Somatoform Disorders Sources, DSM-IV-TR, Tasman and First, and Kaplan and Sadock. As 8July2008.
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Transcript of Somatoform Disorders Sources, DSM-IV-TR, Tasman and First, and Kaplan and Sadock. As 8July2008.
Somatoform Disorders
Sources, DSM-IV-TR, Tasman and First, and Kaplan and Sadock.
As 8July2008
General Definition
Q. What is the general definition of somatoform disorder?
General Definition
Ans. The presence of physical symptoms that suggest a general medical condition and are not fully explained by a general medial condition, by a substance, or by another mental illness.
Somatoform DisordersList
Q. List the six somatoform disorders, in addition to the NOS category.
Somatoform DisordersList
Ans.
Somatization disorder
Undifferentiated somatization disorder
Conversion disorder
Pain disorder
Hypochondriasis
Body dysmorphic disorder
Somatization Disorder
Q. Primary criteria for somatization disorder?
Somatization Disorder
Ans.
1. Begins before age 30.
2. Four pain symptoms, two GI, one sexual, and one pseudoneurological.
3. Is not explained by another disorder or, if explained, complaints are in excess of what would be expected.
Prevalence
Q. What is the prevalence?
Prevalence
Ans. Women: 0.2 to 2%
Men: <0.2%
[While much more common in women in most areas of the US, is reported to be high in Puerto Rico men – suggesting culture plays a role.]
Course
Q. What is the course?
Course
Ans. Rarely remits completely. Usually sees a physician at least once/year.
Criteria of UndifferentiatedSomatoform Disorder
Q. What is the criteria of this disorder?
Undifferentiated Somatoform Disorder
Ans.
On or more physical complaints that cannot be explained or the complaints are excessive.
Last at least 6 months.
USD Gender
Q. Gender breakdown?
USD - Gender
Ans. Women
USD - course
Q. Course?
USD - course
Ans. Unpredictable. Frequently evolves into another psychiatric or somatic disorder
Conversion Disorder
Q. Essential feature?
Essential feature of CD
Ans.
The presence of symptoms or deficits affecting voluntary motor or sensory function that suggests neurological or other general medical condition, but in actuality seems based on psychological factors.
CD subtypes
Q. What are the subtypes of conversion disorder?
CD Subtypes
Ans.
1. With motor symptom or deficit
2. With sensory symptom or deficit
3. With seizures or convulsions
4. With mixed presentations
CD prevalence
Q. Prevalence of conversion disorder. More common in urban or rural? More in men or women? Associated dx in women? Associated dx in men?
CD prevalence
Ans. Prevalence is rare to common, the latter being in rural, poor, uneducated parts of the world. More common in women, and women often have other somatoform disorders, whereas men are more likely to also have an antisocial personality disorder.
Treatment of Conversion Disorder
Q. What is the usual treatment of conversion disorder?
Treatment of Conversion Disorder
Ans. Resolution is usually spontaneous, but if not, a positive relationship with a caring and confident therapist. Focus on issues of stress and coping. Sometimes effective: Hypnosis, anxiolytics, and relaxation exercises.