(formerly known as Somatoform Disorders) Somatic Symptom and Related Disorders (formerly known as Somatoform Disorders) Mr. Koch AP Psychology Andover High School

Somatic Symptom and Related Disorders Somatic Symptom Disorder Illness Anxiety Disorder Conversion Disorder (Functional Neurological Symptom Disorder) Psychological Factors Affecting Other Medical Conditions Factitious Disorder Other Specified Somatic Symptom and Related Disorder Unspecified Somatic Symptom and Related Disorder

Somatic Symptom and Related Disorders Psychological problems in which there are symptoms of a physical disorder w/o a physical cause Not faking it “malingering” – consciously faking an illness for some concrete benefit (not a somatic symptom disorder)

Factitious Disorders Factitious Disorder Imposed on Self & Factitious Disorder Imposed on Another (AKA - Munchausen Syndrome & Munchausen By-Proxy ) a disorder in which someone deceives others by appearing sick, by purposely getting sick, or by self-injury Might report false symptoms, manipulate laboratory tests, falsify medical records, ingest a substance, or cause physical injury Requires absence of obvious rewards (not a form of malingering) Prevalence unknown due to deception – estimated at about 1% of patients in hospital settings

Conversion Disorder (Functional Neurological Symptom Disorder) (formerly called “hysteria”) Person displays blindness, deafness, paralysis, insensitivity to pain or other sensory/motor failure w/o a physical cause Generally show little/no concern Rare (only 2% of diagnoses) Most common in adolescence & early adulthood

Hypochondriasis Strong, unjustified fear of having physical illness Believe minor symptoms = serious ailments (i.e. headache = brain tumor) Believe despite MD reassurance **Eliminated in DSM-5** (in part because term was considered pejorative and not conducive to an effective therapeutic relationship) - Most would now receive a diagnosis of Somatic Symptom Disorder or Illness Anxiety Disorder in DSM-5