Somatoform Disorders - Differential Diagnosis Algorithm
- Patient presents with complex medical problem or symptoms that cannot be explained medically
Symptoms Consciously Produced
• Factitious Disorder - Motivation is primary gain (to assume the sick role)
• Malingering - Motivation is secondary gain
Symptoms Not Consciously Produced
• Illness Anxiety Disorder - Focus is the sick role; not accepting reassurance
• Body Dysmorphic Disorder - Focus is appearance; exhibit significant distress
Focus is a physical symptom
• Pain Disorder - Pain; psychological factors important
• Somatization Disorder - Multiple symptoms; long history
• Conversion Disorder - Neurologic
• Undifferentiated Somatoform Disorder - One or more symptoms for at least six months
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