64 of 2022 | |
65 of 2022 |
SOP Bulletin 231 [3]
This is a DSM-5 psychiatric disorder which is manifested by somatic symptoms, (e.g. pain), which must result in significant disruption of daily life. The disorder is present when there are somatic symptoms which cause distress and dysfunction which have insufficient medical rather than psychiatric explanation. This diagnosis is not made if the manifestations are considered part of another psychiatric disorder such as depressive disorder or panic disorder.
A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims [4] is required for diagnosis.
# Non-SOP condition
Clinical onset requires the presence of one or more somatic symptoms that cause distress or psychosocial impairment along with excessive thoughts, worrying, or behaviours (time and energy) related to the somatic symptoms or to health concerns.
The condition typically has a chronic fluctuating course. Eventual improvement or remission can be expected in a significant proportion of subjects.
With the introduction of the DSM-5 there have been significant changes to the somatoform disorders (now called Somatic symptom and related disorders) with the following being the new categories:
The correlation with the previous DSM-IV-TR is imprecise, but the following is provided as a suggested guide (American Psychiatric Association, 2013, ‘Highlights of changes from DSM-IV-TR to DSM-5’, http://www.dsm5.org/Documents/changes%20from%20dsm... [5])
DSM-IV-TR | DSM-5 |
---|---|
Conversion disorder (ICD-9 ; ICD-10 F44.4-7 ) | Conversion disorder (functional neurological symptom disorder) |
Somatization disorder (ICD-9 300.81; ICD-10 F45.0) | Somatic symptom disorder (ICD-9 300.82; ICD-10 F45.1) |
Undifferentiated Somatoform disorder (ICD-9 300.82; ICD-10 F45.1) | Somatic symptom disorder (ICD-9 300.82; ICD-10 F45.1) |
Pain Disorder associated with psychological factors (ICD-9 307.80; ICD-10 F45.4) AND | Somatic symptom disorder (ICD-9 300.82; ICD-10 F45.1) OR |
Hypochondriasis (ICD-9 300.7; ICD-10 F45.2) | Somatic symptom disorder (ICD-9 300.82; ICD-10 F45.1) OR
|
Body dysmorphic disorder (ICD-9 300.7; ICD-10 F45.22) | Body dysmorphic disorder (ICD-9 300.7; ICD-10 F45.22) – No longer in the Somatoform disorder classification, but in obsessive compulsive and related disorders. |
Somatoform disorder not otherwise specified (ICD-9 300.82; ICD-10 F45.9) | Unspecified somatic symptom and related disorder (ICD-9 300.82; ICD-10 F45.9)
|
Other specified somatic symptom and related disorder (ICD-9 300.89; ICD-10 F45.8) -
| |
Factitious disorder (ICD-9 300.19; ICD-10 F68.10) | Factitious disorder (ICD-9 300.19; ICD-10 F68.10) |
Note that Conscious simulation/Malingering (ICD-9 V65.2; ICD-10 Z76.5) is present in both the DSM-IV-TR and DSM-5 but not as a mental condition but a condition that may be a focus of clinical attention.
Links
[1] http://www.rma.gov.au/assets/SOP/2022/5e20336369/064.pdf
[2] http://www.rma.gov.au/assets/SOP/2022/586adbb051/065.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20231.pdf
[4] https://clik.dva.gov.au/compensation-and-support-reference-library/commission-guidelines/cm7014-mrcc181-guidelines-psychiatric-compensation-claims
[5] http://www.dsm5.org/Documents/changes%20from%20dsm-iv-tr%20to%20dsm-5.pdf