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Somatic Symptom
Somatic Symptom and Related Disorder
| Question | Answer |
|---|---|
| Somatic | Body |
| Somatic Symptom Disorder | Individuals with somatic symptom disorder typically have multiple, current, somatic symptoms that are distressing or result in significant disruption of daily life . Somatic symptoms without an evident medical explanation are not sufficient to make this diagnosis. The individual’s suffering is authentic, whether or not it is medically explained. |
| Somatic Symptom Disorder (Criterion A & B) | A. One or more somatic symptoms that are distressing or result in significant disruption of daily life. B. Excessive thoughts, feelings, or behaviors related to the somatic symptoms or associated health concerns as manifested by at least one of the following: 1. Disproportionate and persistent thoughts about the seriousness of one’s symptoms. 2. Persistently high level of anxiety about health or symptoms. 3. Excessive time and energy devoted to these symptoms or health concerns. |
| Somatic Symptom Disorder (Criterion C) | C. Although any one somatic symptom may not be continuously present, the state of be- ing symptomatic is persistent (typically more than 6 months). |
| Somatic Symptom Disorder (Specifier) | With predominant pain (previously pain disorder): This specifier is for individuals whose somatic symptoms predominantly involve pain. Persistent: A persistent course is characterized by severe symptoms, marked impairment, and long duration (more than 6 months). |
| Somatic Symptom Disorder (Specifier) | Mild: Only one of the symptoms specified in Criterion B is fulfilled. Moderate: Two or more of the symptoms specified in Criterion B are fulfilled. Severe: Two or more of the symptoms specified in Criterion B are fulfilled, plus there are multiple somatic complaints (or one very severe somatic symptom). |
| Illness Anxiety Disorder | Most individuals with hypochondriasis are now classified as having somatic symptom disorder; a minority of cases, illness anxiety disorder applies instead. Illness anxiety disorder preoccupation with having or acquiring a serious, undiagnosed medical illness. A thorough evaluation fails to identify a serious medical condition. Individual’s distress emanates not primarily from the physical complaint itself but rather from his or her anxiety about the meaning, significance, or cause of the complaint |
| Illness Anxiety Disorder (Criterion A, B & C) | A. Preoccupation with having or acquiring a serious illness. B. Somatic symptoms are not present or, if present, are only mild in intensity. If another medical condition is present or there is a high risk for developing a medical condition (e.g., strong family history is present), the preoccupation is clearly excessive or disproportionate. C. There is a high level of anxiety about health, and the individual is easily alarmed about personal health status. |
| Illness Anxiety Disorder (Criterion D & E) | D. The individual performs excessive health-related behaviors (e.g., repeatedly checks his or her body for signs of illness) or exhibits maladaptive avoidance (e.g., avoids doc- tor appointments and hospitals). E. Illness preoccupation has been present for at least 6 months, but the specific illness that is feared may change over that period of time. |
| Illness Anxiety Disorder (Criterion F) | F. The illness related preoccupation is not better explained by another mental disorder, such as somatic symptom disorder, panic disorder, generalized anxiety disorder, body dysmorphic disorder, obsessive-compulsive disorder, or delusional disorder, somatic type. |
| Illness Anxiety Disorder (Specifier) | Care-seeking type: Medical care, including physician visits or undergoing tests and procedures, is frequently used. Care-avoidant type: Medical care is rarely used. |
| Conversion Disorder (Functional Neurological Symptom Disorder) | Motor symptoms include weakness or paralysis; abnormal movements, such as tremor or dystonic movements; gait abnormalities; and abnormal limb posturing. Altered, reduced, or absent skin sensation, vision, or hearing. Generalized limb shaking with apparent impaired or loss of consciousness may resemble epileptic seizures; syncope or coma; altered articulation (dysarthria);reduced or absent speech volume (dysphonia/aphonia); lump in the throat (globus), and diplopia. |
| Conversion Disorder (Functional Neurological Symptom Disorder) (Criterion A & B) | A. One or more symptoms of altered voluntary motor or sensory function. B. Clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions. |
| Conversion Disorder (Functional Neurological Symptom Disorder) (Criterion C & D) | C. The symptom or deficit is not better explained by another medical or mental disorder. D. The symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation. |
| Conversion Disorder (Functional Neurological Symptom Disorder) (Specifier) | (F44.4) With weakness or paralysis (F44.4) With abnormal movement (e.g., tremor, dystonic movement, myoclonus, gait disorder) (F44.4) With swallowing symptoms (F44.4) With speech symptom (e.g., dysphonia, slurred speech) |
| Conversion Disorder (Functional Neurological Symptom Disorder) (Specifier) | (F44.5) With attacks or seizures (F44.6) With anesthesia or sensory loss (F44.6) With special sensory symptom (e.g., visual, olfactory, or hearing disturbance) (F44.7) With mixed symptoms |
| Conversion Disorder (Functional Neurological Symptom Disorder) (Specifier) | Acute episode: Symptoms present for less than 6 months. Persistent: Symptoms occurring for 6 months or more. With psychological stressor (specify stressor) Without psychological stressor |
