PSYCH 2AP3 Lecture Notes - Lecture 21: Somatic Symptom Disorder, Breast Engorgement, Body Dysmorphic Disorder
13 Mar 2019
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Differential diagnosis: neurological disease, other somatic symptom disorder, dissociative disorder, highest comorbidity with conversion, body dysmorphic disorder, depressive disorder, panic disorder, malingering (no longer in the dsm) Somatic symptom disorder: dsm-5: one or more somatic symptoms that are distressing or that result in significant disruption of daily life. Symptomatic for at least 6 months, though symptoms not always present. Somatic symptoms not present, or mild: preoccupation with having or acquiring a serious illness, high level of anxiety about health; individual easily alarmed about health, not better explained by another mental disorder. Excessive health-related behaviours, or maladaptive avoidance of doctors, hospitals. Symptoms present for at least 6 months, through disease imagined may change over that time. False belief of being pregnant that is associated with objective signs of pregnancy which may include: abdominal and/or breast engorgement and secretions, reduced or absent menses, nausea and/or food cravings, labour pains at the expected time of delivery.
