Somatic Symptom and Dissociative Disorders

used to describe, explain, and predict the psychological origins of illness and disease

psychosomatic

manifestation of psychological distress as physical symptoms, possibly resulting in functional changes/somatic

somatization

what are the S/S of a somatic symptom disorder

extensive medical hx

many many complaints

seeing multiple providers

sicker than sick

aggressive pharmacologic treatment regarding somatic symptom disorder should be

avoided

Either do not have somatic symptoms or have only very mild symptoms, but who remain preoccupied with having or developing a medical illness

Fear of having an illness continues despite medical reassurance and interferes with psychosocial functioning

Illness Anxiety Disorder

a mental health condition where a person experiences symptoms of a neurological condition but there is no underlying medical cause

Conversion Disorder

Neurologic symptoms and sensory problems but test result is

negative

Conversion disorder occurs after a

traumatic psychological event

what is the etiology of conversion disorder

neurologic changes in the brain or childhood trauma

S/S:

lack of sensation or movement (limb paralysis)

urinary retention

difficulty speaking or swallowing

(without underlying cause)

conversion disorder

Intentional injury (covertly) or illness to receive attention of health care workers, motivated by a desire to be a patient and dependent

Factitious disorder

by proxy—person inflicts injury on another for own attention,

Child is unwitting subject to physical harm and emotional distress through tests, procedures, and medication trials

factitious disorder imposed on another

who is most commonly the abuser in factitious disorder imposed on another

the mother

in factitious disorder by proxy, the mother

rarely admits injuring the child

is NOT amenable to treatment

if a child experiences factitious disorder by proxy, they may

later experience factitious disorder themselves