Differential Diagnosis of Somatoform Disorders

 

 

Physical complaints or irrational anxiety about illness or appearance
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Physical complaints are fully explained by a general medical condition and complaints are not in excess of expected   Yes
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Specific GENERAL MEDICAL CONDITION (no Somatoform Disorder)
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Psychological factors adversely affect general medical condition   Yes
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PSYCHOLOGICAL FACTORS AFFECTING MEDICAL CONDITION
        No
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Physical symptoms are intentionally produced   Yes
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External incentives are absent    Yes
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   No
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FACTITIOUS DISORDER
MALINGERING
 

 

History of multiple physical complaints with at least 4 pttin symptoms, 2 gastrointestinal symptoms, 1 sexual symptom, and 1 pseudoneurological symptom       Yes
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SOMATIZATION DISORDER
        No
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Symptom or deficit affecting voltrotary motor or sensory function       Yes
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CONVERSION DISORDER
        No
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Symptom or deficit affecting sexual functioning       Yes
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SEXUAL DYSFUNCTION
        No
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Pain is focus of clinical attention, and psychological factors have important role       Yes
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PAIN DISORDER
        No
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Other physical complaints lasting at least 6 months       Yes
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UNDIFFERENTIATED SOMATOFORM
        No
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Preoccupation with idea of having a serious disease   Yes
arr-sho1.gif (976 bytes)
Belief is of delusional intensity    No
  arr-lon.GIF (354 bytes)
HYPOCHONDRIASIS
        No
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    Yes
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See Psychotic Disorders tree
Preoccupation with appearance       Yes
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BODY DYSMORPHIC DISORDER (if delusional, also see Psychotic Disorders tree)
        No
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Clinically significant somatoform symptoms that do not meet criteria for a specific Somatoform Disorder       Yes
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SOMATOFORM DISORDER NOS
        No
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No Somatoform Disorder (somato form symptoms that are not clinically significant)