mh_somatic_symptom_disorders_dd

Jul 7th, 2016
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Alabama State College of Barber Styling
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SOMATIC SYMPTOM AND RELATED DISORDERS (somatoformdisorders)- A group of mental illnesses characterized by physical complaints that appear to be of medicalin origin BUT cannot be well/fully explained in terms of physical disease, the results ofsubstance abuse or by another mental disorder.- The physical symptoms are serious enough to interfere with the patients functioning (work,relationships, self).- The symptoms are NOT under the patients control(except factitious)INCLUDES1. Somatic symptom disorder (formerly Somatisation disorder)2. Hypochondriasis (illness anxiety disorder)3. Conversion disorder4. Factitious disorder5. Psychological factors affecting other medical conditions6. Others- unspecified/specifiedNB; due to physical complaints, most are attended/ diagnosed in general medical clinics thenreferred to mental health workers (after a lot of investigations, medications, operationscost/chronicity/complications)- Efficient/accurate diagnosis requires; medical work up (physical to r/o medical or neurologicalconditions), co morbidity assessment (overlap with other mental disorders)- Female preponderance in most1. SOMATIC SYMPTOM DISORDER- Women >men eg lifetime prevalence of upto 2% in women (5;1)- More common in rural areas, low socio economic status and among the educationally deprived- Average onset age of 15 years with peak in 20s then decline/improve (late onset in olderadults- likely to have occult medical illness or a depression with

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