Somatic, Factitious, and Dissociative Disorders

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Somatic, Factitious, and Dissociative Disorders
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Somatoform

• Hysterias

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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

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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

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Pain Disorder

• Like Conversion disorder, but Pain is the
  predominant complaint

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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

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Body Dysmorphic Disorder

• Preoccupation with imagined defect in appearance
  or exaggerated defect
• Clinically significant distress
• Not another mental disorder
• SOMATIC DISORDER NOS

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Factitious
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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

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Dissociative Disorders
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Dissociative Disorders

• Amnesia
• Fugue
• DID (MPD)
• Depersonalization
• NOS