Somatic symptom disorder (SSD; formerly known as "somatization disorder" or "somatoform disorder") is a condition characterized by the presence of 1 or more physical symptoms associated with excessive thoughts and feelings about symptom severity. Symptoms are usually not dangerous, but the patient devotes excessive time and energy to figuring out their underlying cause and how to treat them. Management relies on a strong therapeutic alliance between patient and provider.
Last updated: Nov 10, 2022
A diagnosis of somatic symptom disorder (SSD) may not be made until the symptoms have no other clinical explanation.
The following diagnostic tests Diagnostic tests Diagnostic tests are important aspects in making a diagnosis. Some of the most important epidemiological values of diagnostic tests include sensitivity and specificity, false positives and false negatives, positive and negative predictive values, likelihood ratios, and pre-test and post-test probabilities. Epidemiological Values of Diagnostic Tests may be used to explain or rule out physical causes of the symptoms.
|Symptoms||Excessive worry||Exam findings|
|Somatic symptom disorder||+||+||–|
|Illness anxiety Anxiety Feelings or emotions of dread, apprehension, and impending disaster but not disabling as with anxiety disorders. Generalized Anxiety Disorder disorder||–||+||–|
|Conversion disorder Conversion disorder Conversion disorder (CD), also called functional neurological symptom disorder, is a psychiatric disorder with prominent motor or sensory impairment which is not compatible with any known neurologic medical condition. The deficits are not consciously produced. Conversion Disorder||+||–||Atypical|
Individuals with SSD often feel misunderstood. Therefore, the primary goal of treatment is to form a therapeutic alliance with the patient.
Whether to put the focus of treatment on the physical or psychiatric symptoms is often difficult to determine.
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