Part 1: <br />Somatoform Disorders<br />Somatoform Features and Epidemiology<br />Somatoform Disorders: Causes and Prevent...
Normal<br />Optimism regarding health.<br />No concerns about health.<br />Attending regular, preventive checkups with a p...
Normal<br />Mild<br />Mild physical arousal and feeling of uncertainty about certain physical symptoms.<br />Some worry ab...
Normal<br />Mild<br />Moderate<br />Moderate physical arousal and greateruncertainty about one’s health.<br />Strong worry...
Normal<br />Mild<br />Moderate<br />Somatoform Disorder – Less Severe<br />Intense physical arousal misinterpreted as a si...
Normal<br />Mild<br />Moderate<br />Somatoform Disorder – Less Severe<br />Somatoform Disorder – More Severe<br />Extreme ...
Essential Features<br />Disorder<br />Somatization disorder<br />Pattern of recurring, multiple, clinically significant so...
Essential Features<br />Disorder<br />Conversion disorder<br />Presence of symptoms or deficits affecting voluntary motor ...
Essential Features<br />Disorder<br />Pain disorder<br />Pain is the predominant focus of clinical presentation and is of ...
Essential Features<br />Disorder<br />Hypochondriasis<br />Preoccupation with fears of having, or the idea that one has, a...
Essential Features<br />Disorder<br />Body dysmorphic disorder<br />Preoccupation with a defect in appearance.<br />Somato...
0.4%<br />Somatization disorder<br />0.3%<br />Conversion disorder<br />0.6%<br />Pain disorder<br />4.8%<br />Hypochondri...
Prefrontal cortex<br />Cingulate cortex<br />Hypothalamus<br />Somatosensory cortex<br />Amygdala<br />SomatoformDisorders...
Illness behavior and reinforcement<br />Cognitive factors<br />Cultural factors<br />SomatoformDisorders:Causes and Preven...
Misperception of symptoms<br />Feelings of uncontrollability<br />Over attention to minor bodily changes<br />SomatoformDi...
Acknowledge that the symptoms are real and distressing to the client.<br />Accept the need to address somatic complaints.<...
Antidepressant Medication<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatme...
Somatosensory Amplification Scale<br />I am often aware of various things happening within my body.<br />When I bruise mys...
Predictors of chronic somatoform disorders<br />Female gender<br />Low socioeconomic status<br />Substance use<br />Eating...
Upcoming SlideShare
Loading in …5
×

Ch6som

390 views

Published on

Chapter 6 somatization only

Published in: Education, Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
390
On SlideShare
0
From Embeds
0
Number of Embeds
3
Actions
Shares
0
Downloads
13
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Ch6som

