Part 6 Somatoform and Dissociative Disorders .


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An Overview of Somatoform Disorders. Soma
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Section 6 Somatoform and Dissociative Disorders

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An Overview of Somatoform Disorders Soma – Meaning Body Overly engrossed with their wellbeing or body appearance No identifiable medicinal condition bringing about the physical objections Types of DSM-IV Somatoform Disorders Hypochondriasis Somatization issue Conversion issue Pain issue Body dysmorphic clutter

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Hypochondriasis: An Overview and Defining Features Physical grumblings without an unmistakable cause Severe tension concentrated on the likelihood of having a genuine malady Strong infection conviction Medical consolation does not appear to help Facts and Statistics Good commonness information are deficient with regards to Onset at any age, and runs an interminable course

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Hypochondriasis: Causes and Treatment Causes Cognitive perceptual bends Familial history of disease Treatment Challenge ailment related misinterpretations Provide more generous and delicate consolation Stress administration and adapting methodologies

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Hypochondriasis: Causes and Treatment (cont.) Figure 6.1 Integrative model of reasons for hypochondriasis

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Somatization Disorder (Briquet\'s Syndrome): An Overview and Defining Features Extended history of physical grievances before age 30 Substantial impedance in social or word related working Concerned over the manifestations themselves, not what they may mean Symptoms turn into the individual\'s character Facts and Statistics Rare condition Onset as a rule in pre-adulthood Mostly influences unmarried, low SES ladies Runs an endless course

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Somatization Disorder: Causes and Treatment Causes Familial history of ailment Relation with withdrawn identity issue Weak behavioral restraint framework Treatment No treatment exists with exhibited adequacy Reduce the inclination to visit various restorative masters Assign "watchman" doctor Reduce steady results of discuss physical side effects

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Conversion Disorder: An Overview and Defining Features Physical breaking down with no physical or natural pathology Malfunctioning frequently includes tangible engine regions Persons indicate la beauty impassion Retain most ordinary capacities, yet without familiarity with this capacity Facts and Statistics Rare condition, with an incessant discontinuous course Seen essentially in females, with onset as a rule in puberty More predominance in less taught, low SES bunches Not remarkable in some social as well as religious gatherings

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Conversion Disorder: Causes and Treatment Causes Freudian psychodynamic view is still prominent Emphasis on the part of injury, transformation, and essential/auxiliary pick up Detachment from the injury and pessimistic fortification appear to be basic Treatment Similar to somatization issue Core methodology is taking care of the injury Removal of wellsprings of optional pick up Reduce strong outcomes of discuss physical side effects

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Body Dysmorphic Disorder ("Imagined Ugliness"): An Overview and Defining Features Previously known as dysmorphophobia Preoccupation with envisioned imperfection in appearance Either obsession or evasion of mirrors Suicidal ideation and conduct are regular Often show thoughts of reference for envisioned deformity Facts and Statistics More basic than beforehand suspected Seen similarly in guys and females, with onset more often than not in mid 20s Most stay single, and many search out plastic specialists Usually runs a long lasting unending course

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Body Dysmorphic Disorder: Causes and Treatment Causes Little is known; however this issue tends to keep running in families Shares similitudes with fanatical impulsive issue Detachment from the injury and contrary support appear to be basic Treatment parallels that for over the top urgent issue Medications (i.e., SSRIs) that work for OCD give some alleviation Exposure and reaction aversion is likewise useful Plastic surgery is regularly unhelpful

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An Overview of Dissociative Disorders Overview Involve serious modifications or separations in character, memory, or cognizance Variations of ordinary depersonalization and derealization encounters Depersonalization – Distortion is impression of reality Derealization – Losing a feeling of the outside world Types of DSM-IV Dissociative Disorders Depersonalization Disorder Dissociative Amnesia Dissociative Fugue Dissociative Trance Disorder Dissociative Identity Disorder

