Somatic Symptom and Related Disorders (#1): Differentiating Disorders.

DSM-5 Somatic Symptom & Related Disorders includes:

  • Somatic Symptom Disorder
  • Illness Anxiety Disorder
  • Conversion Disorder (Functional Neurological Symptom Disorder)
  • Psychological Factors Affecting Other Medical Conditions
  • Factitious Disorder

Differentiating Somatic Symptom and Related Disorders

DIAGNOSIS FEATURES
Somatic Symptom Disorder increased preoccupation with distressing or disruptive symptoms.
* + either excessive thoughts/ feelings/ behaviors.
* duration > 6 months.
Illness Anxiety Disorder increased preoccupation with having or acquiring imagined illness.
* without signs of illness.
* symptoms: absent or minimally present.
* duration > 6 months.
Conversion Disorder altered voluntary motor or sensory function (neurological symptoms).
* Clinical incompatibility.
Factitious Disorder Voluntary falsification of symptoms but NO INSIGHT.
* internal incentives.
Malingering Voluntary Falsification of symptoms, WITH INSIGHT (deliberate).
* external incentives.

REFERENCES:

  1. Front Neurol Neurosci. 2018;42:72-80.
  2. Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

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Dr. Harvinder Singh, M.D. (Admin)


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