Understanding Conversion Disorder, Hypochondriasis, and Illness Anxiety Disorder, Slides of Abnormal Psychology

An overview of Somatoform Disorders, specifically focusing on Conversion Disorder, Hypochondriasis, and Illness Anxiety Disorder. The professor covers diagnostic criteria, prevalence, course, changes in DSM-5, and treatment options for each disorder. Students will gain valuable insights into these complex conditions.

Typology: Slides

2020/2021

Uploaded on 12/09/2021

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Somatoform and
Dissociative Disorders
Professor Christopher G. Beevers, Ph.D
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Somatoform and

Dissociative Disorders

Professor Christopher G. Beevers, Ph.D

Somatoform Disorders

  • (^) What characterizes Somatoform Disorders?
    • (^) Physical symptoms or complaints not fully explained by a medical condition
  • (^) Must rule out…
    • (^) An actual medical condition
    • (^) Effects of a drug
    • (^) Malingering
    • (^) Factitious Disorder Please don’t put anything here, this is reserved for the live video of the

Somatoform Disorders

  • (^) Somatoform Disorders refer to the following disorders… - (^) Conversion Disorder - (^) Somatization Disorder - (^) Hypochondriasis - (^) Pain Disorder
  • (^) Somatization disorder, hypochondriasis, and pain

disorder have been combined into Somatic

Symptom Disorder in DSM-

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Conversion Disorder

  • (^) Diagnostic Criteria
    • (^) Symptoms or deficits affecting voluntary motor or sensory function that suggest a neurological or other medical condition without a neurological cause
    • (^) Often in response to life stress or trauma
  • (^) Examples
    • (^) Partial paralysis
    • (^) Pseudoseizures
    • (^) “Hysterical” blindness Please don’t put anything here, this is reserved for the live video of the

Conversion Disorder

  • (^) Prevalence and course
    • (^) Very rare (~ 0.005%)
    • (^) More common in women
    • (^) conversion symptoms tend to disappear within 2

weeks

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Changes in DSM-

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  • (^) The DSM-IV disorders of somatization disorder ,

hypochondriasis , pain disorder , and

undifferentiated somatoform disorder have been

removed because they were difficult to diagnose

with reliability

  • (^) Replaced with Somatic Symptom Disorder and

Illness Anxiety Disorder

Somatic Symptom Disorder

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  • (^) Somatic symptom disorder (SSD) (DSM-5) is

defined by:

  • (^) One or more somatic symptoms that are distressing (could have medical cause)
  • (^) Excessive and disproportionate thoughts, feelings and behaviors regarding those symptoms.
  • (^) Persistent concern—at least 6 months

Hypochondriasis

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  • (^) Diagnostic criteria (DSM-IV)
    • (^) Fears or beliefs of having a serious disease based on a misinterpretation of bodily symptoms
    • (^) Preoccupation persists despite appropriate medical evaluation and reassurance
    • (^) Has gone on for at least 6 months
  • (^) Examples
    • (^) Abdominal discomfort = stomach cancer
    • (^) Minor sores/rashes = skin cancer, lupus, etc.

Illness Anxiety Disorder

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  • (^) Preoccupied they have a serious illness
  • (^) Somatic symptoms are not present (or very mild)
  • (^) High level of anxiety about health
  • (^) Performs excessive health-related behaviors
  • (^) Illness preoccupation for at least 6 months

Illness Anxiety Disorder

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  • (^) Prevalence and Course
    • (^) 2 - 7% in general medical practices
    • (^) No sex differences
    • (^) Typical onset in early 20s
    • (^) Chronic course
  • (^) Associated features
    • (^) Often associated with high anxiety

Illness Anxiety Disorder

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  • (^) Treatment
    • (^) Challenging dysfunctional beliefs
    • (^) Inducing minor symptoms to observe effect
    • (^) CBT & SSRIs