1. Somatic Symptoms and Syndromes
Dr. Vidumini De Silva

2. Somatization disorder
Chronic
Multiple somatic symptoms
neurological GI
reproductive
CVS

3. Conversion Disorder
Resolve the conflict through loss/change of a physical function
Involuntary
No organic cause

4. Hypochondriasis
- What is it?

5. Body dysmorphic disorder
Preoccupied with an imagined defect in appearance when there’s no abnormality

6. Pain disorder Unrelated to a medical disease
Severe pain disproportionate to the originating source

7. Risk factors Gender – females Sociocultural Age – extremes of age
Psychological influences – secondary gain of attention, affection

8. Signs and symptoms Pain in the absence of an organic pathology
Physical symptoms
Dependence of additive substances
Frequent visits to health care providers
Anxiety/ depression

9. Management
Assessment - what should be included here?

10. Therapeutic management
- individual psychotherapy
- group therapy
- behaviour therapy
- bio feedback

11. Complications Risk to self and others Substance misuse
Financial problems – intense seeking medical advices

12. Thank You