psychiatric disorder manifested in physical rather than psychological conditions
somatoform disorder
why are clients with somatoform disorders among the most difficult seen
bc clients are usually dissatisfied with their care providers and are certain they have some serious condition that is undiagnosed
clients who travel from doctor to doctor seeking new diagnoses and treatments and convincing family members and friends that they are seriously ill
somatoform disorder
group of conditions in which symptoms suggest the precense of a general medical condition, but careful evaluation fails to find any evidence of a physical disorder sufficient to explain the complaints
somatoform disorder
what is the basic criteria that is required by DSM-IV TR in order to be diagnosed with somatoform disorder
1. 4 pain symptoms
2. 2 GI symptoms
3. 1 sexual symptom
4. 1 pseudoneurological symptom
how do clients with somatozation disorder describe their illness
dramatically and sometimes with inappropriate laughter
somatozation disorder is far more common in which gender
woman
what is the Tx for somat. disorder
establish the diagnosis
screen the diagnosis or illness
keep an appropriate level of vigilance
psychotherapy goals for somat disorder
1. establish firm therapeutic alliance with client
what is the major problem with psychotherapy in regards to somat disorder?
clients do not believe they are psychologically ill
preoccupation with the fear of having, or the idea that one has, a serious disease based on the persons misinterpretation of bodily symptoms or functions
hypochondriasis
what do psychological theories suggest of hypochondriasis
that the person has low self esteem
what are effective Tx's for hypochondriases
early therapy has a better prognosis
-Tx begins with physical exam and diagnostic tests
-anxiety and depression should be treated as indicated
- educate client on disease and its perceptions
- acknowledge symptoms as real and not imaginary
how is hypochondriasis treatment successful
when client abandons any belief of dangerous and undiagnosed conditions
condition in which person exhibits symptoms that cannot be explained by any medical or neurological condition which includes seizures, paralysis, weakness, lump in throat and urinary retention
conversion disorder
an indifference that many clients show towards their symptoms
la belle indifference
involves physical or psychological symptoms that are intentionally produced in order to gain attention from potential caregivers