Somatic symptom disorder vs illness anxiety disorder vs conversion disorder ✅ Tốt
Thủ Thuật về Somatic symptom disorder vs illness anxiety disorder vs conversion disorder Chi Tiết
HỌ VÀ TÊN NỮ đang tìm kiếm từ khóa Somatic symptom disorder vs illness anxiety disorder vs conversion disorder được Cập Nhật vào lúc : 2022-12-26 22:20:16 . Với phương châm chia sẻ Mẹo Hướng dẫn trong nội dung bài viết một cách Chi Tiết Mới Nhất. Nếu sau khi tham khảo Post vẫn ko hiểu thì hoàn toàn có thể lại phản hồi ở cuối bài để Ad lý giải và hướng dẫn lại nha.Somatic symptom disorder (SSD formerly known as "somatization disorder" or "somatoform disorder") is a form of mental illness that causes one or more bodily symptoms, including pain. The symptoms may or may not be traceable to a physical cause including general medical conditions, other mental illnesses, or substance abuse. But regardless, they cause excessive and disproportionate levels of distress. The symptoms can involve one or more different organs and body toàn thân systems, such as:
Nội dung chính Show- Disorders Related to Somatic Symptom DisorderTreatment of Somatic Symptom DisordersWhat is somatic symptom disorder?What’s the difference between somatic symptom disorder and illness anxiety disorder?What’s the difference between conversion disorder and somatic symptom disorder?Who does somatic symptom disorder affect?How common is somatic symptom disorder?Symptoms and CausesWhat are the signs and symptoms of somatic symptom disorder?What causes somatic symptom disorder?Diagnosis and TestsHow is somatic symptom disorder diagnosed?Management and TreatmentHow is somatic symptom disorder treated?What are the risk factors for developing somatic symptom disorder?Outlook / PrognosisWhat is the prognosis (outlook) for somatic symptom disorder?Living WithHow do I take care of myself if I have somatic symptom disorder?When should I see my healthcare provider about somatic syndrome disorder?Related Institutes & ServicesRelated Institutes & ServicesMore health news + infoWhat is the difference between somatic symptom disorder and conversion disorder?What are 3 different subtypes of conversion disorder?Is conversion disorder a type of somatic symptom disorder?What are the 5 somatic disorders?
- PainNeurologic problemsGastrointestinal complaintsSexual symptoms
Many people who have SSD will also have an anxiety disorder.
People with SSD are not faking their symptoms. The distress they experience from pain and other problems they experience are real, regardless of whether or not a physical explanation can be found. And the distress from symptoms significantly affects daily functioning.
Doctors need to perform many tests to rule out other possible causes before diagnosing SSD.
The diagnosis of SSD can create a lot of stress and frustration for patients. They may feel unsatisfied if there's no better physical explanation for their symptoms or if they are told their level of distress about a physical illness is excessive. Stress often leads patients to become more worried about their health, and this creates a vicious cycle that can persist for years.
Disorders Related to Somatic Symptom Disorder
Several conditions related to SSD are now described in psychiatry. These include:
- Illness Anxiety Disorder (formerly called Hypochondriasis). People with this type are preoccupied with a concern they have a serious disease. They may believe that minor complaints are signs of very serious medical problems. For example, they may believe that a common headache is a sign of a brain tumor.Conversion disorder (also called Functional Neurological Symptom Disorder). This condition is diagnosed when people have neurological symptoms that can't be traced back to a medical cause. For example, patients may have symptoms such as:
- Weakness or paralysisAbnormal movements (such as tremor, unsteady gait, or seizures)BlindnessHearing lossLoss of sensation or numbnessSeizures (called nonepileptic seizures and pseudoseizures)
Stress usually makes symptoms of conversion disorder worse.
- Other Specific Somatic Symptom and Related Disorders. This category describes situations in which somatic symptoms occur for less than six months or may involve a specific condition called pseudocyesis, which is a false belief women have that they are pregnant along with other outward signs of pregnancy, including an expanding abdomen; feeling labor pains, nausea, fetal movement; breast changes; and cessation of the menstrual period.
Treatment of Somatic Symptom Disorders
Patients who experience SSD may cling to the belief that their symptoms have an underlying physical cause despite a lack of evidence for a physical explanation. Or if there is a medical condition causing their symptoms, they may not recognize that the amount of distress they are experiencing or displaying is excessive. Patients may also dismiss any suggestion that psychiatric factors are playing a role in their symptoms.
