Somatic symptom disorder


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

    1. 1. Somatic Symptom Disorder Stacey Buchanan Going November 24th, 2013
    2. 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. 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. 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. 5. Examples of Somatic Symptoms  Headaches  Stomach aches  Even as severe as blindness, or inability to walk − Most likely in Conversion disorder
    6. 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. 7. Biological/Environmental Factors   Most well known cause: stress or exposure to trauma Strong correlation between anxiety, depression, and somatic symptoms
    8. 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. 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. 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