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OTAS 2213 : Somatoform Disorder - Coggle Diagram
OTAS 2213 : Somatoform Disorder
Overview
characterized by
physical problems
, such as
pain, immobility and discomfort
interfere with the person's daily life, work and relationships
Symptoms :
• Vision and hearing may also be affected
• Gastrointestinal problems (nausea, bloating, vomiting, diarrhea, food intolerance etc.)
• Pelvic pain
• Neurological symptoms (seizures, paralysis, weakness, swallowing problems etc.)
• Abdominal cramping
• Headaches
• Back pain
• Pain in the joints, legs, arms and chest or abdominal pain
Types :
• Somatization disorder
• Undifferentiated somatoform disorder
• Conversion disorder
• Pain disorder
• Hypochondriasis
• Body dysmorphic
Problems
Areas of Occupation
ADL & IADL
no interest to perform ADL & IADL due to disturbance in functioning
Productivity
unable to perform job tasks due to mostly disturbance in functioning
poor in job performance
poor in time management at work
poor relationship with coworkers, customers, managers etc. due to emotional distress
Rest & Sleep
inadequate of sleep due to pain or worried about the condition
Education
performance and participation at school, co-curriculum decreased due to pain / disturbance in functioning
Leisure
difficulty in finding activities of interest
lose interest in leisure activities formerly enjoyed
unable to plan & participate in leisure activities
Client Factors
Body Function
has problems in mental, sensory, neuromusculoskeletal & movement related, cardiovascular, hematological, immunological, respiratory system function and skin & related-structure
unable to sustain concentration
Performance Skills
Sensory-Perceptual Skills
symptom of sensory impairments - pain
loss of touch sensation
Motor-Praxis Skills
psychomotor retardation - general reduction in the speed of though and difficulty or slowness in movement and speech
psychomotor agitation / restlessness - keep repeating an activity that is useless : wring the hands, tap the foot, shake the legs, walk around a room constantly etc. over and over again
poor in balance, endurance and coordination
Emotional Regulation Skills
poor self-concept
feeling of helplessness and hopelessness
lack of self-confidence
unable to express emotions
agitated
irritability
poor coping skills
poor frustration tolerance
Cognitive Skills
difficulty in attending to a task
difficulty in making decisions and problem-solving
distorted body image
decreased in judgment skills
poor in attention & concentration
Communication & Social Skills
socially withdrawn
does not speak with great effort
using inappropriate words in communication
inappropriate behaviour
unable to maintain relationship
Performance Pattern
roles : unable to perform roles effectively (studdent, father, mother, employee etc.)
routines - going to hospital regularly for checking up
habits - using illness to escape from responsibilities
Context & Environment
Context : cultural, personal, temporal, virtual
Environment : physical, social
Assessments
To assess :
attention span & concentration
memory
understanding & following direction
judgment of personal safety
problem solving & decision-making skills
organizational skills - time and material
self-concept
Intervention
type of activities : active or passive, structured or unstructured
type of modalities : media, instruction / command, personal space, grading, precautions / prognosis
Group Therapy
Assertive Therapy
Projective Therapu
Behaviour Modification
Develop a new behaviour
2, Strengthen a behaviour
Maintain an established behaviour
Stop inappropriate behaviour
Modify emotional behaviour
Stress Management
Roleplay and Psychodrama
Cognitive Behavioural Therapy (CBT)
identify maladaptive ways of thinking
replace these with adaptive ways
Psychoeducation