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Somatic, Factitious, and Dissociative Disorders

Somatic, Factitious, and Dissociative Disorders. Somatoform. Hysterias. Somatoform. Physical symptoms suggesting a medical condition, but not explained by medical, substance or another mental disorder Results in medical treatment or significant impairment

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Somatic, Factitious, and Dissociative Disorders

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  1. Somatic, Factitious, and Dissociative Disorders

  2. Somatoform Hysterias

  3. Somatoform • Physical symptoms suggesting a medical condition, but not explained by medical, substance or another mental disorder • Results in medical treatment or significant impairment • Must begin before age 30 and for several years • Must have multiple complaints in at least four different sites • If less symptoms or less time think Undifferentiated Somatoform Disorder

  4. Conversion Disorder • Symptoms that effect voluntary motor or sensory function • Psychological factors judges to be associated due to trigger or conflict or stressors • Not feigned • Clinically significant distress • Cl goes blind, hand is frozen, is paralyzed

  5. Pain Disorder • Like Conversion disorder, but Pain is the predominant complaint

  6. Hypochondriasis • Preoccupation with fears of having a serious disease based on misinterpretations of body symptoms • Preoccupation remains after medical tests disconfirm • Not delusional intensity or restricted to apprearance • At least 6 months

  7. Body Dysmorphic Disorder • Preoccupation with imagined defect in appearance or exaggerated defect • Clinically significant distress • Not another mental disorder • SOMATIC DISORDER NOS

  8. Factitious

  9. Factitious • Intentional production and pretending to have physical or psychological symptoms • Motivation is to have “the sick role” • Not due to external incentives • If it is, think Malingering

  10. Dissociative Disorders

  11. Dissociative Disorders • Amnesia • Fugue • DID (MPD) • Depersonalization • NOS

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