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Somatic, Factitious, and Dissociative Disorders Somatoform Hysterias 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 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 Pain Disorder Like Conversion disorder, but Pain is the predominant complaint 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 Body Dysmorphic Disorder Preoccupation with imagined defect in appearance or exaggerated defect Clinically significant distress Not another mental disorder SOMATIC DISORDER NOS Factitious 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 Dissociative Disorders Dissociative Disorders Amnesia Fugue DID (MPD) Depersonalization NOS