Somatoform Disorders Care Plans

The patient with a somatoform disorder complains of physical signs and symptoms and typically travels from physician to physician in search of treatment. Physical examinations and laboratory tests can’t uncover an organic basis for the patient's signs and symptoms, nor are the somatic symptoms due to the effects of alcohol or recreational or prescription drugs. They're prevalent in 5% of the primary practice and include a variety of conditions that differ in symptoms and whether they're intentionally produced.

Include in Somatoform disorders:

• Body dysmorphic disorder
• Conversion disorder
• Hypochondriasis
• Pain disorder
• Somatization disorder

Body dysmorphic disorder: This disorder, formerly called dysmorphophobia, is characterized by the exaggerated belief that the body is deformed or defective in some specific way. The most common complaints involve imagined or slight flaws of the face or head, such as thinning hair, acne, wrinkles, scars, vascular markings, facial swelling or asymmetry, or excessive facial hair (APA, 2000).

Conversion disorder, Conversion disorder is a loss of or change in body function resulting from a psychological conflict, the physical symptoms of which cannot be explained by any known medical disorder or pathophysiological mechanism. The most common conversion symptoms are those that suggest neurological disease such as paralysis, aphonia, seizures, coordination disturbance, akinesia, dyskinesia, blindness, tunnel vision, anosmia, anesthesia, and paresthesia.

Hypochondriasis, Hypochondriasis is an unrealistic preoccupation with the fear of having a serious illness. The DSM-IV-TR suggests that this fear arises out of an unrealistic interpretation of physical signs and symptoms. Occasionally medical disease may be present, but in the hypochondriacal individual, the symptoms are grossly disproportionate to the degree of pathology. Individuals with hypochondriasis often have a long history of doctor shopping and are convinced that they are not receiving the proper care.

Pain disorder, the essential feature of pain disorder is severe and prolonged pain that causes clinically significant distress or impairment in social, occupational, or other important areas of functioning (APA, 2000). This diagnosis is made when psychological factors have been judged to have a major role in the onset, severity, exacerbation, or maintenance of the pain, even when the physical examination reveals pathology that is associated with the pain.


Somatization disorder. Somatization disorder is a chronic syndrome of multiple somatic symptoms that cannot be explained medically and are associated with psychosocial distress and long-term seeking of assistance from health care professionals. Symptoms can represent virtually any organ system but commonly are expressed as neurological, gastrointestinal, psychosexual, or cardiopulmonary disorders. Onset of the disorder is usually in adolescence or early adulthood and is more common in women than in men. The disorder usually runs a fluctuating course, with periods of remission and exacerbation.