  1. 1. Part 1: <br />Somatoform Disorders<br />Somatoform Features and Epidemiology<br />Somatoform Disorders: Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />
  2. 2. Normal<br />Optimism regarding health.<br />No concerns about health.<br />Attending regular, preventive checkups with a physician.<br />Emotions<br />Cognitions<br />Behaviors<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />
  3. 3. Normal<br />Mild<br />Mild physical arousal and feeling of uncertainty about certain physical symptoms.<br />Some worry about health, perhaps after reading a certain magazine article.<br />Checking physical body a bit more or scheduling one unnecessary physician visit.<br />Emotions<br />Cognitions<br />Behaviors<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />
  4. 4. Normal<br />Mild<br />Moderate<br />Moderate physical arousal and greateruncertainty about one’s health.<br />Strong worry about aches, pains, possibledisease, or appearance. Fleeting thoughts about death or dying. <br />Scheduling more doctor visits but generally feeling relieved after each one. <br />Emotions<br />Cognitions<br />Behaviors<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />
  5. 5. Normal<br />Mild<br />Moderate<br />Somatoform Disorder – Less Severe<br />Intense physical arousal misinterpreted as a signor symptom of some terrible physical disorder.<br />Intense worry about physical state or appearance. Intense fear that one has a serious disease. Common thoughts about death or dying. <br />Regular doctor-shopping and requests for extensive and repetitive medical tests with little or no relief. Checking body constantly for symptoms. <br />Emotions<br />Cognitions<br />Behaviors<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />
  6. 6. Normal<br />Mild<br />Moderate<br />Somatoform Disorder – Less Severe<br />Somatoform Disorder – More Severe<br />Extreme physical arousal with great trouble concentrating on anything other than physical state or appearance.<br />Extreme worry about physical state or appearance.<br />Extreme fear of having a serious potential disease. <br />Frequent thoughts about death and dying.<br />Avoidance of many social and work activities.Scheduling regular surgeries, attending specializedclinics, or searching for exotic diseases. <br />Emotions<br />Cognitions<br />Behaviors<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />
  7. 7. Essential Features<br />Disorder<br />Somatization disorder<br />Pattern of recurring, multiple, clinically significant somatic complaints.<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />
  8. 8. Essential Features<br />Disorder<br />Conversion disorder<br />Presence of symptoms or deficits affecting voluntary motor or sensory function that suggest a neurological or other general medical condition.<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />
  9. 9. Essential Features<br />Disorder<br />Pain disorder<br />Pain is the predominant focus of clinical presentation and is of sufficient severity to warrant clinical attention.<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />
  10. 10. Essential Features<br />Disorder<br />Hypochondriasis<br />Preoccupation with fears of having, or the idea that one has, a serious disease based on a misinterpretation of one or more bodily signs or symptoms.<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />
  11. 11. Essential Features<br />Disorder<br />Body dysmorphic disorder<br />Preoccupation with a defect in appearance.<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />
  12. 12. 0.4%<br />Somatization disorder<br />0.3%<br />Conversion disorder<br />0.6%<br />Pain disorder<br />4.8%<br />Hypochondriasis<br />0.7%<br />Body dysmorphic disorder<br />Prevalence Rates of Major Somatoform Disorders<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />
  13. 13. Prefrontal cortex<br />Cingulate cortex<br />Hypothalamus<br />Somatosensory cortex<br />Amygdala<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />
  14. 14. Illness behavior and reinforcement<br />Cognitive factors<br />Cultural factors<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />
  15. 15. Misperception of symptoms<br />Feelings of uncontrollability<br />Over attention to minor bodily changes<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />
  16. 16. Acknowledge that the symptoms are real and distressing to the client.<br />Accept the need to address somatic complaints.<br />Avoid attempts to convince the client of a psychological cause for symptoms.<br />Continue to gently refer to the role of tension and stress.<br />Discuss various topics, not just symptoms.<br />Schedule regular visits not predicated on complaints.<br />Develop goals in conjunction with the client.<br />Discuss how symptoms limit a client’s functioning instead of what might be physically wrong.<br />Maintain empathy with a client but set limits on behavior.<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />
  17. 17. Antidepressant Medication<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />
  18. 18. Somatosensory Amplification Scale<br />I am often aware of various things happening within my body.<br />When I bruise myself, it stays noticeable for a long time.<br />I can sometimes feel the blood flowing in my body.<br />I can sometimes hear my pulse or my heartbeat throbbing in my ear.<br />I am quick to sense the hunger contractions in my stomach.<br />Even something minor, like an insect bite or a splinter, really bothers me.<br />I have a low tolerance for pain.<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />
  19. 19. Predictors of chronic somatoform disorders<br />Female gender<br />Low socioeconomic status<br />Substance use<br />Eating disorders and depression<br />Severe cognitive distortions<br />Trauma<br />SomatoformDisorders:Causes and Prevention<br />Somatoform Disorders: Assessment and Treatment<br />Dissociative Disorders: Features and Epidemiology<br />Dissociative Disorders: Causes and Prevention<br />Dissociative Disorders: Assessment and Treatment<br />Somatoform Features and Epidemiology<br />

×