Somatic Symptom Disorder
Pt has a distressing physical complaint with an excessive response to that distressing physical complaint, 6+ months,
- Focus is not on where there is a medical explanation for the somatic symptoms
- Cognitive-behavioral therapy, medication, address delayed development of emotional intelligence
Illness Anxiety Disorder
Pt does NOT have a distressing physical complaint (or mild) but nonetheless worries about one’s health and is preoccupied by this worry
*Cognitive-behavioral therapy, medication, address delayed development of emotional intelligence
Conversion Disorder
Incompatibility of the symptom with neurological disease is a key feature of this diagnosis- rule out neurological cause
- Sudden, unconcerned with disability, without recurrence
- Psychotherapy, Hypnosis, medication is NOT approved
- ex. trouble swallowing because friend died
- Many subtypes
Factitious Disorder
Primary gain is attention and being in the sick role without external reward, inconsistent history, insistent on treatment
- Munchausen’s Syndrome (imposed on oneself)
- Munchausen’s Syndrome by proxy (imposed on another)
- no specific treatment
Malingering
Individual fakes physical or psychological symptoms in self/ others for external rewards (ex. avoiding work)
- Malingering
- Malingering by proxy
- complaint does not continue once reward is given
Dissociative Amnesia
Memory loss for autobiographical information not used by another disorder
- Localized: memory loss during circumscribed period of time
- Selective:some recall of memory during circumscribed period of time
- Generalized: loss of memory of entire life up to and including triggering event
Dissociative Amnesia with Fugue
Purposeful travel or bewildered wandering (away from home) associated with amnesia for identity or other autobiographical information
- Sudden, brief, rarely recurs, unobtrusive lifestyle during fugue
- If biological: pt have difficulty learning new information in addition to past memory loss
- If psychological: pt learned new information well; only past memory loss
Dissociative Identity Disorder (multiple personality disorder)
Disruption of individual identity characterized by 2+ distinct personality states
