Somatic Disorders Flashcards
Define “somatoform disorders”
- physical conditions unexplained by an underlying disease or mental disorder
- unconscious production of symptoms
(i. e. not facticious/ malingering)
Old term for somatoform disorder
hysteria
MC population seen in somatoform disorders
women by age 25
Typical constellation of somatization disorder
- pain
- GI
- sexual
- pseudoneuro
Clue to somatization disorder
“exhaustively detailed self written history or timeline”
Functional imaging finding in somatization disorder
changes in cortical/limbic networks
Best way to approach somatization disorder
- regular scheduled followup
- present DSM IV diagnosis
- CBT
Define conversion disorder
-neurologic symptoms usually following some stressor (stressor not required for dx)
Typical conversion d/o complaints
- motor
- sensory
- seizure like activity
MC population seen in conversion d/o
women
Treatment approach to conversion disorder
- present diagnosis
- **make it clear that patient is not manufacturing his or her symptoms
- CBT
- SSRI
Define pain disorder
-pain disproportionate to any underlying injury or illness
may be diffuse in nature, wont respond to typical treatments
MC complaint in pain disorder
-headache
Biologic cause of pain disorder
-emotional dysregulation via modulation of limbic-cortical networks involving the amygdala and anterior cingulate gyrus
Treatment of pain disorder
- TCAs/SSRIs
- psychotherapy
- massage may be helpful
