Posted by shadows721 on June 7, 2004, at 18:41:02
In reply to Re: Somatization Disorder » shadows721, posted by Miss Honeychurch on June 7, 2004, at 15:52:16
I believe that the ones I gave an example of early are actually called Hysterical Neurosis (Conversion Reaction; Conversion Disorder; Dissociative reaction; Dissociative Disorder).
These three dx are bit similiar. I thought that I should clarify.
Here is a brief review of the three:
HYSTERICAL NEUROSIS
A neurotic disorder characterized by a wide variety of somatic and mental symptoms resulting from dissociation, typically beginning during adolescense or early adulthood and occurring more commonly in women than men.Conversion syptoms: Almost any organ disease symptom can be simulated on an hysterical basis; eg, symptoms mimicking the illness of a deceased relative. A variety of sensorimotor symptoms have been considered to be specific to and characteristic of hysterical neurosis. Weakness & paralysis of muscular groups are common; spasms and abnormal movements, less frequent. The motor disturbances are usually accompanied by altered sensibility, esp. those involving touch, pain, temp. and position sense. Less freq., special senses and fuctions such as blindness, deafness, and aphonia; both visual and auditory hallucinations may occur. The symptoms represent a symbolic expression and resolution of psychologic conflicts.
SOMATIZATION DISORDER (Briquet's syndrome)
A neurotic illness charachterized by the presense of multiple somatic symptoms, including those seen in classic conversion hysteria. Patients usually consult a MD other than a psychiatrist. This disorder begins in adolescense or early adulthood, occurs predominantly in women and tends to be assoc. with sociopathy and alcoholism in male relatives.Symptoms & signs: Central to the disorder is the presence of multiple, vague somatic complaints that may be referable to any part of the body but most commonly take the form of headaches, nausea, vomiting, abdominal pain, bowel difficulties, dysmenorrhea, fatigue, syncope, dypareunia, and sexual frigidity. Anxiety & depression are common accompaniments. Often dissatisfied with their care, these patients may go from MD to MD.
HYPOCHONDRIACAL NEUROSIS (Hypochondriasis; Atypical Somatoform disorder)
A disorder characterized by a preoccupation with bodily functions and a morbid fear that one is suffering from a serious disease. The peak incidence of onset is in the 30s in men and the 40s in women.Symptoms & signs: The hypochondriacal pt. complains of symptoms in a wide variety of body parts, most commonly in the abdominal, chest, head, and neck. The specific symptom may be based on a heightened awareness of bodily sensation or minor disorders of function. Although the symptoms described by the pt may be odd or bizarre, they are not delusional in quality.
poster:shadows721
thread:353564
URL: http://www.dr-bob.org/babble/psycho/20040603/msgs/354606.html