dsm cards - somatoform.txt

Somatization Disorder
Undifferentiated Somatoform Disorder
Conversion Disorder
Pain Disorder
Hypochondriasis
Body Dysmorphic Disorder
Somatoform Disorder Not Otherwise Specified

A. Frequent physical complaints before age 30 that either lead to treatment being sought or notable impairment in functioning.

B. History of each of the following: 1. Four pain symptoms. 2. Two gastrointestinal symptoms. 3. One sexual symptom. 4. One pseudo-neurological symptom.

C. Either of the following: 1. Symptoms in "B" are not explained by a general medical condition or a substance. 2. When a general medical condition does exist, the complaints or impairment are beyond expectations.

D. Symptoms are not faked or purposefully produce'

A. At least one physical complaint.

B. Either of the following: 1. Symptoms in "A" are not explained by a general medical condition or a substance. 2. When a general medical condition does exist, the complaints or impairment are beyond expectations.

C. Distress or impairment in social, occupational, or other important functioning.

D. The disturbance lasts at least 6 months.

E. Symptoms are not faked or purposefully produced'

A. At least one voluntary motor or sensory function deficit.

B. Psychological factors are associated.

C. Symptom or deficit is not purposely faked or produced.

D. Symptom or deficit is not due to a general medical condition, a substance, or a culturally-approved behavior or experience.

E. Distress or impairment in social, occupational, or other important functioning, or calls for medical evaluation.

F. Symptom or deficit not restricted to pain or sexual dysfunction. Not occurring solely during Somatization Disorder.

A. Severe pain is paramount and calls for clinical attention.

B. Distress or impairment in social, occupational, or other important functioning.

C. Psychological factors play a key role in all aspects of the pain.

D. Symptom or deficit not faked or purposefully produced.

E. Neither Dyspareunia, nor any Mood, Anxiety, or Psychotic Disorder can explain the pain. Note: Pain Disorder alone is not a diagnosis.

A. Meets the criteria for (General) Pain Disorder

B. Psychological factors account for pain.

C. Any general medical condition that exists is secondary.

D. Do not diagnose if Somatization Disorder is present.

A. Meets the criteria for (General) Pain Disorder

B. Both psychological factors and a general medical condition contribute prominently to all aspects of the pain.

A. Misinterpreting physical symptoms as being caused by a serious disease.

B. Medical reassurances do not allay the preoccupation.

C. Neither delusional nor simply concern about appearance.

D. Distress or impairment in social, occupational, or other important functioning.

E. Lasts at least 6 months.

F. Not better explained by Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, Panic Disorder, a Major Depressive Episode, Separation Anxiety, or any other Somatoform Disorder.

• A. Excessive concern for imaginary appearance defects or minor anomalies.
• B. Distress or impairment in social, occupational, or other important functioning.