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Somatoform Disorders.

Discussion in 'Psychiatry' started by Mena Moner, Oct 20, 2017.

  1. Mena Moner

    Mena Moner Active member

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    Practicing medicine in:
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    - This group of disorders are characterized by repeated medical consultation for physical symptoms which have no adequate physical bases.

    - In most cases a psychiatric assessment will show that the physical symptoms bear a close relationship with stressful life events or emotional conflicts.

    Presentations:

    l-Somatisation disorder:

    · More in females

    · Usually chronic & fluctuating course over many years,

    · Symptoms may be referred to any part of the body.

    · Anxiety or depression may be present

    · Unhelpful operations e.g. hystetrectomy & cholecystectomy are common.

    Examples:


    - headache

    - dizziness

    - vomiting

    - nausea

    - sexual dysfunction

    - menstrual irregularity.


    2-Hypochondrial disorders:

    · It is a morbid preoccupation with the possibility of having a serious illness.

    · Hypochondrial symptoms commonly occur in anxiety & depressive disorders but occasionally they are primary & persistent for many years.

    Examples:

    - Delusional parasitosis à consult dermatologist.

    - Dysmorphobia à requests for cosmetic surgery.

    3-Somafoform autonomic dysfunction:

    · Symptoms are referred to organs which are under autonomic control.

    Examples:

    - Cardiac neurosis.

    - Psychogenic hyperventilation

    - Psychogenic vomiting.

    - I.B.D.

    4-Somatoform pain disorder :

    · The common presentation is severe persistent pain, which can not be explained by a physical illness or physiological disturbance.

    · Emotional conflicts or psychological problems are evident.
     

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