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Somatoform  and  Dissociative Disorders Dr.Saman Anwar Faraj psychiatrist M.B.Ch.B, F.I.B.M.S (psych)
[object Object]
[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Somatoform disorders
Sick Role ,[object Object],[object Object],[object Object],[object Object]
[object Object]
Somatization Disorder ,[object Object],[object Object],[object Object],[object Object],[object Object]
Somatization (cont.) ,[object Object],[object Object]
DSM-IV criteria (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object]
DSM-IV criteria (cont.) ,[object Object],[object Object],[object Object],[object Object]
Somatization  (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Additional info (cont.) ,[object Object],[object Object],[object Object],[object Object]
Somatization (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Somatization (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Somatization (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Conversional disorder
Sudden onset, sudden termination, sudden reappearance Mostly women; men in combat Often misdiagnosed: Overpathologized ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Clinical features
[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Course and Prognosis ,[object Object],[object Object],[object Object],[object Object]
Pain Disorder ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hypochondriasis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Clinical features
[object Object],[object Object],[object Object],Treatment
Body Dysmorphic Disorder ,[object Object],[object Object],[object Object],[object Object]
Do advertisements affect BDD? “ Your nose is central to the way you feel about your appearance and the way other people first perceive you. “ If you are in the slightest way unhappy about it, and feel it detracts from your looks, you will probably always be unhappy about it.”
Can you see the difference?
[object Object],[object Object],[object Object],Treatment
More somatoform-like disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Somatoform and Dissociative Disorders II. Dissociative Disorders
Overview ,[object Object],[object Object]
Some General Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object]
A. Common Features of Dissociative Disorders ,[object Object],[object Object],[object Object]
B. Dissociative Identity Disorder (DID) ,[object Object],[object Object],[object Object],[object Object]
1. DSM-IV criteria (cont.) ,[object Object],[object Object]
Dissociative Fugue ,[object Object],[object Object],[object Object],[object Object]
Depersonalization Disorder ,[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object]
[object Object]

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Psychiatry 5th year, 3rd & 4th lectures (Dr. Saman Anwar)

  • 1. Somatoform and Dissociative Disorders Dr.Saman Anwar Faraj psychiatrist M.B.Ch.B, F.I.B.M.S (psych)
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  • 31. Do advertisements affect BDD? “ Your nose is central to the way you feel about your appearance and the way other people first perceive you. “ If you are in the slightest way unhappy about it, and feel it detracts from your looks, you will probably always be unhappy about it.”
  • 32. Can you see the difference?
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  • 35. Somatoform and Dissociative Disorders II. Dissociative Disorders
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Editor's Notes

  1. – pain in 4 different sites or associated with different functions (e.g., back, head, joints, during sexual intercourse) 2 gastro symptoms other than pain (e.g., nausea, bloating, vomiting, intolerance of several different foods) 1 sexual symptom (e.g., sexual indifferences, excessive menstrual bleeding, vomiting throughout pregnancy) 1 pseudoneurological symptom (e.g., conversion symptoms, paralysis or localized weakness, loss of touch or pain sensation, blindness, dissociative symptoms)
  2. This involves the use of a gatekeeper physician – like a primary care physician – who is assigned to screen all complaints and prevent the person from going to multiple doctors at the same time for the same complaints. The patient is also given training in relating to others without using physical complaints (e.g., talking to loved ones without bringing up physical complaints).
  3. -arriving home but not remembering the drive; intending to go to your friend’s house but end up heading to work/school out of habit; calling a friend and being surprised when your mom answers because you misdialed
  4. Both are also found among people with panic attacks • people who experience a trauma may have a dissociative experience such that the events appear to unfold like in a movie that is being watched. Dissociation is likened to a primitive defense mechanism – not surprisingly, traumatic events are often associated with dissociative disorders.