Transcript Somatic, Factitious, and Dissociative Disorders

Somatic, Factitious, and
Dissociative Disorders
Somatoform
Hysterias
Somatoform
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Physical symptoms suggesting a
medical condition, but not explained by
medical, substance or another mental
disorder
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Results in medical treatment or significant
impairment
Must begin before age 30 and for several years
Must have multiple complaints in at least four
different sites
If less symptoms or less time think
Undifferentiated Somatoform Disorder
Conversion Disorder
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Symptoms that effect voluntary motor or
sensory function
Psychological factors judges to be associated
due to trigger or conflict or stressors
Not feigned
Clinically significant distress
Cl goes blind, hand is frozen, is paralyzed
Pain Disorder
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Like Conversion disorder, but Pain is the
predominant complaint
Hypochondriasis
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Preoccupation with fears of having a
serious disease based on
misinterpretations of body symptoms
Preoccupation remains after medical
tests disconfirm
Not delusional intensity or restricted to
apprearance
At least 6 months
Body Dysmorphic Disorder
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Preoccupation with imagined defect in
appearance or exaggerated defect
Clinically significant distress
Not another mental disorder
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SOMATIC DISORDER NOS
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Factitious
Factitious
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Intentional production and pretending
to have physical or psychological
symptoms
Motivation is to have “the sick role”
Not due to external incentives
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If it is, think Malingering
Dissociative Disorders
Dissociative Disorders
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Amnesia
Fugue
DID (MPD)
Depersonalization
NOS