Diagnostic criteria and codes - somatic symptom and related disorders

9 important questions on Diagnostic criteria and codes - somatic symptom and related disorders

What are the somatic symptom and related disorders?

  • somatic symptom disorder
  • illness anxiety disorder
  • conversion disorder (functional neurological symptom disorder)
  • psychological factors affecting other medical conditions
  • factitious disorder
  • other specified somatic symptom and related disorder

What is criteria B for somatic symptom disorder?

Excessive thoughts, feelings, behaviours related to somatic symptoms associated health concerns manifested at least by one of the following:
  • Disproportionate and persistent thoughts about the seriousness of one’s symptoms
  • High level of anxiety about health/symptoms
  • Excessive time and energy devoted to these symptoms. 

Specifiers for somatic symptom disorder?

Specify if:
  • with predominant pain ( previously pain disorder).
  • Symptoms involve pain.

Specify if:
  • Persistent: Severe symptoms, marked impairment, and long duration (more than 6 months).

Specify current severity:
  • Mild: 1 symptom.
  • Moderate: 2 or more symptoms
  • Severe: Two or more of the symptoms plus there are multiple somatic complaints (or one very severe somatic symptom). 
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What is criteria D for illness anxiety disorder?

Excessive health-related behaviours (checks) or maladaptive avoidance

Specifiers for illness anxiety disorder?

Specify whether
  • Care-seeking type: Medical care, including physician tests and procedures, is frequently used.
  • Care-avoidant type 

What is criteria B for psychological factors affecting other medical conditions?

Psychological or behaviour factors adversely affect the medical condition.
  1. the factors have influenced the course of the condition
  2. the factors interfere with treatment
  3. the factors constitute additional health-risks
  4. the factors influence the underlying pathophysiology 

Specifiers for psychological factors affecting other medical conditions?

Specify current severity:
  • Mild: Increases medical risk (e.g., inconsistent adherence).
  • Moderate: Aggravates underlying medical condition (e.g., anxiety aggravating asthma).
  • Severe: Results in medical hospitalization or emergency room visit.
  • Extreme: Results in severe, life-threatening risk (e.g., ignoring heart attack symptoms). 

What is criteria A for factitious disorder?

Falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception

Specifiers for factitious disorder imposed on another?

Specify: single or recurrent episode

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