Dr. Ziad N. Arandi discusses somatoform disorders, which are characterized by physical symptoms that cannot be fully explained by medical factors. He outlines four main somatoform disorders - somatization disorder, hypochondriasis, pain disorder, and conversion disorder - providing details on diagnostic criteria, prevalence, characteristics, and treatment approaches for each. The goal in managing somatoform disorders is control rather than cure through supportive psychotherapy, behavioral modification, relaxation therapy, and medication if needed.
Schizophrenia is a mental disorder that usually appears in late adolescence or early adulthood. Characterized by delusions, hallucinations, and other cognitive difficulties, schizophrenia can often be a lifelong struggle. In this article, we will cover the causes, symptoms, and treatment of schizophrenia
Schizophrenia Spectrum & Other Psychotic Disorders for NCMHCE StudyJohn R. Williams
Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This was informed by several exam prep programs, and can be used like flashcards or as a presentation.
Schizophrenia is a mental disorder that usually appears in late adolescence or early adulthood. Characterized by delusions, hallucinations, and other cognitive difficulties, schizophrenia can often be a lifelong struggle. In this article, we will cover the causes, symptoms, and treatment of schizophrenia
Schizophrenia Spectrum & Other Psychotic Disorders for NCMHCE StudyJohn R. Williams
Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This was informed by several exam prep programs, and can be used like flashcards or as a presentation.
Somatic Symptom & Related Disorders for NCMHCE StudyJohn R. Williams
Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This was informed by several exam prep programs, and can be used like flashcards or as a presentation.
DISORDER CONTENTOF THOUGHT -DELUSION
BY DR.WASIM
UNDER GUIDANCE OF
DR.SANJAY.JAIN
Definition of delusion:
Delusions are categorized into four different groups
THERE ARE 2 TYPES OF DISORDERS OF THOUGHT CONTENT
1.DELUSION
2.OVERVALUED IDEAS
DISTINGUISED
DELUSION
OTHER MEMBERS OF THE CULTURE DONOT SHARE THE BELIEF.
NEED NOT BE ASSOCIATED WITH AFFECT.
FIRMLY SUSTAINED BELIEF.
CONVINCED THAT DELUSION IS REAL.
RECOGNIZED AS ABSURED.
CANNOT BE ACCEPTED.
OCCUR IN MENTALLY ILL PATIENTS.
OVERVALUED IDEAS
OTHER MEMBERS OF THE CULTURE SHARE THE BELIEF.
ASSOCIATED WITH VERY STRONG AFFECT.
NOT HELD FIRMLY.
ATLEAST SOME LEVEL OF DOUBT AS TO ITS TRUTHFULNESS.
NOT RECOGNIZED AS ABSURED.
ACCEPTABLE.
CAN OCCUR IN BOTH HEALTHY AND MENTALLY ILL PATIENTS.
KENDLER’S VECTORS FOR DELUSION:
five stages in the development of delusion(FISH & CONRAD)
FACTORS CONCERNED WITH GENERATION OF DELUSIONS
PATHPOPHYSIOLOGY OF DELUSIONS
PRIMARY DELUSIONS
SECONDARY DELUSIONS
SYSTEMATIZATION
DELUSIONS ON THE BASIS OF CONTENT OF DELUSIONS
THANK YOU
Emotion, Classification of emotion, Normal emotional reactions, Abnormal emotional reactions, Abnormal reaction of emotion, Morbid expression of emotion, Communication of mood, Categories of emotion, Pathological changes in mood, Feeling of loss, Anhedonia, Feeling of impending disaster, Ecstasy, Feelings attached with the perception of objects, Feelings directed towards people, Free floating emotion, Experience and expression of emotion, Vital feelings, Religious feelings, Manic Depressive mood, Suicidal thoughts, Depersonalization, Internal restlessness, Cyclothymia and related conditions, Depression and loss, Grief, Helplessness and hopelessness, Mania, Manic thoughts
This powerpoint presentation represents definition of the Somatoform disorder, its subtypes, etiology in perspective of theories along differential diagnosis in an attempt to shed light on the disorder adequately
somatoform disorders are characterized by persistent requests for medical attention because of physical complaints that cannot be sufficiently explained by medical causes.
