Somatic symptom disorder
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Somatic symptom disorder

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  • Persistent- more than six months <br />
  • Complex- most permeating symptom is inability to cope and manage physical pain <br /> Factitious- falsification of psychological or physical signs or symptoms <br /> Conversion- sudden onset of a health condition that cannot be explained <br />
  • Symptoms must disrupt daily living <br /> They manifest in <br /> Persistent thoughts about how serious symptoms are <br /> High level of anxiety about one&apos;s health <br />
  • Nader and Fairbanks found that trauma has been highly coorelated with increased rate of somatic symptoms (headaches, stomach cramps or muscular tension) <br /> Kugler et al found children exposed to trauma had higher rate for somatic symptoms <br /> They also have higher rate for depression, anxiety, and anger <br />
  • Because of the recent DSM changes <br />

Somatic symptom disorder Presentation Transcript

  • 1. Somatic Symptom Disorder Stacey Buchanan Going November 24th, 2013
  • 2. What is Somatic Symptom Disorder?   A mental disorder with persistent and clinically somatic complaints This is coupled with: − Excessive thoughts, feelings and rash behaviors about the symptoms − Ranges from mild to severe
  • 3. Types of Somatic Symptom Disorders  Four somatic symptom disorders listed − Complex somatic symptom disorder − Factitious Disorder − Conversion Disorder − Somatic Symptoms (not otherwise specified)
  • 4. DSM V Criteria for Diagnosis    One or more somatic symptoms Excessive thoughts, feelings, behaviors that relate to somatic symptoms (or associated w/ health concerns Somatic symptom does not have to always be present but must be persistent
  • 5. Examples of Somatic Symptoms  Headaches  Stomach aches  Even as severe as blindness, or inability to walk − Most likely in Conversion disorder
  • 6. Prevalence of Somatic Symptom Disorder  Hilderink et al 2012 − 11 to 21% in younger adults − 10 to 20% in middle age adults − 1.5 to 13% in older adults
  • 7. Biological/Environmental Factors   Most well known cause: stress or exposure to trauma Strong correlation between anxiety, depression, and somatic symptoms
  • 8. Treatments  Psychotherapy  Cognitive-Behavioral Therapy  Hard to treat because − Hard to convince patient it is not an actual medical symptom − For factitious disorder- you treat the behavior not the illness
  • 9. Future Research   Anxiety causes somatic symptoms or does somatic symptoms cause anxiety? Changes from the DSM-IV and V − How does it effect the prevalence of disorder − Will it lead to more misdiagnosis
  • 10. Implications   Not much known about treatments of somatic symptom disorder The least known about somatic disorder is Conversion Disorder − Because of the severity and the inability to find anything medically wrong with them − The symptoms disappear as fast as they appear