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Somatic symptom and related disorders (Physical symptoms causing emotional…
Somatic symptom and related disorders
Symptoms are unconscious
Female>Male
motivation is unconscious
Physical symptoms causing emotional distress
Somatic symptom disorder
variety of bodily complaints (fatigue, pain) can last years
associated w persistent thoughts and anxiety about symptoms
treatment: regular office visits with the same physician and psychotherapy
persistent state of being symptomatic > 6 mos although any one specific symptom may not always be present
Conversion disorder
Loss of sensory or motor function following an acute stressor
la belle indifference
patient may be aware of, but indifferent to symptoms
AKA functional neurologic symptom disorder
paralysis
mutism
blindness
combat veteran
treatment: psychotherapy, focusing on stressors
physical rehabilitation
generally responsive
Illness anxiety disorder
aka hypochondriasis
Excessive preoccupation with acquiring or having a serious illness often despite medical evaluation and reassurance
preoccupation present for atlas 6 dos
minimal somatic symptoms
avoids doctor visits