1. Somatoform Disorders Sources, DSM-IV-TR, Tasman and First, and Kaplan and Sadock. As 8July2008

2. General Definition Q. What is the general definition of somatoform disorder?

3. General Definition Ans. The presence of physical symptoms that suggest a general medical condition and are not fully explained by a general medial condition, by a substance, or by another mental illness.

4. Somatoform Disorders List Q. List the six somatoform disorders, in addition to the NOS category.

5. Somatoform Disorders List Ans. Somatization disorder Undifferentiated somatization disorder Conversion disorder Pain disorder Hypochondriasis Body dysmorphic disorder

6. Somatization Disorder Q. Primary criteria for somatization disorder?

7. Somatization Disorder Ans. 1. Begins before age 30. 2. Four pain symptoms, two GI, one sexual, and one pseudoneurological. 3. Is not explained by another disorder or, if explained, complaints are in excess of what would be expected.

8. Prevalence Q. What is the prevalence?

9. Prevalence Ans. Women: 0.2 to2% Men: <0.2% [While much more common in women in most areas of the US, is reported to be high in Puerto Rico men – suggesting culture plays a role.]

10. Course Q. What is the course?

11. Course Ans. Rarely remits completely. Usually sees a physician at least once/year.

12. Criteria of Undifferentiated Somatoform Disorder Q. What is the criteria of this disorder?

13. Undifferentiated Somatoform Disorder Ans. On or more physical complaints that cannot be explained or the complaints are excessive. Last at least 6 months.

14. USD Gender Q. Gender breakdown?

15. USD - Gender Ans. Women

16. USD - course Q. Course?

17. USD - course Ans. Unpredictable. Frequently evolves into another psychiatric or somatic disorder

18. Conversion Disorder Q. Essential feature?

19. Essential feature of CD Ans. The presence of symptoms or deficits affecting voluntary motor or sensory function that suggests neurological or other general medical condition, but in actuality seems based on psychological factors.

20. CD subtypes Q. What are the subtypes of conversion disorder?

21. CD Subtypes Ans. 1.With motor symptom or deficit 2.With sensory symptom or deficit 3.With seizures or convulsions 4.With mixed presentations

22. CD prevalence Q. Prevalence of conversion disorder. More common in urban or rural? More in men or women? Associated dx in women? Associated dx in men?

23. CD prevalence Ans. Prevalence is rare to common, the latter being in rural, poor, uneducated parts of the world. More common in women, and women often have other somatoform disorders, whereas men are more likely to also have an antisocial personality disorder.

24. Treatment of Conversion Disorder Q. What is the usual treatment of conversion disorder?

25. Treatment of Conversion Disorder Ans. Resolution is usually spontaneous, but if not, a positive relationship with a caring and confident therapist. Focus on issues of stress and coping. Sometimes effective: Hypnosis, anxiolytics, and relaxation exercises.