A strong doctor-patient relationship is key to getting help with SSD. Seeing a single health care provider with experience managing SSD can help cut down on unnecessary tests and treatments.
The focus of treatment is on improving daily functioning, not on managing symptoms. Stress reduction is often an important part of getting better. Counseling for family and friends may also be useful.
Cognitive behavioral therapy may help relieve symptoms associated with SSD. The therapy focuses on correcting:
- Distorted thoughtsUnrealistic beliefsBehaviors that feed the anxiety
Show Sources
SOURCES:
American Academy of Family Physicians: "Somatoform Disorders."
Omaya, O. American Family Physician, Nov. 1, 2007.
First, M. and Tasman, A. Clinical Guide to the Diagnosis and Treatment of Mental Disorders, second edition, Wiley-Blackwell, 2010.
Somatic symptom disorder happens when a person feels significantly distressed about physical symptoms and has abnormal feelings and behaviors in response to them. These responses interfere with their daily functioning. The physical symptoms may be due to a medical condition or have no clear cause.
- Appointments 866.588.2264Appointments & LocationsRequest an Appointment
- OverviewSymptoms and CausesDiagnosis and TestsManagement and TreatmentPreventionOutlook / PrognosisLiving With
- OverviewSymptoms and CausesDiagnosis and TestsManagement and TreatmentPreventionOutlook / PrognosisLiving WithBack To Top
Overview
What is somatic symptom disorder?
Somatic symptom disorder (SSD) is a mental health condition in which a person feels significantly distressed about physical symptoms and has abnormal thoughts, feelings and behaviors in response to them. The disorder disrupts their daily functioning and quality of life.
Although a person with somatic symptom disorder reports symptoms, the symptoms may have no medical explanation or be normal body toàn thân sensations or discomfort. Even when there’s a medical cause, the person’s worry is out of proportion to the symptom.
People with somatic symptom disorder are often unaware of their underlying mental health condition and believe that they have serious physical ailments. The distress often causes them to visit multiple healthcare providers and to have many medical tests and unnecessary procedures.
What’s the difference between somatic symptom disorder and illness anxiety disorder?
Illness anxiety disorder is a mental health condition in which a person is preoccupied and excessively worried about having an illness or getting an illness. Unlike somatic symptom disorder, a person with illness anxiety disorder usually doesn’t experience physical symptoms.
What’s the difference between conversion disorder and somatic symptom disorder?
Conversion disorder (functional neurological symptom disorder) is a condition involving the function of your nervous system with no evidence of physical or neurological causes. This can cause symptoms that affect your perception, sensation or mobility.
While people with conversion disorder frequently experience depression or anxiety, excessive worrying and distress about the physical symptoms aren’t part of the diagnosis for conversion disorder. In contrast, excessive concern about physical symptoms is the main part of the diagnosis of somatic symptom disorder.
Who does somatic symptom disorder affect?
Somatic symptom disorder can occur in children, adolescents and adults, and it usually begins by age 30.
People assigned female birth (AFAB) are 10 times more likely to have somatic symptom disorder than people assigned male birth (AMAB).
How common is somatic symptom disorder?
Somatic symptom disorder is somewhat common and occurs in about 5% to 7% of the adult population.
Symptoms and Causes
What are the signs and symptoms of somatic symptom disorder?
Physical symptoms that people with SSD may have include:
- Pain (the most commonly reported symptom).Fatigue or weakness.Shortness of breath (dyspnea).
The physical symptoms may be mild to severe, and there may be one or multiple symptoms. They may be due to a medical condition or have no clear cause.
How people think, feel and behave in response to these physical symptoms are the main signs of somatic symptom disorder. People with SSD may:
- Feel extreme anxiety about their physical symptoms.Feel concerned that mild physical symptoms are signs of serious conditions.See their healthcare provider for multiple diagnostic tests and exams but not believe the results.Feel that their healthcare provider doesn’t take their physical symptoms seriously enough.Go from one healthcare provider to another or seek treatment from multiple providers once.Spend excessive amounts of time and energy dealing with health concerns.Frequently seem unusually sensitive to drug side effects.Become dependent on others, demanding help and emotional support, and become angry when they feel their needs aren’t met.Have trouble functioning day to day because of thoughts, feelings and behaviors about their physical symptoms.
