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Psychiatry

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Neurotic, Stress Related and Somatform Disorders

Question
10 out of 21
 

A young 20 yrs old girl presents with complaints of pain in legs, intermittent vomiting, and headache since 2 months. Her physical examination was normal. What is the most possible diagnosis? (AIPG 2011)



A Generalised anxiety disorder

B Conversion disorder

C Somatoform pain disorder

D Somatization

Ans. C Somatoform pain disorder

(Ref. Ahuja Psychiatry 5th edi. 133)

Somatoform Disorders Include:

a. Somatization disorders

(Somatization disorder is a clinical syndrome characterized by recurrent multiple somatic complaints that cannot be explained medically. It begins before the age of 30 and has a chronic and fluctuating course. The patient often describes her symptoms in a vague yet dramatic or exaggerated manner with frequent consultations with a number of physicians. Sometimes known as Briquet’s Syndrome.)

b. Hysteria (Conversion disorder)

c. Hypochondriasis

(Hypochondriasis is a pervasive and excessive concern and fear of having, or the belief that one has, a serious disease, based on the person’s interpretation of physical signs or sensations. This is in spite of appropriate physical evaluation, or laboratory investigations, which do not support the diagnosis of any physical pathology.)

d. Somatoform pain disorder

(The essential feature of this disorder is a pre-occupation with pain for which there is no adequate physical finding to account for the pain or its intensity. No tissue pathology is detected.)

e. Body dysmorphic disorder (dysmorphophobia)

The essential feature of this disorder is an intense pre-occupation with some imagined defect in appearance in a normal-looking individual.

Neurotic, Stress Related and Somatform Disorders Flashcard List

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