B1. Somatic Symptom and Related Disorders

Somatic Symptom Disorder and Related Disorders

Individuals experiencing physical symptoms that are not fully explained by a medical condition, are distressing, and significantly disrupt their daily lives

Somatic Symptom Disorder and Related Disorders

These disorders' focus is on the individual's thoughts, feelings, and behaviors related to their physical symptoms

Somatic Symptom Disorder

Disorder characterized by one or more somatic symptoms that are distressing or result in significant disruption of daily life, along with excessive thoughts, feelings, or behaviors related to these symptoms or associated health concerns

At least 6 months

How long should symptoms of Somatic Symptom Disorder last?

With predominant pain

Persistent (Severe symptoms, marked impairment, and more than 6 month duration)

Current severity: mild (1), moderate (2), or severe (2 + Somatic complaints or 1 very severe somatic symptom)

Specifiers of Somatic Symptom Disorder

Illness Anxiety Disorder (Hypochondriasis)

Disorder characterized by the preoccupation with having or acquiring a serious illness, despite the absence of significant somatic symptoms

At least 6 months

How long should symptoms of Illness Anxiety Disorder last?

Care-seeking type

Care-avoidant type

Specifiers of Illness Anxiety Disorder

Conversion Disorder (Functional Neurological Symptom Disorder)

Disorder that involves motor or sensory symptoms that suggest a neurological condition but are not explained by any neurological or medical disorder

Clinical findings must show inconsistency between reported symptoms and recognized neurological pathways

Acute (Less than 6 months)

Persistent (6 months or more)

With Psychological Stressor

Without Psychological Stressor

Specifiers of Conversion Disorder

Psychological Factors Affecting Other Medical Conditions

When psychological or behavioral factors have an adverse effect on a medical condition

Severity: Mild (Increases medical risk), Moderate (Aggravates), Severe (Hospitalization), & Extreme (Life-threatening)

Specifiers of Psychological Factors Affecting Other Medical Conditions

Factitious Disorder

Disorder that involves the falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception

Imposed on Another (Munchausen Syndrome by Proxy)

Factitious disorder that presents another individual as ill

Imposed on Self

Factitious disorder that presents him/herself to others as ill

Single episode

Recurrent episodes

Specifiers of Factitious Disorder

Brief somatic symptom disorder

Brief illness anxiety disorder

Illness anxiety disorder without excessive health-related behaviors

Pseudocyesis

Other Specified Somatic Symptom and Related Disorder

Brief somatic symptom disorder

Somatic Symptom Disorder but the duration of symptoms is less than 6 months

Brief illness anxiety disorder

Illness Anxiety Disorder but the duration of symptoms is less than 6 months

Illness anxiety disorder without excessive health-related behaviors

Illness anxiety Disorder but Criterion D is not met

Pseudocyesis

A false belief of being pregnant that is associated with objective signs and reported symptoms of pregnancy.