From parent levels
ChapterVMental and behavioural disordersOpen
BlockF40-F48Neurotic, stress-related and somatoform disordersOpen
CategoryF45Somatoform disordersOpen
The main feature is repeated presentation of physical symptoms together with persistent requests for medical investigations, in spite of repeated negative findings and reassurances by doctors that the symptoms have no physical basis. If any physical disorders are present, they do not explain the nature and extent of the symptoms or the distress and preoccupation of the patient.
Exclusions
- dissociative disorders (F44.-)
- hair-plucking (F98.4)
- lalling (F80.0)
- lisping (F80.8)
- nail-biting (F98.8)
- psychological or behavioural factors associated with disorders or diseases classified elsewhere (F54)
- sexual dysfunction, not caused by organic disorder or disease (F52.-)
- thumb-sucking (F98.8)
- tic disorders (in childhood and adolescence) (F95.-)
- Tourette syndrome (F95.2)
- trichotillomania (F63.3)
Persistent somatoform pain disorder
The predominant complaint is of persistent, severe, and distressing pain, which cannot be explained fully by a physiological process or a physical disorder, and which occurs in association with emotional conflict or psychosocial problems that are sufficient to allow the conclusion that they are the main causative influences. The result is usually a marked increase in support and attention, either personal or medical. Pain presumed to be of psychogenic origin occurring during the course of depressive disorders or schizophrenia should not be included here.
Inclusions
- Psychalgia
- Psychogenic: backache
- Psychogenic: headache
- Somatoform pain disorder