Somatoform disorders (PowerPoint download)

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					                Somatoform Disorders


            Confusion of Mind and Body

                 Resemble Physical Problems
                    but with an absence of
                   objective clinical findings
By Beth Carnes (2003)
Somatoform symptoms

   Symptoms suggest physical disorder
    – cannot adequately be explained
      physiologically
   Symptoms are often (but not always)
    described in dramatic ways
   Other disorders may co-exist
Somatization Disorder (Briquet’s
syndrome)
   Many physical complaints
   Beginning before age 30
   Must include
    – Four different pains
    – Two gastrointestinal symptoms
    – One sexual symptom
    – One pseudoneurological symptom
   Symptoms are unfounded or
    exaggerated
Conversion Disorder

   Physical symptoms suggesting
    neurological problems
    – Sensory impairment: Any modality
    – Paresthesias and paralysis
   Sudden onset, sudden termination,
    sudden reappearance
   Mostly women; men in combat
   Often misdiagnosed
Pain Disorder

   Main symptom is pain
   May be exacerbated by psychosocial
    factors
   May be maintained by gain
Hypochondriasis

   No physical symptoms are necessary
   Preoccupation with the possibility that
    normal sensations are symptoms of
    serious disease
   Frequent visits to physicians
   Persists despite medical reassurance
   Over-report (or over emphasis) bodily
    sensations
Body Dysmorphic Disorder

   Excessive concern with real or imagined
    defects in appearance, especially facial
    marks or features.
   Frequent visits to plastic surgeons and
    estheticians
   May be culturally-influenced
   May be a symptom of more pervasive
    disorders: i.e., Obsessive-compulsive
Undifferentiated Somatoform Disorder and
Somatoform Disorder NOS

Undifferentiated Somatoform D/O
     category for Somatoform Disorders that do not
      meet the criteria for a specific Somatoform D/O
   Somatoform Disorder NOS
    – Pseudocyesis: false belief of pregnancy with abdominal
       enlargement and absence of menstruation without umbilical
       eversion present.
    – Hypochondriacal symptoms present for < 6
      months
How Somatoform Disorders Differ From
Factitious Disorders:

     • Somatoform Disorders present with real
     symptoms
     •Lack of intentional creation of symptoms present
     with Factitious Disorders
     •Somatoform Disorders are more likely to be
     diagnosed in a medical setting because clients are
     not concerned with being “found out”
     •Not uncommon to have a mixed presentation of
     intentional and unintentional symptoms. In this
     case both Somatoform, Factitious Disorder With
     Predominantly Physical Signs and Symptoms or
     Malingering should be noted in diagnosis.

				
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posted:11/30/2011
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