Mental health articles

OF mental health care and mentally ill

disorder

Undifferentiated somatoform disorder criteria and symptoms

Undifferentiated somatoform disorder was apparently created to capture a sizable proportion of patients with multiple, chronic, physical symptomatology similar to somatization disorder, but do not meet the eight physical-symptom requirement. This diagnosis is given to persons with one or several medically unsupported physical complaints that are of at least 6-months duration and are not due […]

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health anxiety disorder and diagnosis

Definition and diagnosis Diagnosis using DSM IV (APA 1994) is often through the use of hyponchondriasis, a somatoform disorder. A pattern of recurring, clinical complaints, which result in clinical assessment and intervention or cause significant impairments in social, occupational or other areas of functioning occur. DSM IV diagnostic criteria for hyponchondriasis requires six criteria to […]

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Treatment and management of obsessive-compulsive disorder

Obsessive-compulsive disorder (OCD) is a chronic condition and needs long-term commitment to its management. Cognitive behavioural therapy, advice on management, involving carers and parents and medication have all shown to be effective. Exposure and response prevention has been shown to be effective in reducing symptoms. Advice to parents about how to respond to their child’s […]

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Differential diagnosis of obsessive-compulsive disorder

Differential diagnosis Normal childhood ritual such as bedtime routine and collecting are not uncommon in early childhood. Symptoms of OCD can present secondary to primary depressive disorders. Children with the autistic spectrum group of disorders may present with repetitive behaviour and sometimes develop full-blown symptoms of OCD. Symptoms of OCD can be associated with schizophrenia […]

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Characteristic features of obsessive-compulsive disorder

Characteristic features Obsessions are recurrent, intrusive thoughts, ideas or images or impulses that the person experiences as ego-dystonic and intensely distressing. One of the core characteristics of obsession in adults is that they are resisted. Resistance to obsessions and compulsions in children is, however, not always present. Common obsessions in childhood focus on contamination, harm […]

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Epidemiology of obsessive-compulsive disorder

While there are striking similarities between the phenomenology of obsessive-compulsive disorder (OCD) in children and adults, significant differences exist in terms of gender distribution, co-morbidity, familial contribution and developmental issues. Epidemiology Roughly a third of adults have their first symptoms before the age of 15. Earlier estimates of OCD from child psychiatric clinics range from […]

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Definition and diagnosis of Body Dysmorphic Disorder

Body dysmorphic disorder is categorized as a somatoform disorder in the fourth edition of the Diagnostic and Statistical Manual (DSM-IV: American Psychiatric Association (APA). There are three DSM-IV criteria that must be met before a diagnosis of BDD can be made: 1There is a preoccupation with an imagined defect in appearance. If a slight physical […]

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Body Dysmorphic Disorder Articles

Body dysmorphic disorder Body image has been defined as the ‘picture we have in our minds of the size, shape and form of our bodies and to our feelings concerning these characteristics and our constituent body parts’. Body image is important to everyone and can be dramatically altered following a life event (for example, facial […]

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Definition and diagnosis of post-traumatic stress disorder

Post-traumatic stress disorder is diagnostically classed as an anxiety disorder. A DSM-IV (APA 1994) diagnosis of PTSD is made after a person has been exposed to an extreme traumatic stressor involving direct personal experience of an event that involves actual or threatened death or serious injury, or a threat to the physical integrity of self […]

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post-traumatic stress disorder symptoms

Post-traumatic stress disorder (PTSD) has only existed as a diagnosis since 1980 (American Psychiatric Association 1980), and since 1992, using the International Classification of Diseases. However, the psychological and social effects of being exposed to a traumatic event have been recognized throughout history with ‘shell shock’, ‘traumatic neurosis’ and rape trauma syndrome being earlier means […]

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