Somatic Disorders

Question 0

Illness anxiety disorder

Answer 0

• preoccupation with serious illness
• somatic symptom NOT present (or very mild)
• high anxiety about it
• excessive health care activities/maladaptive avoidance (hypo/hyperchondriasis)
• preoccupation present for > 6 mo

Question 1

Somatic symptom disorder

Answer 1

• one or more somatic symptom
• excessive attention on that symptom
• symptomatic state persists > 6 mo
• generally constellation of symptoms involving diffuse pain

Question 2

Conversion disorder

Answer 2

• generally acute maladaptive coping mechanism
• physical expression of mental stress (pseudoseizures when stressed)
• deception is unconscious
• pain and sexual symptoms EXCLUDE from differential

Question 3

Factitous disorder

Answer 3

• INTENTIONALLY deceptive
• malingering: deception for material gain
• munchousens: deception for psychiatric gain