Somatic Symptom & Related Disorders for NCMHCE StudyJohn R. Williams
Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This was informed by several exam prep programs, and can be used like flashcards or as a presentation.
DISORDER CONTENTOF THOUGHT -DELUSION
BY DR.WASIM
UNDER GUIDANCE OF
DR.SANJAY.JAIN
Definition of delusion:
Delusions are categorized into four different groups
THERE ARE 2 TYPES OF DISORDERS OF THOUGHT CONTENT
1.DELUSION
2.OVERVALUED IDEAS
DISTINGUISED
DELUSION
OTHER MEMBERS OF THE CULTURE DONOT SHARE THE BELIEF.
NEED NOT BE ASSOCIATED WITH AFFECT.
FIRMLY SUSTAINED BELIEF.
CONVINCED THAT DELUSION IS REAL.
RECOGNIZED AS ABSURED.
CANNOT BE ACCEPTED.
OCCUR IN MENTALLY ILL PATIENTS.
OVERVALUED IDEAS
OTHER MEMBERS OF THE CULTURE SHARE THE BELIEF.
ASSOCIATED WITH VERY STRONG AFFECT.
NOT HELD FIRMLY.
ATLEAST SOME LEVEL OF DOUBT AS TO ITS TRUTHFULNESS.
NOT RECOGNIZED AS ABSURED.
ACCEPTABLE.
CAN OCCUR IN BOTH HEALTHY AND MENTALLY ILL PATIENTS.
KENDLER’S VECTORS FOR DELUSION:
five stages in the development of delusion(FISH & CONRAD)
FACTORS CONCERNED WITH GENERATION OF DELUSIONS
PATHPOPHYSIOLOGY OF DELUSIONS
PRIMARY DELUSIONS
SECONDARY DELUSIONS
SYSTEMATIZATION
DELUSIONS ON THE BASIS OF CONTENT OF DELUSIONS
THANK YOU
Emotion, Classification of emotion, Normal emotional reactions, Abnormal emotional reactions, Abnormal reaction of emotion, Morbid expression of emotion, Communication of mood, Categories of emotion, Pathological changes in mood, Feeling of loss, Anhedonia, Feeling of impending disaster, Ecstasy, Feelings attached with the perception of objects, Feelings directed towards people, Free floating emotion, Experience and expression of emotion, Vital feelings, Religious feelings, Manic Depressive mood, Suicidal thoughts, Depersonalization, Internal restlessness, Cyclothymia and related conditions, Depression and loss, Grief, Helplessness and hopelessness, Mania, Manic thoughts
This powerpoint presentation represents definition of the Somatoform disorder, its subtypes, etiology in perspective of theories along differential diagnosis in an attempt to shed light on the disorder adequately
somatoform disorders are characterized by persistent requests for medical attention because of physical complaints that cannot be sufficiently explained by medical causes.
Somatoform disorders are characterized by physical symptoms, which suggest medical diseases, but without organic pathology to support the illness.
It refers to all mechanisms by which anxiety is translated into physical illness.
Somatoform disorders include somatization disorder.
chronic health issues are common, they are also a substantial risk factor for poor mental health and reduced quality of life.
poor mental health can increase the risk of disability, poor treatment compliance, and mortality.
Non schizophrenic Psychosis
Brief Psychotic Disorder
Schizophreniform Disorder
Substance-Induced Psychotic Disorder
Psychotic Disorder Due to a General Medical Condition
Schizoaffective Disorder
Shared Psychotic Disorder
Delusional Disorder
Dr. Mohammad Hussein
الذهان الغير فصامي
د.محمد حسين
استشاري الطب النفسي
Brain fag syndrome,hypochondriasis and conversion disorderDr.Emmanuel Godwin
Brain fag syndrome,hypochondriasis and conversion disorder are forms of somatoform disorder....This are disorders that present with Physical symptoms with an unexplained cause.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
1. Dr. Ziad. N. Arandi
Assistant Professor of Psychiatry- An-Najah National University
B. C. Psych - London
D. P. L Psych - London
J. B. C. Psych - Amman
President of Palestinian Psychiatrists Association
3. Somatoform Disorders are characterized by:
Complaining of body symptoms
that suggest medical problem.
