Category: Somatic Symptom Disorders

Hysteria for the Masses

  Hysteria as a Concept “When there are motor symptoms, sensory symptoms or neurological symptoms that cannot be fully explained by physical findings, the symptoms compromise a “conversion disorder.” When they occur in a warehouse, school or company setting, with many people have similar, inexplicable symptoms, it is referred to as “mass hysteria.” When symptoms …

Read more

Differential Diagnosis – Symptoms – Part III

Somatic Symptoms There are four causes for physical complaints or symptoms not explained by clinical findings: Somatic Symptom Disorders Psychosonatic Disorders Factitious Disorders Malingering Let’s deal with ( c ) and ( d ) first: Factitious disorders arise when a patient emulates physical complaints because he/she enjoys the role of the patient and will run …

Read more

Factitious vs. Fictitious

What is factitious disorder? First let us address what it is not: Factitious disorders are not malingering (wherein the individual is falsifying symptoms in order to receive tangible gain such as financial remuneration). Malingering is not a mental disorder, and the malingering individual is aware of, and has control over, the goals being sought. The …

Read more

"Mind and Body"

It was once believed that individuals were prone to develop anxiety problems due to problems early in life, those that were also believed to be responsible for the later development of personality disorders. We now believe that a biological/brain pathway involving a specific neurosteroid called “allopregnanolone” effects how fear is managed. With blood levels of …

Read more

"Mind and Body"

It was once believed that individuals were prone to develop anxiety problems due to problems early in life, those that were also believed to be responsible for the later development of personality disorders. We now believe that a biological/brain pathway involving a specific neurosteroid called “allopregnanolone” effects how fear is managed. With blood levels of …

Read more

burn

Burn: I had a patient who was barely 21 at the time of his injury. He was shy, poorly educated and had never dated. He had …
Read Blog Post

hateful

Hateful

Hateful patients: It has always been irrational to be forced to treat a patient who is either physically threatening or emotionally …
Read Blog Post

divorce

Divorce

Divorce:  While the source of post-injury disharmony is most often financial, there are more insidious problems that arise …
Read Blog Post