in general practice: Prevalence, functional impairment and comorbidity with anxiety and depressive disorders.
Diagnostic overlap of depressive, anxiety, stress and somatoform disorders
in primary care.
Johansson and coworkers performed a cognitive behavioural therapy in a group of rather unselected patients with recurrent vertigo, including somatoform disorders
Conversion disorder is a form of somatoform disorders
, a group of disorders with the manifestation of physical symptoms without any underlying physical or organic pathology.
Mood disorders (52%), neurotic, stress-related and somatoform disorders
(33%), and substance related disorders (28%) were the most common disorders.
When you suspect a somatoform disorder
including conversion, start therapy and treat the symptoms as "real.
Indeed, given some of the multi-system complaints coupled with inability to locate an origin in some of the online posts by sufferers, a clear psychosomatic, if not even a somatoform disorder
, may be a more likely cause.
Symptoms such as depression, anxiety and cognitive impairment are often present, and the opinion of a psychiatrist may be sought to rule out the presence of a significant psychiatric disorder, including an undifferentiated somatoform disorder
39) somatoform disorders
are recognized as legitimate mental health conditions in recent editions of the Diagnostic and Statistical Manual of Mental Disorders (commonly referred to as the DSM-IV-TR)40 in several incarnations, (41) including somatization disorder, (42) undifferentiated somatoform disorder
, (43) conversion disorder, (44) pain disorder, (45) and hypochondriasis.
Overall, 50% of patients received a psychiatric diagnosis: 30% were diagnosed with one or more anxiety disorders, 18% with a depressive disorder, and 18% with a somatoform disorder
is characterised by physical symptoms (e.
Psychopathological symptoms (question a), particularly psychotic and somatoform disorder
symptoms, explained between 8% (Feel like expressing anger verbally) and 23% (Feel like expressing anger physically) of the variance of the various state anger aspects, whilst hostility symptoms alone explained between 9% (Angry temperament, Anger Expression out and in) and 24% (Trait anger) of the same variance.
On Scale-II of SCL-R: Somatoform, a mean score of 15 with a standard deviation of 13 was obtained by non psychiatric sample of Lahore city and the clients who were presenting with somatic complaints and diagnosed as having Somatoform disorder
got a mean score of 54 with a standard deviation of 18.
The last three represent selected conditions related to CSA described by the case studies and/or presented in the literature: fear of success (Figure 3), somatoform disorder
(Figure 4), and relationship with teacher/problems with authority (Figure 5).
Co-morbid psychiatric disorders * in adult ADHD subjects (N=25) Co-morbidities Current Lifetime N (%) N (%) Oppositional defiant disorder 6 (24) 1 (4) Major depressive disorder 6 (24) Substance abuse/dependence 5 (20) Social phobia 2 (8) Specific phobia 2 (8) Undifferentiated somatoform disorder
2 (8) Bipolar affective disorder 2 (8) Obsessive compulsive disorder 2 (8) Pain disorder due to psychological causes 1 (4) Male erectile disorder 1 (4) Generalized anxiety disorder 1 (4) Anti-social personality disorder 1 (4) Multiple co-morbidities 6 (24) 8 (32) * Not mutually exclusive