Severe vomiting in a diabetic woman. Psychological considerations

Richard M. Berlin, Thomas N. Wise

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


A 50-year-old diabetic woman experiencing 20 episodes of vomiting each day was admitted to the hospital. When vigorous medical management failed to control the vomiting, psychiatric consultation indicated that psychological factors, especially displaced anger and an early childhood history of gastrointestinal sensitivity, combined with autonomic neuropathy and uremia to produce the symptom. A multimodal treatment regimen including continued medical management, supportive psychotherapy, relaxation training and mental imagery exercises effected a dramatic improvement.

Original languageEnglish (US)
Pages (from-to)313-317
Number of pages5
JournalGeneral Hospital Psychiatry
Issue number4
StatePublished - Dec 1980
Externally publishedYes

ASJC Scopus subject areas

  • Psychiatry and Mental health


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