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Depersonalization Disorder: An Overview and Defining Features Severe and alarming sentiments of illusion and separation Such emotions and encounters rule and meddle with life working Primary issue includes depersonalization and derealization Facts and Statistics Comorbidity with nervousness and temperament issue is amazingly high Onset is ordinarily around age 16 Usually runs a deep rooted perpetual course

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Depersonalization Disorder: Causes and Treatment Causes Show intellectual shortfalls in consideration, here and now memory, and spatial thinking Cognitive shortages compare with reports of limited focus and mind vacancy Such people are effectively occupied Treatment Little is known

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Dissociative Amnesia and Dissociative Fugue: An Overview Dissociative Amnesia: Overview and Defining Features Dissociative Amnesia incorporates a few types of psychogenic memory misfortune Generalized sort – Inability to recall anything, including their personality Localized or particular sort – Failure to review particular (normally traumatic) occasions Dissociative Fugue: Overview and Defining Features Related to dissociative amnesia Such people take off and end up in another place Lose capacity to recollect their past and how they touched base in new area Often accept another character

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Dissociative Amnesia and Fugue: Causes and Treatment Facts and Statistics Dissociative amnesia and fugue as a rule start in adulthood Both conditions demonstrate quick onset and dissemination Both conditions are for the most part found in females Causes Little is known, yet injury and stress appear to be intensely included Treatment Persons with dissociative amnesia and fugue state typically improve without treatment Most recollect what they have overlooked

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Dissociative Trance Disorder: An Overview and Defining Features Symptoms look like those of other dissociative issue Differs in critical routes crosswise over societies Involves dissociative side effects and sudden changes in identity Symptoms and identity changes are regularly ascribed to ownership of a soul Facts and Statistics More basic in females

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Dissociative Trance Disorder: Causes and Treatment Causes Often owing to an existence stressor or injury Only irregular if the stupor is viewed as undesirable/neurotic by the way of life Treatment Little is known

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Dissociative Identity Disorder (DID): An Overview and Defining Features Formerly known as numerous identity issue Defining highlight is separation of specific parts of identity Involves selection of a few new personalities (upwards of 100) Identities show exceptional arrangements of practices, voice, and stance Unique Aspects of DID Alters – Refers to the diverse personalities or identities in DID Host – The personality that looks for treatment and tries to keep character pieces together Switch – Often prompt move starting with one identity then onto the next

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Dissociative Identity Disorder (DID): Causes and Treatment Facts and Statistics Average number of characters is near 15 Ratio of females to guys is high (9:1) Onset is quite often in youth High comorbidity rates, with a long lasting constant course Causes Almost all patients have histories of ghastly, unspeakable, youngster manhandle Most are additionally exceedingly suggestible DID is accepted to speak to an instrument to escape from effect of injury Closely identified with PTSD

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Dissociative Identity Disorder (DID): Causes and Treatment (cont.) Treatment Focus is on reintegration of personalities Identify and kill signals/triggers that incite recollections of injury/separation

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Diagnostic Considerations in Somatoform and Dissociative Disorders Separating Real Problems from Faking The Problem of Malingering – Deliberately faking side effects Related Conditions – Factitious issue Factitious issue as a substitute False Memories and Recovered Memory Syndrome

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Summary of Somatoform and Dissociative Disorders Features of Somatoform Disorders Physical issues without on natural cause Features of Dissociative Disorders Extreme contortions in recognition and memory Well Established Treatments Are Generally Lacking

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Summary of Somatoform and Dissociative Disorders (cont.) Figure 6.x1 Exploring somatoform issue

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Summary of Somatoform and Dissociative Disorders (cont.) Figure 6.x1 (cont.) Exploring somatoform issue

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Summary of Somatoform and Dissociative Disorders (cont.) Figure 6.x1 (cont.) Exploring somatoform issue

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Summary of Somatoform and Dissociative Disorders (cont.) Figure 6.x2 Exploring dissociative scatters

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Summary of Somatoform and Dissociative Disorders (cont.) Figure 6.x2 (cont.) Exploring dissociative disarranges

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