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REVIEW (Stress, Anxiety, Somatoform, Dissociative Disorders)
Ed experiences a distinct period of intense fear or discomfort; palpitations, pounding heart, sweating,
trembling, shaking, shortness of breath, feeling of choking or having a heart attack.
Margie has excessive concern about being in places or situations from which escape might be difficult. May
include fear of being outside the home alone, being in a crowd or standing in a line, or traveling.
Carol shows a marked and persistent fear that is excessive or unreasonable, cued by the presence or
anticipation of a certain object or situation (flying, heights, animals, insects, needles, etc.)
Alan has fear of performance situations in which he is exposed to unfamiliar people or scrutiny from others.
His concern for being accepted and critisized by others causes dysfunction in daily living.
Marilyn keeps experiencing recurrent thoughts, impulses and images that are intrusive and inappropriate. She
is constantly distressed, worried and can not stop her mind from thinking about fatal future events.
Mr. Williams was exposed to a bombing in his local community. The event threatened death and serious
injury to him and his family. He often feels numb, detached, lacks emotional response, loss of memory and
nightmares. It is difficult for him to concentrate, and sometimes has hyper vigilance and an exaggerated
startle response to anything that reminds him of the sounds and smells of the bombing. This occurred within 4
weeks of the event. ____________________________ After one month____________________________
For more than six months, Mathew has had exaggerated worry and can not control it. He is restless, feels
keyed up or on edge, easily fatigued, irritable and difficulty concentrating. Sometimes his mind goes blank
and often he has sleep disturbances.
Dr. J informed Michael that he is polysymptomatic. Michael has a history of pain in head, abdomen, back,
joints, chest and extremities. He often has nausea, bloating, vomiting as well as ejaculatory dysfunction.
These symptoms are not intentionally produced and there doesn’t appear to be any medical cause for them.
Alex shows evidence of clinically significant distress and impairment in functioning. His balance is impaired,
and he experiences paralysis and localized weakness in his arms. There is no apparent medical cause for
Alex’s condition.
At home, Mrs. Faber keeps telling her children she is constantly in pain and this is the predominant feature of
her condition. The pain causes dysfunction in her life and seems to be related to psychological factors.
Joe complains about being ill and having a serious disease. His preoccupation with his health has taken him
from doctor to doctor, specialist to specialist. It has gone on for over six months.
An imagined preoccupation with body image and appearance is Natalie’s history. Her concerned has been
markedly abnormal. Her dissatisfaction with her body shape and size has led her to multiple surgeries.
Madeline intentionally produces physical or psychological signs and symptoms. Her motivation for the
behavior is to assume the sick role for economic gain. She does not have a malingering disorder.
Sudden, unexpected travel away from home is the chief characteristic of Paul’s condition.
Sybil has more than one personality and identity, and she is unable to recall important personal information
way to extensive to be explained by ordinary forgetfulness.
Milly frequently feels detached from her body, like being in a dream or outside of herself. She has abnormal
distress and can not function in her daily life.