Meanwhile, no underlying
organic causes can be found.
4. Patient preoccupied by these symptoms feels
anxious, which leads to sick illness behavior.
Over concern
Anxiety
Sickness
behavior
Doctor’s Help
Examinations
&
investigations
No underlying
physical
causes!
Stress Related
Produce
unconsciously
5. Symptoms without identifiable cause
Gain Deliberate
Psychiatric
Disorder
Agrees to
Procedure
Malingering External √
Factitious Disorder Sick Role √ √ √
Somatoform Disorder √ √
6. The exact cause of somatic symptom disorder isn't
clear, but any of these factors may play a role:
1. Genetic and biological factors.
2. Family influence.
3. Personality trait of negativity.
4. Decreased awareness of or problems
processing emotions.
5. Learned behavior.
9. Characteristics:
1. Multiple somatic symptoms in absence of
underlying physical causes.
2. Recurrent and chronic symptoms for two
years.
Somatization Disorder
Hypochondriasis.
Pain disorder.
Conversion disorder.
10. Prevalence: ranging from 0.2% - 2%.
Female › male.
Age: before 30 years.
Lower social class.
Somatization Disorder
Hypochondriasis.
Pain disorder.
Conversion disorder.
11. Diagnostic Criteria:
1. Four pain symptoms.
2. Two gastrointestinal symptoms.
3. One sexual symptom.
4. One pseudo-neurological symptoms.
Somatization Disorder
Hypochondriasis.
Pain disorder.
Conversion disorder.
12. 1. Four pain symptoms: head, abdomen and back.
2. Two gastrointestinal: nausea, vomiting and diarrhea.
3. One sexual symptom: irregular menses and E.D.
4. One pseudo-neurological symptom: dizziness, vertigo, lump
in throat, paralysis and urinary retention.
Somatization Disorder
Hypochondriasis.
Pain disorder.
Conversion disorder.
15. Patient is preoccupied with fears of having a serious
disease, based on person’s misinterpretation of body
symptoms.
Persistence despite reassurance.
Last for six months.
Somatization Disorder
Hypochondriasis.
Pain disorder.
Conversion disorder.
16. Prevalence: ranging from 1% - 5%.
Female = Male.
Age: from 20 to 30 years.
Upper social class.
Chronic Course.
Somatization Disorder
Hypochondriasis.
Pain disorder.
Conversion disorder.
17. 1. Serious illness from the surrounding.
2. Medical Student.
3. People interesting in Googling!
4. Early childhood problems.
Somatization Disorder
Hypochondriasis.
Pain disorder.
Conversion disorder.
18. Diagnostic Criteria:
1. Preoccupation with fears of having a serious
disease.
2. The preoccupation persists despite medical
reassurance.
3. The belief in Criterion A is not of delusional
intensity.
4. The preoccupation causes clinically significant
distress important areas of functioning.
5. The duration is at least 6 months.
Somatization Disorder
Hypochondriasis.
Pain disorder.
Conversion disorder.
19.
20.
21. 1. Pain in one or more anatomical sites.
2. Psychological factor have an important role in
the onset, severity, exacerbation and
maintenance of the pain.
Somatization Disorder
Hypochondriasis.
Pain disorder.
Conversion disorder.
22. Prevalence: 0.5%
Female › Male.
Age: ranging from 30 to 50 years.
upper social class.
Somatization Disorder
Hypochondriasis.
Pain disorder.
Conversion disorder.
23. Pain is not consciously produced.
Pain is vague in description.
Clarifying the patient’s pain rather than
challenging or insight.
Mainly depression or anxiety are comorbidities.
Common side is the left side.
Somatization Disorder
Hypochondriasis.
Pain disorder.
Conversion disorder.
24.
25.
26. In the past it was called Hysteria
Hysteria derived from the hystrum.
Somatization Disorder
Hypochondriasis.
Pain disorder.
Conversion disorder.
27. Mental disorder characterized by:
1. Loss of the physical function of the organs.
2. Sudden onset after a psychological events.
3. Mainly it involve one or more neurological
systems.
