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Somatoform Disorders

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Somatoform Disorders Adrianne Maltese, MN,GCNS-BC Somatoform Disorders Three central features of Somatoform Disorders: Physical complaints without organic basis ... – PowerPoint PPT presentation

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Title: Somatoform Disorders


1
Somatoform Disorders
  • Adrianne Maltese, MN,GCNS-BC

2
Somatoform Disorders
  • Three central features of Somatoform Disorders
  • Physical complaints without organic basis
  • Psychological factors and conflicts seem
    important in initiating, exacerbating, and
    maintaining the symptoms
  • Symptoms or magnified health concerns are not
    under conscious control(Guggenheim2000)

3
Five Somatoform disorders
  • Somatization disorder
  • C/b multiple recurrent physical complaints over
    many years
  • No organic etiology for these complaints
  • Begins by age 30
  • Pain, GI, sexual, pseudoneurologic symptoms
    impaired coordination or balance,paralysis or
    localized weakness,difficulty swallowing,
    aphonia, urinary retention,hallucinations, loss
    of touch or pain sensation,double
    vision,amnesia,sensory losses,loss of
    consciousness (APA 2000 DSM IV-TR)

4
Interventions for somatization
  • Be aware of own responses
  • Rule out organic basis for complaints
  • Focus on anxiety reduction, mot physical symptoms
  • Minimize secondary gain(I.e. increased attention
    and decreased responsibilities)

5
Intervention conversion d/o
  • Focus on anxiety reduction, not physical symptoms
  • Use matter-of-fact approach
  • Encourage client to discuss conflict
  • Minimize secondary gains
  • Provide diversionary activities
  • Encourage expression of feelings

6
Pain Disorder
  • C/b physical symptom of pain-one or more anatomic
    sites
  • May occur with a General medical condition
  • Pain not relieved by analgesics
  • Onset,severity, exacerbation and maintenance
    affected by psychological stressors

7
Pain d/o interventions
  • Pain management
  • Encourage participation in activities
  • Provide distractions

8
Hypochondriasis
  • Client is preoccupied with fear that he/she has
    or will get a serious disease
  • History of seeing many doctors
  • Misinterpretation of bodily sensations or
    functions despite medical evaluations and
    reassurance
  • Preoccupation with symptoms is not as intense or
    distorted as in delusional disorder
  • Significant distress/impairment in function
  • Dependent behaviors/desires,demands attention

9
Hypochondriasis interventions
  • Rule out presence of actual disease
  • Focus on anxiety, not physical symptoms
  • Provide diversionary activities
  • Avoid negative responses to client
    demands/conference with staff
  • Provide client with correct information

10
Body Dysmorphic Disorder
  • Preoccupation with imagined or exaggerated
    defects in physical appearance
  • Causes clinically significant stressor impairment
    in social or occupational function person may
    undergo repeated plastic surgeries for nose
    repair or to change face etc.

11
Dissociative Disorders
  • DISSOCIATIVE AMNESIA
  • One or more episodes of inability to recall
    personal information
  • Information is usually of a traumatic or
    stressful nature
  • Not due to effects of substance abuse

12
Dissociative Fugue
  • C/b sudden unexpected travel away from home or
    work
  • Unable to recall past(or where on has been)
  • Confused about personal identity/ or assumes new
    identity

13
Dissociative Identity Disorder
  • Individual demonstrates two or more distinct
    identities or personality states
  • Each personality is distinct
  • At least two of these personality states take
    control of the individuals behavior.
  • Unable to recall extensive personal information
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