BHS 450 Topic 6 Somatic Symptoms and Related Disorders

BHS 450 Topic 6 Somatic Symptoms and Related Disorders

Physical Symptoms and Related Diseases

Physical symptom diseases involve an individual significantly fastening physical symptoms to the point of major torture and problems in performing. Genetics, exposure to violence/ abuse/ privation, learning physical actions through attention-seeking means, and artistic/ social morals that beget viewing cerebral suffering as lower than compared to physical suffering are each linked to the development of physical symptom diseases (APA, 2013).

Conversion complaint is a physical symptom complaint that was formerly considered to be a form of fever. The shift of testament behind this complaint is due to further exploration and has modified the etiology, individual criteria, and presenting symptoms involved in the conversion complaint.

Conversion Disorder

The individual criteria for conversion complaint include one or further altered motor or sensitive function symptoms, clinical findings that prove incompatibility between the symptom and honored neurological or medical conditions, the symptom isn’t better explained by another medical or internal complaint, and the symptom causes significant torture or impairment in important areas of performing or clearances medical evaluation( APA, 2013). This complaint is further specified amongst four ICD-10-CM canons that define the donation of the symptom (s).

BHS 450 Topic 6 Somatic Symptoms and Related Disorders

The four canons for conversion complaint include F44.4 includes four differing donations of weakness or palsy, abnormal movement, swallowing symptoms, and speech symptoms; F44.5 presents with attacks or seizures; F44.6 includes two differing donations of anesthesia or sensitive loss or a special sensitive symptom; and F44.7 presents with a combination of mixed symptoms( APA, 2013). Two specifications must be made during opinion. The specifications of conversion complaints include either acute (lower than six months) or patient occurrences and whether symptoms do with or without a cerebral stressor (APA, 2013).

Presenting Symptoms

Conversion complaint, the most delved of physical symptom diseases in children, consists of a physical symptom that impacts normal motor or sensitive function through the incarnation of cerebral conflicts that physically prostrate without a medical or organic base (Wilmshurst, 2015). A child or adolescent passing this complaint will display symptoms or poverties that suggest a medical or neurological condition that can’t be linked to such a condition. The symptoms or poverties aren’t designedly or produced but rather are urged or aggravated by environmental stressors or psychosocial conflicts (Wilmshurst, 2015).


The etiology of the conversion complaint includes environmental stressors, family characteristics, and a former illness. The presence of a recent traumatic experience, a family member with a habitual illness, anxious/ chaotic domestic surroundings, or a recent licit illness have all been linked to the development of conversion complaints in children(Wilmshurst).

Opinion & Assessment

The opinion generally begins with a medical test and continues with specialist testing that depends on the complaint( s) presented( Wilmshurst, 2015). Prior to an opinion for a physical symptom complaint, other internal and medical conditions must be ruled out, or the complaints must exceed what’s to be anticipated of such a complaint. For illustration, if a child is displaying palsy of the arm or bottom, but the palsy stops at an anatomically insolvable position (the ankle or wrist), the complaint isn’t what’s to be anticipated from similar palsy.

BHS 450 Topic 6 Somatic Symptoms and Related Disorders

Two common scale instruments that measure the inflexibility of physical complaints are the ASEBA and the Personality Force for Youth( PIY). The ASEBA is available for parents, schoolteachers, and children and contains physical complaint patterns and physical problem scales; the PIY is an instrument that has three subscales Psychosomatic pattern, muscular pressure and anxiety, and obsession with a complaint( Wilmshurst, 2015).

DSM Variations

Conversion complaint was preliminarily known as hysterical neurosis, in the alternate modification of the DSM, and was characterized by involuntary psychogenic or function loss and held the characteristics of symptoms beginning and ending suddenly in emotionally charged situations DSM Guide Wikia,n.d). Hysterical neurosis was specified between the conversion and dissociative donations. The conversion type affected special senses or the voluntary nervous system, while the dissociative type was said to do in an existent’s state of knowledge and produced symptoms similar to amnesia and multiple personalities (DSM Guide Wikia,n.d).

BHS 450 Topic 6 Somatic Symptoms and Related Disorders

Hysterical neurosis was viewed as a fever-led complaint that substantially affected women and stemmed from emotionally charged surroundings that could be modified through suggestion alone( DSM Guide Wikia,n.d). Presently, conversion complaint is viewed as cerebral conflicts that crop in physically enervating ways. The shift present in the testament behind this complaint is that symptoms were originally believed to be a form of fever primarily in women, but now it’s viewed as being impairments in the normal functioning of the body.

The impacts on the donation of features and symptoms are the emphasis on the extent to which passions, studies, and actions related to conversion complaints are inordinate or out of proportion from another internal or medical condition. This impacts the way interventions and treatments are approached and enforced because a conversion complaint is now seen as a physical complaint that presents with distressing physical symptoms associated with abnormal studies, passions, and actions in response to symptoms.

Interventions and treatments are now acclimatized to assessing and modifying abnormal studies, passions, and actions. These treatments include comforting, physical, or occupational remedies and specifics. Cognitive behavioral remedies and psychotherapy have been proven useful due to these curatives addressing anxiety and allowing patterns about symptoms present in conversion complaints ( CHOP,n.d). These curatives help individuals to address their study process and avoidance of underpinning stressors, as well as address possible co-occurring symptoms and diseases.

Physical and occupational remedies help strengthen and loosen muscles that may be affected due to inactivity caused by symptoms and specifics help to condense comforting stress and anxiety that can do to conversion complaint( CHOP,n.d).


Conversion complaint is a physical symptom complaint that was formerly considered a complaint of fever primarily displayed in women. This complaint is now considered to correspond to cerebral conflicts that crop physically without an organic or medical base. Conversion disorder includes symptoms or poverties in typical motor or sensitive functioning. Diagnosing this complaint generally begins with a medical evaluation and continues with technical testing to rule out another medical or internal condition and confirm the opinion of the conversion complaint.

Stress and anxiety, and other-occurring diseases are possible with conversion complaints, and treatments include cognitive behavioral remedy, psychotherapy, physical or occupational remedy, and specifics. These treatments concentrate on not only conversion complaint symptoms but also stress and anxiety.


American Psychiatric Association. ( 2013). individual and statistical primer of internal diseases 5th ed.). Arlington, VA Author CHOP(n.d). Conversion complaint. Recaptured from

https// diseases/conversion-disorder.

DSM companion Wikia(n.d). Hysterical neurosis. Recaptured from


Wilmshurst, L. 2015. rudiments of Childhood and Adolescent Psychopathology. recaptured from

http// adolescent-psychopathology_ebook_2e.php.

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