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Somatoform Disorders

Somatization Disorder

• Without any physical disease detected in the person,

• It is the state of having complaints of many systems.

 Pain in different places

 Gastrointestinal system symptoms

 Genitourinary complaints

 Pseudoneurological symptoms (paresthesia, paresis, fainting, blindness, deafness, difficulty swallowing, etc.)

• Even if it is a real physical disease, the complaints are much more and more severe than expected in these pathologies.

• Symptoms are not deliberately induced or non-existent symptoms are not "presumed" (different from factitious disorder and malingering).


Conversion Disorder

• There is deterioration in bodily functions in a way that does not comply with the anatomy and pathophysiology of the nervous system.

• It typically occurs after a stressor.

• Its typical appearance is neurological complaints such as fainting, convulsions (pseudo-seizure), paralysis, paresthesias, and blindness.

• Complaints are not bogus.

• Despite a serious loss of limb function, the patient does not have corresponding anxiety/depression.

• This indifference is called la belle indifference.


Hypochondriasis

• Preoccupation with the belief that he has a serious illness.

• Fear of falling ill is evident.

• A medical illness cannot be diagnosed.

• Mental preoccupations disturb the patient excessively and impair his functionality.

• Difference from somatization disorder: There are real complaints in somatization disorder. There is no thought disorder. In hypochondriasis, on the other hand, excessive thoughts about the disease, resembling 0CD and psychosis, approaching the level of somatic delusions, are at the forefront.


Pain Disorder (Psychogenic Pain Syndrome)

• It is the presence of unexplained pain that does not comply with its normal distribution for at least 6 months.

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