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TREATMENTS OF Somatoform disorders

TREATMENTS OF Somatoform disorders. This presentation prepared for PSYC 441. İrem GÜNDÜZ. Somatoform disorders. Mental disorder rather than general medical condition There is no medical explanation of symptoms Causes : Extreme life stress Anxiety and depression

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TREATMENTS OF Somatoform disorders

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  1. TREATMENTS OF Somatoformdisorders Thispresentationpreparedfor PSYC 441 İrem GÜNDÜZ

  2. Somatoformdisorders • Mentaldisorderratherthan general medicalcondition • There is no medicalexplanation of symptoms Causes: • Extreme life stress • Anxietyanddepression • Abuseorconflicts • Earlynegativeexperiences (traumas) (Rief, Isaac, 2007)

  3. Commonfeatures of somatoformdisorders • not intentionallyproducedsymptoms • There is no medicalexplanationunderlyingthesymptoms • HighlycomorbidwithAxis I disorders (e.g. Majordepression, anxietydisorder, eatingdisorders)

  4. 1. Conversiondisorder

  5. Commonsymptoms: • Paralysis • Impairedbalance • Localized motor functionweakness • Loss of touchorpain • Doublevision • Blindness • Deafness La Belle Indifference: not beingsurprizedafterthesesymptoms

  6. 2.Somatizationdisorder

  7. 3.Paindisorder

  8. 4. hypochondriasis

  9. Misinterpretation of body sensations • Reasoningbias • Risk factors: • Childhoodabuse • Having an overprotectivemother • Familymemberswithseriousillnesses

  10. 5. Body dysmorphicdisorder

  11. Commoncomplaints: • Hairthinning • Wrinkles • Scars • Irregularcomplexions • Flows in facialfeatures • Body shape

  12. Treatments of somatoformdisorders 1. PsychoanalyticTherapy • Especiallyforconversionandsomatizationdisorders • Symptomscausedbyrepresseddisstressingmemories • Aim: bringrepressedmemoriesintoconsciousness

  13. Casestudy • 9 yearoldNiccolo had conversiondisorder • Could not walkand talk because of babysitters’ inappropriatebehaviours • Psychoanalysis :dreamanalysisandtransference • http://www.youtube.com/watch?v=U4S5ppOiU8U (Mirold,2002)

  14. 2. Cognitive - BehaviouralTherapy • Especiallybeneficialforpaindisorder, body dysmorphicdisorderandhypochondriasis • Aim:identificationandmodification of dysfunctionalbeliefs, automaticnegativethoughtsandsolvemisinterpretation problem (reasoningbias) (Hiller, Fitchter, Rief, 2003)

  15. Techniques of cbt • Relaxation techniques: toreduce symptoms • Increaseactivitieswhichare meaningfuland pleasurable • Increase awareness of emotions • Reduce reinforcements of illnessbehavior Marcangelo & Wise (2007)

  16. 3. DrugTherapy • Because of highlycomorbidwithAxis I disorders • AntidepressantsandAnxiolytics • Aim: reducethesymptoms of axis I disorderssuch as anxietydisorder, depressionandso on.

  17. Referencelist • Hiller, W., Fichter M. M. & Rief, W. (2003). Acontrolled treatment study of somatoform disorders including analysisof healthcare utilization and cost-effectiveness. Journal of Psychosomatic Research, 54, 369– 380. • Marcangelo, M. J. & Wise, T. (2007).Resistant somatoform symptoms:Try CBT and antidepressants. CurrentPsychiatry, 2, 101-115. • Mirlod, B. (2002). A 9-yearoldwithconversiondisordersuccessfullytreatedwithpsychoanalysis. Institute of Psychoanalysis, 623-631. • Rief, W. & Isaac, M. (2007). Are somatoform disorders ‘mental disorders’? A contribution tothecurrentdebate. Current Opinion in Psychiatry, 20,143–146

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