Somatic symptom disorder: Difference between revisions
| Line 19: | Line 19: | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*Panic disorder | |||
*Generalized anxiety disorder | * Medical condition | ||
* | ** [[Irritable bowel syndrome]] | ||
*[[ | ** [[Fibromyalgia]] | ||
* | ** Diabetes, heart disease, etc | ||
*[[Illness anxiety disorder]] | * Psychiatric condition | ||
*[[Conversion disorder]] | ** [[Panic disorder]] | ||
*[[Delusional disorder]] | ** [[Generalized anxiety disorder]] | ||
*Body dysmorphic disorder | ** [[Depression|Depressive disorders]] | ||
*Obsessive-compulsive disorder | ** [[Illness anxiety disorder]] | ||
** [[Conversion disorder]] | |||
** [[Delusional disorder]] | |||
** [[Body dysmorphic disorder]] | |||
** [[Obsessive-compulsive disorder]] | |||
** [[Factitious disorder]] | |||
** [[Malingering]] | |||
==Evaluation== | ==Evaluation== | ||
Revision as of 10:42, 23 February 2017
Background
Disorder in which a patient experiences physical symptoms that suggest physical illness or injury, but that cannot be explained fully by a general medical condition or by the direct effect of a substance, and are not attributable to another mental disorder. Formerly known as somatoform disorder.
Clinical Features
DSM-5 Diagnostic Criteria for Somatic Symptom Disorder[1]
- One or more somatic symptoms that are distressing or result in significant disruption of daily life.
- Excessive thoughts, feelings, or behaviors related to the somatic symptoms or associated health concerns as manifested by at least one of the following:
- Disproportionate and persistent thoughts about the seriousness of one’s symptoms.
- Persistently high level of anxiety about health or symptoms.
- Excessive time and energy devoted to these symptoms or health concerns.
- Although any one somatic symptom may not be continuously present, the state of being symptomatic is persistent (typically more than 6 months).
Differential Diagnosis
- Medical condition
- Irritable bowel syndrome
- Fibromyalgia
- Diabetes, heart disease, etc
- Psychiatric condition
Evaluation
Difficult to diagnose, as often a diagnosis of exclusion. Refer to the patient's medical record for indication of repeated visits or recurrent testing.
Management
Close outpatient psychotherapy focused on establishing and maintaining a relationship with the patient.
Disposition
Home
See Also
External Links
References
- ↑ American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.