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Project Echo Didactic On Somatic Symptom Disorder 04022015
Project Echo Didactic On Somatic Symptom Disorder 04022015
Project Echo Didactic On Somatic Symptom Disorder 04022015
Learning Objectives:
Identify 3 common types of somatization seen in
primary care setting
Know DSM 5 criteria used to diagnose Somatic
Symptom Disorder
Identify at least 2 assessment tools used to
diagnose somatic symptom disorder
List at least 4 treatment methods used to manage
somatic symptom disorder.
Disclosures: Ruth Tadesse has nothing to disclose.
-Somatization Disorder
-Undifferentiated
Somatoform Disorder
-Conversion Disorder
-Pain Disorder
-Hypochondriasis
-Conversion Disorder
-Psychological factors affecting
a medical condition
-Factitious Disorder
http://emedicine.medscape.com/article/294908-overview
If you are her PCP, what more would you like to know?
Pathophysiology is unknown
2. Relapsing somatization
- Repeated episodes of physical symptoms associated with
repetitive stressors & anxiety or depressive episodes
3. Chronic somatization
- Nearly continuous somatic focus, perception of ill health,
development of disability
Approach to the patient with multiple somatic symptoms.pdf
Predisposing
Precipitating
http://www.phqscreeners.com/instructions/instructions.pdf
http://www.phqscreeners.com/pdfs/04_PHQ-15/English.pdf
Non-pharmacological treatments
*CBT Shows promising evidence
Psychodynamic therapy
Integrative therapy
Approach to the patient with multiple somatic symptoms.pdf
http://www.sciencedirect.com.liboff.ohsu.edu/science/article/pii/S0025712514000959
Summary
References
References Cont.
Jackson, J.L., OMalley, P., & Kroenke, K. (1998). Clinical Predictors of Mental Disorders Among
Medical Outpatients: Validation of the S4 Model. The Journal of Consultation and Liaison
Psychiatry. 39(5): 431436.
Kroenke K., (2003). Patients presenting with somatic complaints epidemiology, psychiatric
comorbidity and management. International journal of methods in psychiatric research .12(1):
34-43
Kroenke, K., Jackson, J.L., & Chamberlin, J. (1997). Depressive and anxiety disorders in patients
presenting with physical complaints. The American Journal of Medicine. 103(5): 339347.
Martin, A., Rauh, E., Fichter, M., & Rief, W. (2007). A One-session treatment for patients suffering
from medically unexplained symptoms in primary care: A randomized clinical trial.
Psychosomatics. 48(4): 294-303.
Ravesteign, H., Wittkampf, K., Lucassen, P., ,Weel, C. (2009). Detecting somatoform disorders in
primary care with the PHQ-15. Annals of Family Medicine. 7: 232-238.
Van Dessel, N., den Boeft, van der Wouden, J.C. van Marwijk, H. (2014). Non-pharmacological
interventions for somatoform disorders and medically unexplained physical symptoms (MUPS)
in
adults. Cochrane Database Systematic Review.11(1): Vol.11, p.CD011142-CD011142
The End!
Gero.
Series
Begins on
04/09/15