \/>\n<h2 lang=\"en\">7. Treatment in Psychosomatic Medicine<\/h2>\n<p lang=\"en\">Treatment is usually multidimensional:<\/p>\n<h3 lang=\"en\">Medical Treatment<\/h3>\n<p lang=\"en\">Managing physical symptoms<\/p>\n<h3 lang=\"en\">Psychotherapy<\/h3>\n<p lang=\"en\">Especially:<\/p>\n<ul lang=\"en\">\n<li>Cognitive Behavioral Therapy (CBT)<\/li>\n<li>Psychodynamic therapy<\/li>\n<li>Mindfulness-based therapies<\/li>\n<\/ul>\n<h3 lang=\"en\">Body-Based Interventions<\/h3>\n<ul lang=\"en\">\n<li>Relaxation techniques<\/li>\n<li>Biofeedback<\/li>\n<li>Meditation<\/li>\n<\/ul>\n<hr \/>\n<h2 lang=\"en\">8. A Philosophical Note<\/h2>\n<p lang=\"en\">Psychosomatic medicine brings us back to an ancient medical truth expressed by <strong>Hippocrates<\/strong>:<\/p>\n<blockquote>\n<p lang=\"en\">\u201cThe body cannot be healed without understanding the soul.\u201d<\/p>\n<\/blockquote>\n<p lang=\"en\">Or more simply:<\/p>\n<blockquote>\n<p lang=\"en\">When the psyche is wounded, the body begins to speak.<\/p>\n<\/blockquote>\n<hr \/>\n<h2 lang=\"en\">\u201cSociety and Mental Health\u201d<\/h2>\n<p lang=\"en\">Here, writings and materials related to psychology and psychiatry are shared.<\/p>\n<p lang=\"en\">\ud83c\udd94 ID:<\/p>\n<p lang=\"en\"><a href=\"https:\/\/ble.ir\/jamehvasalamtravan\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/ble.ir\/jamehvasalamtravan<\/a><\/p>\n<hr \/>\n<h3 lang=\"en\">Dr. Hamid Yousefi<\/h3>\n<p lang=\"en\">Psychiatrist<\/p>\n<p lang=\"en\"><a href=\"https:\/\/www.drhamidyousefi.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.drhamidyousefi.com\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>About Psychosomatic Psychiatry (Psychosomatic Medicine) When we say, \u201cThe heart is sad and the body becomes weak,\u201d we are in &#8230; <a class=\"cz_readmore\" href=\"https:\/\/drhamidyousefi.com\/en\/when-the-heart-is-sad-the-body-also-becomes-weak\/\"><i class=\"fa fa-angle-left\" aria-hidden=\"true\"><\/i><span>\u0627\u062f\u0627\u0645\u0647 \u0645\u0637\u0644\u0628<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":1491,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[94],"tags":[],"class_list":["post-1490","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-psychiatric-experiences"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.4) - 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