Thursday, March 31, 2016

The 5 Somatoform Disorders

The 5 Somatoform Disorders

1 Somatization Disorder
2 Conversion Disorder = Fxnal Neuro Sx Disorder (DSM-5)
3 Pain Disorder = Somatic Symptom Disorder, Pain Predominant (DSM-5)
4 Hypochondriasis = Illness Anxiety Disorder (DSM-5)
5 Body Dysmorphic Disorder

Somatization Disorder: 
To diagnose, you need 4 pain complaints (not necessarily the same as but can cover 2 GI complaints, 1 sex complaint, and 1 fake neuro complaint.

Conversion Disorder (Functional Neuro Symptoms Disorder in DSM-5):
To diagnose, you need unintentionally produced motor/sensory deficit, that can't be explained by cultural belief, medical condition, or drugs. Usually preceded by stress. If intentional, consider factitious disorder (1* gain: PAY ATTENTION TO ME!), or malingering (2* gain: $$$$, time off work).

Pain Disorder
To diagnose, you need somatic symptoms associated with significant distress and impairment with no physical cause.

Illness Anxiety Disorder
To diagnose, you need disease preoccupation and conviction despite medical reassurance that there is no problem.

Body Dysmorphic Disorder
Excessive preoccupation with a supposed physical defect and its effect on the patient's appearance.

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