4. Can’t be explained by any neurological
disease.
Somatization Disorder
Hypochondriasis.
Pain disorder.
Conversion disorder.
28. Prevalence : 0.5%
Female › male.
Age : before 20 years.
Rural › urban.
Lower social class.
less educated.
Left side is commoner!
Somatization Disorder
Hypochondriasis.
Pain disorder.
Conversion disorder.
29. Left side is more to be affected.
Signs can’t be fully explained by general
medical condition.
Manner of presenting symptoms is dramatic
and histrionic or la belle indifference, i.e. less
concern about the suffering.
Somatization Disorder
Hypochondriasis.
Pain disorder.
Conversion disorder.
30. 1. One or more symptoms affect voluntary motor
or sensory.
2. The symptom is not due to a general medical
condition.
3. One or more diagnostic features provide
evidence of incongruity with recognized
neurological or medical disorder.
4. The symptom causes clinically significant
distress or impairment in areas of functioning
medical evaluation.
Somatization Disorder
Hypochondriasis.
Pain disorder.
Conversion disorder.
Meanwhile, no underlying organic causes can be found or explaining the symptoms.
Which moreover, Interfere with social and occupational activities.
Patient seeks a lot of doctors help, a lot of examination and investigations which shows no underlying pathology!
The exact cause of somatic symptom disorder isn't clear, but any of these factors may play a role:
Genetic and biological factors, such as an increased sensitivity to pain - hypothalamus pituitary suprarenal axis
Family influence, which may be genetic or environmental ( child physical or sexual abuse), or both
Personality trait of negativity (low self-esteem), which can impact how you identify and perceive illness and bodily symptoms
Decreased awareness of or problems processing emotions, causing physical symptoms to become the focus rather than the emotional issues
Learned behavior from family and parents complaining — for example, the attention or other benefits gained from having an illness; or "pain behaviors" in response to symptoms, such as excessive avoidance of activity, which can increase your level of disability
History of multiple physical complains running for 2 years or more.
Four pain symptoms: head, abdomen and back.
Two gastrointestinal: nausea, vomiting and diarrhea.
One sexual symptom: irregular menses and E.D.
One pseudo-neurological symptom: dizziness, vertigo, lump in throat, paralysis and urinary retention.
Could the patient or his relatives suffered from
A. Preoccupation with fears of having, or the idea that one has, a
serious disease based on the person’s misinterpretation of bodily
symptoms.
B. The preoccupation persists despite appropriate medical evaluation
and reassurance.
C. The belief in Criterion A is not of delusional intensity (as in
Delusional Disorder, Somatic Type) and is not restricted to a circumscribed
concern about appearance (as in Body Dysmorphic
Disorder).
D. The preoccupation causes clinically significant distress or impairment
in social, occupational, or other important areas of
functioning.
E. The duration of the disturbance is at least 6 months.
F. The preoccupation is not better accounted for by Generalized
Anxiety Disorder, Obsessive-Compulsive Disorder, Panic Disorder,
a Major Depressive Episode, Separation Anxiety, or another
Somatoform Disorder.
1. Pain in one or more anatomical site in the body, head, chest, musculoskeletal, disc, arthritis and neuropathies
Common side is the left side of the head, back , abdomen and face
Neurological systems;
Motor (paralysis, gait disturbance, pseudo-seizures, dysphagia, urinary retention, lump in throat, …)
sensory (aphonia, blindness, deafness,…)
1. One or more symptoms are present that either affect voluntary motor or sensory function or cause transient loss of consciousness.
2. The symptom is, after appropriate medical assessment, found not to be due to a general medical condition, the direct effects of a substance, or a culturally sanctioned behavior or experience.
3. One or more diagnostic features are present that provide evidence of internal inconsistency or incongruity with recognized neurological or medical disorder.
4. The symptom causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation.
1. Supportive psychotherapy: it is useful to demonstrate the link between psychosocial conflict and somatic symptoms, so the aim is symptoms reduction rather than complete cure.
2. Behavioral modification: modifying are made not focusing of symptoms per se, and positive reinforcing normal function
In case of pain disorder; add analgesic and anti-inflamatory Cymbalta