Somatoform and Dissociative Disorders
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Transcript Somatoform and Dissociative Disorders
Definition?
Common Features
Lots of Physical Complaints
Appear to be Medical Conditions
But No Identifiable Medical Cause
Pathological Concern about
Functioning of body or
Physical appearance
Five Somatoform Disorders
Hypochondriasis
Somatization Disorder
Conversion Disorder
Pain Disorder
Body Dysmorphic Disorder
Physical Complaints
Preoccupied with Bodily Symptoms
Misinterpretation of Symptoms
Strong Disease Conviction
No Known Medical Cause
Differentiated from Illness Phobia
Severe Anxiety about Possibly Having a
Serious Disease
Many Medical Visits and Tests
Reassurance Doesn’t Help
Impaired Functioning/Distress
Psychological Treatment
Challenge illness-related misinterpretations
Provide more substantial and sensitive reassurance
Stress management and coping strategies
Medical Treatment?
Previously Called Briquet’s Syndrome
Many Physical Complaints
No Known Medical Cause
Concern about Symptoms
Starting before age 30
but Not What They Mean
Life/Identity Revolves Around Symptoms
Impaired Functioning
Treatment
Difficult
to Treat
No Proven Treatments
Treatment Focuses on
Reduction
Assign
of Medical Visits
a “Gatekeeper” Physician
Reducing
Secondary Gain
Popularized
by Freud
Physical Malfunctioning
Often
involves sensory-motor areas
Paralysis,
Blindness, Mutism,
Anesthesia
No
Organic Pathology
La Belle Indifference
Impaired Functioning
Treatment
Similar
to Somatization Disorder
No Well Established Treatments
Address the Trauma
Remove Sources of Secondary Gain
Reduce supportive consequences of talk
about physical symptoms
Pain is Real
Pain May Initially Have Organic Cause
Psychological Factors Maintain Pain
Can Be Debilitating
Previously
known as
dysmorphophobia
Preoccupation with Defect in
Appearance
“Imagined”
Often
Ugliness
seek multiple plastic surgeries
Fixation
or Avoidance of Mirrors
Ideas of Reference
Suicidal Ideation and Tendencies
Treatment
Parallels OCD
treatment
Medications (i.e., SSRIs) that work for OCD
provide some relief
Exposure and Response Prevention
Plastic surgery is typically unhelpful
Malingering
Factitious Disorders
Munchausen’s Syndrome by Proxy