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) Motivation is secondary gainFocus is the sick role; not accepting reassurance Focus is a physical symptomFocus is appearance; exhibit significant distress Symptoms Not Consciously Produced Pain; psychological factors important Multiple symptoms; long history Neurologic One or more symptoms for at least six months Criteria 4 pain sx 2 GI sx 1 sexual sx 1 pseudo-neuro sx Factitious Disorder Pain Disorder Body Dysmorphic Disorder Illness Anxiety Disorder Malingering Conversion Disorder Somatization Disorder Undifferentiated Somatoform DisorderMust have symptoms affecting movement or sensation (non-anatomic and unexplainable)SOMATOFORM DISORDERS