Approximately 30% to 60% of people with somatic symptom disorder also have anxiety and/or depression.
What causes somatic symptom disorder?
Researchers believe there are many biological, environmental and psychological factors that can contribute to the development of SSD, including:
- Childhood physical and sexual abuse.Poor awareness of emotions or emotional development during childhood. This can be the result of parental neglect or a lack of emotional closeness.Excessive anxiety and attention to bodily processes and possible signs of illness.
Diagnosis and Tests
How is somatic symptom disorder diagnosed?
Your healthcare provider will perform a physical exam and probably order some laboratory tests to rule out conditions that may be causing your physical symptoms. They’ll also ask you about your health history.
If test results show that you don’t have a medical condition or illness or that your medical condition doesn’t match the severity of your symptoms, your healthcare provider may refer you to a mental health provider for assessment.
A mental health provider, such as a psychologist or psychiatrist, confirms a diagnosis of somatic symptom disorder using specific criteria.
To be diagnosed, a person must have one or more symptoms that cause distress or disrupt daily life for least six months. They must also have excessive thoughts, feelings or behaviors in response to the symptoms that meet least one of the following criteria:
- Overly excessive and long-lasting thoughts about the seriousness of the physical symptoms.Continuously high levels of anxiety about health or physical symptoms.Extreme amount of time and energy focused on physical symptoms and health concerns.
People with somatic symptom disorder may have a difficult time accepting that their concerns are excessive.
Management and Treatment
How is somatic symptom disorder treated?
The goal of treating somatic symptom disorder is to manage physical symptoms, as well as psychological symptoms using psychotherapy (talk therapy) and sometimes medications that treat underlying anxiety and depression.
Cognitive behavioral therapy (CBT) is a type of psychotherapy that helps people learn ways to change their patterns of thinking or behavior in order to change the way they feel. Under the guidance of a psychologist or psychiatrist, CBT helps people better cope with anxiety and stress and respond to situations more effectively.
If you have somatic symptom disorder, CBT can help you:
- Evaluate your feelings and beliefs about your physical symptoms and health in general.Find ways to reduce stress and anxiety about your symptoms.Stop focusing as much on your physical symptoms.Recognize what seems to make your physical symptoms worse.Find ways to stay active and social, even if you still have pain or other symptoms.Function better in your daily life.
Your healthcare provider may prescribe medication, such as an antidepressant. In addition to helping mood, antidepressants have been reported to help ease such symptoms as pain, fatigue, pain in joints and sleep problems.
Prevention
What are the risk factors for developing somatic symptom disorder?
Studies have found certain risk factors associated with somatic symptom disorder. These risk factors include a history of:
- Heightened attention to bodily sensations.Substance use disorder.Alcohol use disorder.Neglect during childhood.Physical and sexual abuse.Chaotic lifestyle/trauma.Chronic illness during childhood.Presence of other psychiatric conditions, especially anxiety or depression.Presence of certain personality disorders, including avoidant personality disorder, paranoid personality disorder and obsessive-compulsive personality disorder.
Therapy may help people who are prone to SSD learn other ways of dealing with stress and triggers. This may help reduce the intensity of their symptoms.
Outlook / Prognosis
What is the prognosis (outlook) for somatic symptom disorder?
The course of somatic symptom disorder is likely chronic (long-term), with episodes that come and go from several months to years.
Left untreated, somatic syndrome disorder can lead to:
- Limited daily function.Unemployment or poor work performance.Psychological disability.Decreased quality of life.Alcohol and substance use disorders.
The good news is that with treatment, most people can experience an improvement or remission in their symptoms.
Living With
How do I take care of myself if I have somatic symptom disorder?
If you’ve been diagnosed with somatic symptom disorder, taking the following steps will likely aid in your treatment:
- Develop a supportive relationship with your primary healthcare provider.Only have one primary care provider. This will help you avoid getting unneeded tests and procedures.See your healthcare provider regularly to review your physical symptoms and how you’re coping.See your mental health provider regularly to help manage and monitor your psychological symptoms, such as excessive worry and fear.
When should I see my healthcare provider about somatic syndrome disorder?
It’s important to see your primary healthcare provider and/or mental health provider if you:
- Feel so worried about your physical symptoms that you can't function.Have symptoms of anxiety or depression.
