SOMATOFORM DISORDERS

Somatoform Disorder Patient presents with complex medical problem or symptoms that cannot be explained medically Symptoms Consciously Produced Motivation is primary gain (to assume the sick role) • Factitious Disorder Motivation is secondary gain • Malingering Symptoms Not Consciously Produced Focus is the sick role; not accepting reassurance • Illness Anxiety Disorder Focus is a physical symptom • Somatic Symptom Disorder Criteria: 4 pain sx 2 GI sx 1 sexual sx 1 pseudo-neuro sx • Functional Neurological Symptom Disorder Must have symptoms affecting movement or sensation (non-anatomic and unexplainable) • Undifferentiated Somatoform Disorder One or more symptoms for at least six months Focus is appearance; exhibit significant distress • Body Dysmorphic Disorder Pain; psychological factors important • Pain Disorder Multiple symptoms; long history • Somatic Symptom Disorder Neurologic • Functional Neurological Symptom Disorder Psychiatric Page 282 CC BY NC