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somatic symptoms and related dx- list
- somatic symptoms disorder
- illness anxiety dx
- functional neurological symptoms disorder (conversion dx)
- psychological factors affecting other medical conditions
- factitious disorder (imposed on self and imposed on another)
- other specified somatic symptoms and related disorder
- unspecified somatic symptoms and related disorders
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somatic symptoms disorder
- one or more somatic symptoms that are distressing or result in significant disruption of daily life
- excessive thoughts,
feelings, or bx related to the somatic symptoms or associated health
concerns manifested by at least one of the following
- disproportionate and persistent thoughts about the seriousness of one's symptoms
- persistently high level of anxiety about health or symptoms
- excessive time and energy devoted to these symptoms or health concerns
- although any one somatic symptoms may not be continuously present, the state of the being somatic is persistent (typically more than 6 months)
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somatic symptoms dx- specifiers
- specify if:
- with predominant pain= for individuals whose somatic symptoms predominantly involve pain
- specifiy if
- persistent= more than 6 months
- specify if
- mild= only one symptom in B
- moderate= 2+ symptoms specified
- severe= 2+ symptoms are fulfilled plus there are multiple somatic complains
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illness anxiety dx
- preoccupation with having or acquiring a serious illness
- somatic symptoms are not present or are only mild in intensity. If another medical condition is present or there is a high risk for developing a medical condition
- a high level of anxiety about health and the individual is easily alarmed about personal health problems
- individual performs excessive health related behaviors or exhibits maladaptive avoidance
- illness preoccupation has been present for at least 6 months, but the specific illness that is feared may change over that period of time
- the illness related preoccupation is not better explained by another mental dx
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illness anxiety dx- specifiers
- specify if:
- care seeking type
- care avoidant type
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functional neurological symptoms disorder (conversion dx)
- one or more symptoms of altered voluntary motor or sensory function
- clinical findings provide evidenced of incompatibility btwn symptoms and recognized neurological or medical conditions
- the symptoms or deficit is not better explained by another medical or mental disorder
- the symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical eval.
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functional neurological symptoms disorder- specifiers
- specify type:
- with weakness or paralysis
- with abnormal movement
- with swallowing symptoms
- with speech symptom
- with attacks or seizure
- with anesthesia or sensory loss
- with special sensory symptom
- with mixed symptoms
- specify if
- acute episode: symptoms present for less than 6 months
- persistent: symptoms present for more than 6 months
- specify if:
- with psychological stressor (specify stressor)
- without psychological stressor
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factitious disorder types
- imposed on self
- imposed on another
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factitious disorder imposed on self
- falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception
- the individual presents himself or herself to others as ill, impaired, or injured
- the deceptive behavior is evident even in the absence of obvious external wounds
- the bx not better explained by another mental dx,
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factitious disorder imposed on another
- falsification of physical or psychological signs or symptoms, or induction of injury or disease, in another, associated with ID person
- individual presents another individual (victim) to others as ill, impaired, or injured
- the deceptive bx is evident even in the absence of obvious external rewards
- the bx is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder
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factitious disorder specifiers
- specify if
- single episode
- recurrent episodes (2 or more events of falsification of illness)