Tiêu đề 07 AbPsy - Somatic Symptom and Related Disorders.pdf ✅

07 – Somatic Symptom and Related Disorders ABPSY | 2024 - 2025 | NOT FOR SALE OUTLINE 1. Somatic Symptom Disorder 2. Illness Anxiety Disorder 3. Conversion Disorder 4. Factitious Disorder 5. Other Specified Disorders SOMATIC SYMPTOM DISORDER DIAGNOSTIC CRITERIA ★ Pierre Briquet – described patients who came to see him with seemingly endless lists of somatic complaints for which he could find no medical basis ★ Pain is the most common symptom ★ People with SSD identify with their symptoms 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. C. Although any one somatic symptom may not be continuously present, the state of being symptomatic is persistent (typically more than 6 months) Specify if: With predominant pain (previously pain disorder): This specifier is for individuals whose somatic symptoms predominantly involve pain. Specify if: Persistent: A persistent course is characterized by severe symptoms, marked impairment, and long duration (more than 6 months). Specify current severity: 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). TREATMENT Medications ● Paroxetine (aka Paxil) Psychological Treatments ● Reassurance and education ● Reducing the frequency of help-seeking behaviors (e.g., assigning a gatekeeper physician to each patient to screen all physical complaints) ● Cognitive-Behavioral Therapy (CBT) ILLNESS ANXIETY DISORDER DIAGNOSTIC CRITERIA 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, 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. D. The individual performs excessive health-related behaviors or exhibits maladaptive avoidance (e.g., avoids doctor 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. F. The illness-related preoccupation is not better explained by another mental disorder Specify whether: Care-seeking type: Medical care, including physician visits or undergoing tests and procedures, is frequently used. Care-avoidant type: Medical care is rarely used. CAUSES OF SSD AND IAD ● These disorders are basically disorders of cognition or perception with strong emotional contributions ● Individuals with SSD experience physical sensations common to everyone, but they quickly focus their attention on these sensations ● They also tend to interpret ambiguous stimuli as threatening 1 | @studywithky

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 OTHER SPECIFIED DISORDERS ● Brief somatic symptom disorder: duration of symptoms is less than 6 months. ● Brief illness anxiety disorder: duration of symptoms is less than 6 months. ● Illness anxiety disorder without excessive health-related behaviors: Criterion D for illness anxiety disorder is not met. ● Pseudocyesis: false belief of being pregnant that is associated with objective signs and reported symptoms of pregnancy REFERENCES American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596 Barlow, D., Durand, V., Lalumiere, M., & Hofmann, S. (2018). Abnormal psychology: An integrative approach (8th ed.). Cengage Learning. Hooley, J., Nock, M., & Butcher, J. (2021). Abnormal psychology (18th ed.). Pearson. 3 | @studywithky