PSYCH257 Lecture Notes - Body Dysmorphic Disorder, Somatic Symptom Disorder, Myasthenia Gravis

31 views5 pages
Published on 20 Apr 2013
Somatoform Disorder
oCharacterized by persistent worry or complaints regarding physical illness
without supportive physical findings
oClient focuses on the physical signs and symptoms and is unable to control the
signs and symptoms
oThe physical sign and symptoms increase with psychosocial stressors
oThe anxiety is redirected into a somatic concern
oThe client may unconsciously use somatization for secondary gains, such as
increased attention and responsibilities
oStrong presumption linked to psychological factors (DSM IV-
oMust carefully rule-out medical etiology before presuming
psychological assumptions
oNot under the patients’ conscious control
oSomatization disorder
oUndifferentiated somatoform disorder
oConversion disorder
oPain disorder
oBody dysmorphic disorder
oSomatoform disorder NOS
Somatization disorder: most common
Client has multiple physical complaints involving numerous body
The cause of these complaints is presumed to be psychological
Physical complaints of pain
GI symptoms
Sexual symptoms
Signs of anxiety, fear, and low self-esteem may be present
Denial of emotional problems
Suicide threats and gestures are common
History of physical and sexual abuse
For a client with a somatoform disorder, allow specific time for period
for the client to discuss physical complaints because the client may
feel less threatened if this behavior is limited rather than stopped
completely. Avoid responding with positive reinforcement about
physical complaints.
Misinterpret physical sensations as serious illness
Unlock document

This preview shows pages 1-2 of the document.
Unlock all 5 pages and 3 million more documents.

Already have an account? Log in
Preoccupation with fears of having a serious disease
No evidence of physical illness exists
Hypochondriasis significantly impair social and occupational
Pain Disorder
oMost frequent cause of medical assistance
oDepression is common
oDifficult to measure objectively
Body Dysmorphic Disorder
oNormal appearance
oPreoccupation with imagined defective body part
Mirror checking
Overwhelming emotions of disgust, shame and depression
oMay lead to frequent plastic surgery
oMen – compulsive body building
oWoman – skin, weight, body parts
Conversion Disorder
Conversion disorder is a mental health condition in
which a person has blindness, paralysis, or other
nervous system (neurologic) symptoms that cannot be
explained by medical evaluation.
A physical symptom or a deficit suggesting loss or altered body
function related to psychological conflict of a neurobiological disorder
Most common symptoms:
• Deafness
Inability to talk
No organic cause
Symptoms are beyond the clients conscious control
Childhood physical or sexual abuse is common
May have origin in medical disorder that gets exaggerated
La belle indifference:
Unconcerned for symptoms
Lack of emotional concern for symptoms
Common Medical Causes to Rule Out
oMultiple Sclerosis
oBrain tumor
Unlock document

This preview shows pages 1-2 of the document.
Unlock all 5 pages and 3 million more documents.

Already have an account? Log in

Get OneClass Grade+

Unlimited access to all notes and study guides.

YearlyMost Popular
75% OFF
Single doc


You will be charged $119.76 upfront and auto renewed at the end of each cycle. You may cancel anytime under Payment Settings. For more information, see our Terms and Privacy.
Payments are encrypted using 256-bit SSL. Powered by Stripe.