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Transcript
Definition? Common Features Lots of Physical Complaints Appear to be Medical Conditions But No Identifiable Medical Cause Pathological Concern about Functioning of body or Physical appearance Five Somatoform Disorders Hypochondriasis Somatization Disorder Conversion Disorder Pain Disorder Body Dysmorphic Disorder Physical Complaints Preoccupied with Bodily Symptoms Misinterpretation of Symptoms Strong Disease Conviction No Known Medical Cause Differentiated from Illness Phobia Severe Anxiety about Possibly Having a Serious Disease Many Medical Visits and Tests Reassurance Doesn’t Help Impaired Functioning/Distress Psychological Treatment Challenge illness-related misinterpretations Provide more substantial and sensitive reassurance Stress management and coping strategies Medical Treatment? Previously Called Briquet’s Syndrome Many Physical Complaints No Known Medical Cause Concern about Symptoms Starting before age 30 but Not What They Mean Life/Identity Revolves Around Symptoms Impaired Functioning Treatment Difficult to Treat No Proven Treatments Treatment Focuses on Reduction Assign of Medical Visits a “Gatekeeper” Physician Reducing Secondary Gain Popularized by Freud Physical Malfunctioning Often involves sensory-motor areas Paralysis, Blindness, Mutism, Anesthesia No Organic Pathology La Belle Indifference Impaired Functioning Treatment Similar to Somatization Disorder No Well Established Treatments Address the Trauma Remove Sources of Secondary Gain Reduce supportive consequences of talk about physical symptoms Pain is Real Pain May Initially Have Organic Cause Psychological Factors Maintain Pain Can Be Debilitating Previously known as dysmorphophobia Preoccupation with Defect in Appearance “Imagined” Often Ugliness seek multiple plastic surgeries Fixation or Avoidance of Mirrors Ideas of Reference Suicidal Ideation and Tendencies Treatment Parallels OCD treatment Medications (i.e., SSRIs) that work for OCD provide some relief Exposure and Response Prevention Plastic surgery is typically unhelpful Malingering Factitious Disorders Munchausen’s Syndrome by Proxy
