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Prime emphasis of this sqadia.com medical video lecture is on somatoform disorders. Starting from hypochondriasis light is also shed on differential diagnosis. Carrying on with discussion, conversion disorders along with workup comes under consideration. Likewise, psychopathology is pursued including diagnostic approach.
Initially, Dr. Hina Khan elaborates hypochondriasis through medical definition. Then ICD10 criteria of hypochondriasis is discussed. Long term intense fear, anxiety about having a serious disease, frequently switching doctors, and obsessively doing health research are some of the symptoms of hypochondriasis. Causes and management tips are also explained in this section.
Treatment options encompass supportive care, medications and psychotherapy. Differences of somatization, hypochondriacal and dissociative disorders is elaborated in a tabular form. Then precise elucidation of somatoform disorders is given. Lastly, Dr. Hina Khan talks about differential diagnosis of malingering, factitious Munchausen’s somatoform and genuine illness.
Conversion disorders described as loss of, or alteration in physical functioning suggesting a physical disorder. Epidemiologically, it is dominant in females and can occur in teens to young adults. Following this, phenomenology is also pursued. Alongside, comorbidity incorporates neurologic and psychiatric diseases.
Medical and neurological history, and correlation with conscious/unconscious emotions are the key elements of workup. Dr. Hina Khan then talks about presenting the diagnosis. Moreover, confusing elements are highlighted. Alongside, treatment options are deliberated which includes spontaneous remission, hypnosis, physical and psychiatric rehabilitation.
Practical approach to mental disorder is discussed in the beginning of this section. After that, comparative discussion continues on categoric vs dimension systems. Then diagnostic approach is pursued which determine specific primary disorder. Diagnostic approach also helps in distinguishing adjustment disorder from not otherwise specified (NOS).