Case Studies of Fictional Characters

Pain Disorder

Bill Pelz and Herkimer Community College

DSM-IV-TR criteria

A. Pain in one or more anatomical sites is the predominant focus of the clinical presentation and is of sufficient severity to warrant clinical attention.

B. The pain causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

C. Psychological factors are judged to have an important role in the onset, severity, exacerbation, or maintenance of the pain.

D. The symptom or deficit is not intentionally produced or feigned (as in Factitious Disorder or Malingering).

E. The pain is not better accounted for by a Mood, Anxiety or Psychotic Disorder and does not meet criteria for Dyspareunia.

Specify if:

Acute: duration of less than 6 months

Chronic: duration of 6 months or longer

Specify if:

Acute: duration of less than 6 months

Chronic: duration of 6 months or longer

Note: The following is not considered to be a mental disorder is included her to facilitate differential diagnosis.

Major changes:

#1: Rename Somatoform disorders to Somatic Symptom Disorders and combine with PFAMC and Factitious Disorders.

#2: Combine somatization disorder, hypochondriasis, undifferentiated somatoform disorder, and pain disorder into a new category entitled “Complex Somatic Symptom Disorder” (CSSD).

The work group is recommending that this disorder be subsumed into a new disorder: Complex Somatic Symptom Disorder.

License

Icon for the Creative Commons Attribution 4.0 International License

Pain Disorder Copyright © 2020 by Bill Pelz and Herkimer Community College is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.

Share This Book