SOMATOFORM DISORDERS

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SOMATOFORM DISORDERS
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Psychosomatic

• Generally lt 30 yrs.
• physical complaints for which medical testing can
  find no cause
• Pain rltd to head, abdomen, chest, back, jts.
• Dysfunction urinary, sexual
• Two gastrointestinal symptoms other than pain
  (nausea, vomiting, food intolerance)
• Amnesia, loss of consciousness

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Somatoform Disorders-Psychomatic

• Described in exaggerated terms by patient
• Historically inaccurate (daily difference)
• Not rltd to physical aging
• May be accompanied by anxiety, depression,
  rltnshp problems
• ltworms in head, ants crawling under skingt

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Conversion Disorder

• Voluntary motion or sensory motor problems
• Done for avoidance or attention

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Pain Disorder

• Psychosomatic any age
• Acute lt 6 mts.
• Chronic gt 6 mts.
• Pain killer dependence
• Social isolation gt further problems associated w/
  mood anxiety disorders

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Hypochondriasis

• Preoccupation with fear of having a serious
  disease

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Body Dysmorphic Disorder

• Preoccupation with a defect in appearance
• May try to cover up a defect

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TREATMENTS

• ADLERIAN therapist will gather family history
  use it to set goals for the client to get an idea
  of clients past performance goal is to
  challenge/encourage patients premises/goals and
  encourage useful society goals to help patient
  feel equal to others

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THERAPY

• Behavioral - behaviors are lrnd patient is
  product of environment. Abnormal behaviors are
  direct result of defective lrng treatment plan
  to eliminate unwanted behaviors by learning new
  ones

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Therapy

• Existential focuses on the present future
  help client to see freedom to choose the future
  by making good choices
• Gestalt integrate behaving, feeling, thinking
  to recognize how earlier life influences may have
  changed patients lifechallenge the client to
  accept the responsibility of taking care of
  himself rather than expecting others to do so

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Therapy

• Person-Centered (Rogers) gives more
  responsibility to the client in their own
  treatment view of human nature client should
  move toward self awareness by focusing on the
  here now. Believes the problem lies in the
  difference btwn what we are and what we wish to
  be, which creates maladjusted behavior

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Therapy

• Psychoanalytic (Freud/Jung) person is driven by
  aggressive/sexual impulses focus is on first 6
  yrs of life repressed conflicts from childhood
• Cognitive-Behavioral patients problems rooted
  in childhood belief system therapy will include
  solving emotional problems by eliminating
  self-defeating outlooks

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Therapy

• Reality teaches the client ways to control the
  world around them and how to meet their personal
  needs helps the client evaluate behaviors and
  feelings
• Transactional Analysis evaluates past decisions
  how those decisions affect the present life
  self-defeating behaviors feelings can be
  overcome by an awareness of them. Client is
  Parent, Adult, and Child