| Psychological Factors Affecting Other Medical Conditions | The essential feature of psychological factors affecting other medical conditions is the presence of one or more clinically significant psychological or behavioral factors that adversely affect a medical condition by increasing the risk for suffering, death, or disability |
| Psychological Factors Affecting Other Medical Conditions (Criterion A) | A. A medical symptom or condition (other than a mental disorder) is present. |
| Psychological Factors Affecting Other Medical Conditions (Criterion B, 1-2) | B. Psychological or behavioral factors adversely affect the medical condition in one of the following ways: 1. The factors have influenced the course of the medical condition as shown by a close temporal association between the psychological factors and the development or exacerbation of, or delayed recovery from, the medical condition. 2. The factors interfere with the treatment of the medical condition (e.g., poor adherence). |
| Psychological Factors Affecting Other Medical Conditions (Criterion B, 3-4) | 3. The factors constitute additional well established health risks for the individual. 4. The factors influence the underlying pathophysiology, precipitating or exacerbating symptoms or necessitating medical attention. |
| Psychological Factors Affecting Other Medical Conditions (Criterion C) | C. The psychological and behavioral factors in Criterion B are not better explained by an- other mental disorder (e.g., panic disorder, major depressive disorder, posttraumatic stress disorder). |
| Psychological Factors Affecting Other Medical Conditions (Specifier) | Mild: Increases medical risk (e.g., inconsistent adherence with anti-hypertension treatment). Moderate: Aggravates underlying medical condition (e.g., anxiety aggravating asthma). Severe: Results in medical hospitalization or emergency room visit. Extreme: Results in severe, life-threatening risk (e.g., ignoring heart attack symptoms). |
| Factitious Disorder | The diagnosis requires demonstrating that the individual is taking surreptitious actions to misrepresent, simulate, or cause signs or symptoms of ill- ness or injury in the absence of obvious external rewards. Methods of illness falsification can include exaggeration, fabrication, simulation, and induction. |
| Factitious Disorder (Criterion A & B) | A. Falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception. B. The individual presents himself or herself to others as ill, impaired, or injured. |
| Factitious Disorder (Criterion C & D) | C. The deceptive behavior is evident even in the absence of obvious external rewards. D. The behavior is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder |
| Factitious Disorder (specifier) | Single episode Recurrent episodes (two or more events of falsification of illness and/or induction of injury) |
| Factitious Disorder Imposed on Another (Previously Factitious Disorder by Proxy | While a preexisting med- ical condition may be present, the deceptive behavior or induction of injury associated with deception causes others to view such individuals (or another) as more ill or impaired, and this can lead to excessive clinical intervention. |
| Factitious Disorder Imposed on Another (Previously Factitious Disorder by Proxy (Criterion A & B) | A. Falsification of physical or psychological signs or symptoms, or induction of injury or disease, in another, associated with identified deception. B. The individual presents another individual (victim) to others as ill, impaired, or injured. |
| Factitious Disorder Imposed on Another (Previously Factitious Disorder by Proxy (Criterion C & D) | C. The deceptive behavior is evident even in the absence of obvious external rewards. D. The behavior is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder. Note: The perpetrator, not the victim, receives this diagnosis. |
| Factitious Disorder Imposed on Another (Previously Factitious Disorder by Proxy (Specifier) | Single episode Recurrent episodes (two or more events of falsification of illness and/or induction of injury) |
| Other Specified Somatic Symptom and Related Disorder | This category applies to presentations in which symptoms characteristic of a somatic symptom and related disorder that cause clinically significant distress or impairment in social, occupational, or other important areas of functioning predominate but do not meet the full criteria for any of the disorders in the somatic symptom and related disorders diagnostic class. |
| Other Specified Somatic Symptom and Related Disorder (Specifier 1-2) | 1. Brief somatic symptom disorder: Duration of symptoms is less than 6 months. 2. Brief illness anxiety disorder: Duration of symptoms is less than 6 months. |
| Other Specified Somatic Symptom and Related Disorder (Specifier 3-4) | 3. Illness anxiety disorder without excessive health-related behaviors: Criterion D for illness anxiety disorder is not met. 4. Pseudocyesis: A false belief of being pregnant that is associated with objective signs and reported symptoms of pregnancy. |
| Unspecified Somatic Symptom and Related Disorder | Symptoms characteristic of a somatic symptom and related disorder that cause clinically significant distress or impairment in social, occupational, or other important areas of functioning do not meet the full criteria for any of the disorders in the somatic symptom and related disorders diagnostic class. The unspecified somatic symptom and related disorder category should not be used unless there are decidedly unusual situations where there is insufficient information to make a more specific diagnosis. |
Created by:
amdressler
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