A note from Cleveland Clinic
It’s important to remember that somatic symptom disorder (SSD) is a mental health condition. As with all mental health conditions, seeking help as soon as symptoms appear can help decrease the disruptions to your life. Mental health professionals can offer treatment plans that can help you manage your thoughts and behaviors.
Share Meta LinkedIn E-Mail Print
Last reviewed by a Cleveland Clinic medical professional on 05/17/2022.
References- American Academy of Family Physicians. Somatic Symptom Disorder. (https://www.aafp.org/afp/2022/0101/p49.html) Accessed 5/17/2022.American Psychiatric Association. What is Somatic Symptom Disorder? (https://www.psychiatry.org/patients-families/somatic-symptom-disorder/what-is-somatic-symptom-disorder) Accessed 5/17/2022.American Psychiatric Association DSM Library. Somatic Symptom and Related Disorders. (https://doi.org/10.1176/appi.books.9780890425596.dsm09) Accessed 5/17/2022.D'Souza RS, Hooten WM. Somatic Syndrome Disorders. [Updated 2021 Jul 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Accessed 5/17/2022.MedlinePlus. Somatic Symptom Disorder. (https://medlineplus.gov/ency/article/000955.htm) Accessed 5/17/2022.Merck Manual Professional Version. (https://www.merckmanuals.com/professional/psychiatric-disorders/somatic-symptom-and-related-disorders/somatic-symptom-disorder) Somatic symptom disorder. (https://www.merckmanuals.com/professional/psychiatric-disorders/somatic-symptom-and-related-disorders/somatic-symptom-disorder.) Accessed 5/17/2022.
Get useful, helpful and relevant health + wellness information
enewsCleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy
Related Institutes & Services
Neurological InstituteThe Neurological Institute is a leader in treating and researching the most complex neurological disorders and advancing innovations in neurology.
Related Institutes & Services
Neurological InstituteThe Neurological Institute is a leader in treating and researching the most complex neurological disorders and advancing innovations in neurology.
More health news + info
Show More
- Appointments 866.588.2264Appointments & LocationsRequest an Appointment
Meta YouTube Instagram LinkedIn Snapchat
ActionsAppointments & AccessAccepted InsuranceEvents CalendarFinancial AssistanceGive to Cleveland ClinicPay Your Bill OnlineRefer a PatientPhone DirectoryVirtual Second OpinionsVirtual VisitsBlog, News & AppsConsult QDHealth EssentialsNewsroomMyClevelandClinicMyChartAbout Cleveland Clinic100 Years of Cleveland ClinicAbout UsLocationsQuality & Patient SafetyOffice of Diversity & InclusionPatient ExperienceResearch & InnovationsCommunity CommitmentCareersFor EmployeesResources for Medical ProfessionalsSite Information & PoliciesSend Us FeedbackSite MapAbout this WebsiteCopyright, Reprint & LicensingWebsite Terms of UsePrivacy PolicyNotice of Privacy PracticesNon-Discrimination Notice9500 Euclid Avenue, Cleveland, Ohio 44195 | 800.223.2273 | © 2022 Cleveland Clinic. All Rights Reserved.
What is the difference between somatic symptom disorder and conversion disorder?
While people with conversion disorder frequently experience depression or anxiety, excessive worrying and distress about the physical symptoms aren't part of the diagnosis for conversion disorder. In contrast, excessive concern about physical symptoms is the main part of the diagnosis of somatic symptom disorder.What are 3 different subtypes of conversion disorder?
Four types of conversion disorder are specified: those with motor symptoms or deficits, those with sensory symptoms or deficits, those with pseudo-seizures and a mixed presentation.Is conversion disorder a type of somatic symptom disorder?
Conversion disorder and somatic symptom disorder are both categorized as somatic symptom and related disorders (previously termed somatoform disorders).What are the 5 somatic disorders?
They include somatization disorder, undifferentiated somatoform disorder, hypochondriasis, conversion disorder, pain disorder, body toàn thân dysmorphic disorder, and somatoform disorder not otherwise specified. These disorders often cause significant emotional distress for patients and are a challenge to family physicians. Tải thêm tài liệu liên quan đến nội dung bài viết Somatic symptom disorder vs illness anxiety disorder vs conversion disorder