Advanced Search Abstract Objective: To describe the assessment and treatment of severe functional impairment in a young female adolescent with somatoform pain disorder.
References Patients who experience unexplained physical symptoms often strongly maintain the belief that their symptoms have a physical cause despite evidence to the contrary. These beliefs are based on false interpretation of symptoms.
A psychiatric diagnosis should be made only when all criteria are met. Discussing the diagnosis requires forethought and practice.
The physician must first build a therapeutic alliance with the patient. The physician should review with the patient the diagnostic criteria for the suspected somatoform disorder, explaining the disorder as for any medical condition, with information regarding etiology, epidemiology, and treatment.
It should also be explained that the goal of treatment for somatoform disorders is management rather than cure. THERAPY Once the diagnosis is made and the patient accepts the diagnosis and treatment goals, the physician may treat any psychiatric comorbidities.
Psychiatric disorders rarely exist in isolation, and somatoform disorders are no exception. Clinically significant depressive disorder, anxiety disorder, personality disorder, and substance abuse disorder often coexist with somatoform disorders and should be treated concurrently using appropriate modalities.
Antidepressants are commonly used to treat depressive or anxiety disorders and may be part of the approach to treating the comorbidities of somatoform disorders.
Antidepressants such as fluvoxamine Luvox, brand not available for treating body dysmorphic disorder, and St. Benefits of cognitive behavior therapy include reduced frequency and intensity of symptoms and cost of care, and improved patient functioning.
Results of a recent, small randomized controlled trial conducted in the Netherlands, which combined cognitive behavior therapy provided by general practitioners with psychiatric consultation, suggest improvements in symptom severity, social functioning, and health care use when multiple interventions are employed.
Scheduled visits may also prevent frequent and unnecessary between-visit contacts and reduce excessive health care use. Read the full article.
Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription. Earn up to 6 CME credits per issue.Somatoform, Factitious, and Dissociative Disorders Discussion Somatoform, Factitious, and Dissociative Disorders When a client presents physical ailments for which no medical evidence confirms a condition, the client's pain may not simply go away.
A Year-Old Woman with Somatic Symptoms Case Study and Commentary: Robyn K.
Goshorn, MD, FACP, and Elizabeth A. Rice, MD Somatoform disorder Substance abuse Physiologic states Chronic situational stress Sleep disorders (especially sleep apnea, nocturnal myoclonus. Under DSM-IV, a “diagnosis” of somatization disorder entailed a history of physical symptoms for which, despite thorough medical evaluation, no satisfactory physical etiology could be established.
Dec 22, · Anxiety, Somatoform, and Dissociative Disorders Outline and Case Analysis ANXIETY DISORDERS: As for the DSM-IV-TR, the featured symptoms of these disorders are fear and anxiety in abnormal contexts, which do not justify those feelings (American Psychiatric Association, ).
The Case of Agnes The following is a case study analysis of Anxiety, Somatoform, and Dissociative Disorders. The writer will present an analysis of a selected case as described in the text, Case studies in abnormal behavior (8th ed.) by Meyer R., Chapman, L.K., & Weaver, C.M.
Case-control study on symptoms, diagnosis treatment. Traced to abandon it aimed at the allow the presence of result. Childhood experiences of. i present. rosenthal on a out to know how they were the severity. anxiety, somatoform, and the role.