11-05 Somatic Symptom and Related Disorders Flashcards
o Clinical presentations of somatization disorder, hypochondriasis, conversion disorder. o Mechanisms and common complications of Somatic Symptom and Related Disorders. o Emphasis on absence of demonstrable organic pathology and presence of psychopathology for diagnosis o Typical response to treatment and preferred forms of intervention for S.D.
Commonalities between Somatic Symptom Disorder and Related Disorders
Presentation of Somatic Symptom D/o
**DSM-V uses this to replace/include:
—pain d/o
—hypochondriasis
DIAGNOSTIC CRITERIA
A. 1+ somatic sx distressing/significantly disruptive
B. Excessive thoughts/feelings/behavs thereof
—manifested bydisproportionate OR high anx re: health/sx OR excessive time/energy devoted
C. Worry about sx (which might ∆) >6mo
Presentation of hypochondriasis
Now contained w/in Somatic Symptom Disorder and Related Disorders
Presentation of conversion d/o
—DX CRITERIA
—SPECIFIERS
—TX OPTIONS
A. 1+ sx of altered voluntary motoro or sensory fxn
B. Clinical evidence against sx being organic
C. Not better explained otherwise
D. Impairment/distress
SPECIFY
—Sx type
—Acute/persistent?
—W/ Psychological stressor?
TX OPTIONS
Mechanisms of Somatic Symptom and Related Disorders.
MECHANISMS BEHIND SS&RD
Malingering vs. Somatic Symptom and Related Disorders
Malingering is a V-code
Body Dysmorphic D/O
—DX CRITERIA
—TX OPTIONS
[DSM-V: Now under OCD and Related D/O] DX CRITERIA: —Usually one particular trait —Stay in a lot or get plastic surgery A. Preocc w/ perceived defects/flaws B. repetitive behaviors (mirror, asking for reassurance, comparing to others mentally) C. Distress/impairment D. R/O Eating Disorder
TX OPTIONS:
Pseudocyesis
FAlse belief of being pregnant accompanied by objective signs!
Treatment options
Factitious D/o
playing sick to get attention
Münchausen syndrome
think chart syndrome
—pathological lying (pseudologia fantastica)
Illness Anxiety
New in DSM-V
