somatic- dissociative - Somatoform/Dissociativ e Disorders...

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Somatoform/Dissociative Disorders Psychopathology 3313 Week 7
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Somatoform Disorders Diagnoses all include pathological concern with appearance or function of bodies despite absence of organic explanation Category of disorders wherein psychological distress can take on physical form Be familiar with overlapping and differentiating symptoms, how these resemble anxiety and dissociative disorders
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Hypochondriasis Symptoms Preoccupation with fears of having, or the idea that one has, a serious disease based on the person's misinterpretation of bodily symptoms. The preoccupation persists despite appropriate medical evaluation and reassurance, is not delusional, and is not because of some other disorder.
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Hypochondriasis 4-9% of patients contacting health centers Prevalence in males=females May develop in adolescence or later High comorbidity with Panic Disorder Symptoms can be culture-specific
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Hypochondriasis Mechanisms Cognitive Components Behavioral Components Mood: anxious and depressed
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Treatment of Hypochondriasis Psychological interventions include CBT, Exposure and ritual prevention 50% CBT pts experienced shift in attitudes, fewer doctor’s visits, less distress, less hypochondriacal behavior
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Recommendations for MD’s Establish trust
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