Neurobiology of Somatization

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DSM V Somatic Symptom Disorder • Incorporates – Somat<strong>of</strong>orm disorders, all – Hypochondriasis, symptom predominant • ~ 75% <strong>of</strong> hypochondriasis cases – Pain disorders • Rationale – ↓ emphasis on the somatic symptoms – ↑ emphasis on the psychomotor response
DSM V Illness Anxiety Disorder • A. Somatic sx are absent or mild • B. Preoccupation with having or acquiring a serious illness – If risk factors present, preoccupation is disproportionate or excessive • C. High anxiety and low threshold for becoming alarmed about health • D. Excessive or maladaptive health behavior • E. > 6 months, persistent or intermittent • Variation: Acute somatization in depression • F. Not explained by other DSM disorder • SUBTYPES: Care seeking & Care avoiding
Page 1 and 2: Neurobiology of Somatization in < 2
Page 3 and 4: QUIZ: Who had more pain? A A B
Page 5 and 6: “By golly, you ARE crying on the
Page 7: DSM V Somatic Symptom Disorder •
Page 11 and 12: Suffering in somatoform illness •
Page 13 and 14: Harrison’s Textbook 1962 (4th Edi
Page 15 and 16: Central Control Attention, emotion,
Page 17 and 18: PFC Cingulate & insula Somatosensor
Page 19 and 20: Theoretical Mechanisms: Biopsychoso
Page 21 and 22: Theoretical mechanisms Why rejectio
Page 23 and 24: Evidence for overlap •Surgical ci
Page 25 and 26: Evidence for pain modulation • Ri
Page 27 and 28: Patient Centered Care, a pilot RCT
Page 29 and 30: QUIZ: Who had more pain? A A B
Page 31 and 32: The abstract ends here! Questions?
Page 33: Proc Natl Acad Sci U S A. 2003;100:

Neurobiology of Somatization

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