1 / 12

Somatoform Disorders

Somatoform Disorders. Hypochondriasis Origin of the word--hypochondria Characterized by Anxiety that one has a serious disease Preoccupied with bodily symptoms, misinterpreting them as indicative of disease Focus on long-term process of illness (contrast to PD)

jemma
Download Presentation

Somatoform Disorders

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Somatoform Disorders • Hypochondriasis • Origin of the word--hypochondria • Characterized by • Anxiety that one has a serious disease • Preoccupied with bodily symptoms, misinterpreting them as indicative of disease • Focus on long-term process of illness (contrast to PD) • Preoccupation persists despite medical reassurance • Not delusionary intensity • Six months

  2. Somatoform Disorders • Hypochondriasis • Statistics • 1-14% • Not more prevalent in elderly • Culture • Koro • dhat

  3. Hypochondriasis • Etiology • Disorder of cognition or perception (cycle) • 1st begins with a trigger (information, event, illness) • 2nd, perceived threat • 3rd, apprehension • 4th, Increased focus on body and checking behavior • 5th, preoccupation w/ perceived change in bodily sensations • 6th, misinterpretation of sensations • 7th, perceived threat • Other factors • Stressful life events • incidence of illness during childhood • “sick role”

  4. Hypochondriasis • Treatment • CBT • Psychodynamic approach

  5. Somatization Disorder • Initially referred to as Briquet’s Syndrome • Criteria • History of many physical complaints before age 30 over several yrs • 4 pain symptoms • 2 GI symptoms • 1 sexual symptom • 1 pseudoneurological symptom • Either • Cannot be explained by general medical condition • There is a general medical condition, but complaints exceed what would be expected

  6. Somatization Disorder • Statistics • 4% • More frequently observed in females • Etiology • Similar pathogenesis to hypochondriasis • Strongly linked in family/genetic studies to ASPD • Behavioral Inhibition System • Sensitive to threat or danger • Avoid situations or signals suggesting threat or danger • Both diagnoses have a weak BIS • Both strive for short-term gain at the expense of long-term gain

  7. Somatization Disorder • Treatment • Gate-keeper • Rapport

  8. Conversion Disorder • 1 or more symptoms affecting voluntary motor or sensory function suggesting neurological condition • Psych factors judged to be associated w/ symptom b/c initiation or exacerbation of symptom is preceded by conflicts or other stressors • Symptom is not intentionally produced/feigned

  9. Conversion Disorder • Closely related disorders • Malingering • Factitious disorders • Statistics • 1-30% in neurological settings

  10. Conversion Disorder • Etiology • Freud • 1st process: individual experiences a traumatic event w/ unacceptable, unconscious conflict • 2nd process: person represses anxiety • 3rd process: as anxiety increases, unconscious converts it into physical symptom to avoid anxiety • Primary Gain • 4th process: individual receives increased attention and sympathy from love ones, and avoids responsibilities • Secondary Gain

  11. Body Dysmorphic Disorder • Preoccupation w/ imagined defect in appearance, if slight physical anomaly is present, one’s concern is markedly excessive • Preoccupation causes sign. distress or impairment

  12. Body Dysmorphic Disorder • Etiology • OCD relationship • Treatment • Pain Disorder • ?

More Related