Other Disorders

Somatic Symptom Disorder

A psychological disorder in which the symptoms take a somatic (bodily) form without apparent physical cause.

Symptoms of somatic symptom disorder may be:

  • Specific sensations, such as pain or shortness of breath, or more general symptoms, such as fatigue or weakness

  • Unrelated to any medical cause that can be identified, or related to a medical condition such as cancer or heart disease, but more significant than what's usually expected

Pain is the most common symptom, but whatever your symptoms, you have excessive thoughts.

thoughts, feelings and behaviors can include:

  • Constant worry about potential illness

  • Viewing normal physical sensations as a sign of severe physical illness

  • Fearing that symptoms are serious, even when there is no evidence

  • Thinking that physical sensations are threatening or harmful

  • Feeling that medical evaluation and treatment have not been adequate

  • Fearing that physical activity may cause damage to your body

  • Repeatedly checking your body for abnormalities

Treatments

  • Psychotherapy

  • Medication

Conversion Disorder

A disorder in which a person experiences very specific genuine physical symptoms for which no physiological basis can be found.

Signs and symptoms that affect body movement and function may include:

  • Weakness or paralysis

  • Abnormal movement, such as tremors or difficulty walking

  • Loss of balance

  • Difficulty swallowing or feeling "a lump in the throat"

  • Seizures or episodes of shaking and apparent loss of consciousness (nonepileptic seizures)

  • Episodes of unresponsiveness

Signs and symptoms that affect the senses may include:

  • Numbness or loss of the touch sensation

  • Speech problems, such as the inability to speak or slurred speech

  • Vision problems, such as double vision or blindness

  • Hearing problems or deafness

  • Cognitive difficulties involving memory and concentration

Treatments

  • Learning about functional neurologic disorder

  • Medical disorder treatment

  • Therapies

  • Medications

Illness Anxiety Disorder

A disorder in which a person interprets normal physical sensations as symptoms of a disease.

Symptoms of illness anxiety disorder involve preoccupation with the idea that you're seriously ill, based on normal body sensations (such as a noisy stomach) or minor signs (such as a minor rash). Signs and symptoms may include:

  • Being preoccupied with having or getting a serious disease or health condition

  • Worrying that minor symptoms or body sensations mean you have a serious illness

  • Being easily alarmed about your health status

  • Finding little or no reassurance from doctor visits or negative test results

  • Worrying excessively about a specific medical condition or your risk of developing a medical condition because it runs in your family

  • Having so much distress about possible illnesses that it's hard for you to function

  • Repeatedly checking your body for signs of illness or disease

  • Frequently making medical appointments for reassurance — or avoiding medical care for fear of being diagnosed with a serious illness

  • Avoiding people, places or activities for fear of health risks

  • Constantly talking about your health and possible illnesses

  • Frequently searching the internet for causes of symptoms or possible illnesses

Treatments

  • psychotherapy

  • medications

Dissociative Disorders

Disorders in which conscious awareness becomes separated (dissociated) from previous memories, thoughts, and feelings.

Signs and symptoms depend on the type of dissociative disorders you have, but may include:

  • Memory loss (amnesia) of certain time periods, events, people and personal information

  • A sense of being detached from yourself and your emotions

  • A perception of the people and things around you as distorted and unreal

  • A blurred sense of identity

  • Significant stress or problems in your relationships, work or other important areas of your life

  • Inability to cope well with emotional or professional stress

  • Mental health problems, such as depression, anxiety, and suicidal thoughts and behaviors

Treatments

  • psychotherapy

  • medications

Dissociative Identity Disorder (DID)

A rare dissociative disorder in which a person exhibits two or more distinct and alternating personalities.

Formerly known as multiple personality disorder, this disorder is characterized by "switching" to alternate identities. You may feel the presence of two or more people talking or living inside your head, and you may feel as though you're possessed by other identities. Each identity may have a unique name, personal history and characteristics, including obvious differences in voice, gender, mannerisms and even such physical qualities as the need for eyeglasses. There also are differences in how familiar each identity is with the others. People with dissociative identity disorder typically also have dissociative amnesia and often have dissociative fugue.

Treatments

  • psychotherapy

  • medications

Anorexia Nervosa

An eating disorder in which a person (usually an adolescent female) maintains a starvation diet despite being significantly (15 percent or more) underweight.

Physical signs and symptoms of anorexia may include:

  • Extreme weight loss or not making expected developmental weight gains

  • Thin appearance

  • Abnormal blood counts

  • Fatigue

  • Insomnia

  • Dizziness or fainting

  • Bluish discoloration of the fingers

  • Hair that thins, breaks or falls out

  • Soft, downy hair covering the body

  • Absence of menstruation

  • Constipation and abdominal pain

  • Dry or yellowish skin

  • Intolerance of cold

  • Irregular heart rhythms

  • Low blood pressure

  • Dehydration

  • Swelling of arms or legs

  • Eroded teeth and calluses on the knuckles from induced vomiting

Some people who have anorexia binge and purge, similar to individuals who have bulimia. But people with anorexia generally struggle with an abnormally low body weight, while individuals with bulimia typically are normal to above normal weight.

Behavioral symptoms of anorexia may include attempts to lose weight by:

  • Severely restricting food intake through dieting or fasting

  • Exercising excessively

  • Bingeing and self-induced vomiting to get rid of food, which may include the use of laxatives, enemas, diet aids or herbal products

Emotional and behavioral signs and symptoms may include:

  • Preoccupation with food, which sometimes includes cooking elaborate meals for others but not eating them

  • Frequently skipping meals or refusing to eat

  • Denial of hunger or making excuses for not eating

  • Eating only a few certain "safe" foods, usually those low in fat and calories

  • Adopting rigid meal or eating rituals, such as spitting food out after chewing

  • Not wanting to eat in public

  • Lying about how much food has been eaten

  • Fear of gaining weight that may include repeated weighing or measuring the body

  • Frequent checking in the mirror for perceived flaws

  • Complaining about being fat or having parts of the body that are fat

  • Covering up in layers of clothing

  • Flat mood (lack of emotion)

  • Social withdrawal

  • Irritability

  • Insomnia

  • Reduced interest in sex

Treatments

  • Hospitalization and other programs

  • Medical care

  • Restoring a healthy weight

  • Psychotherapy

  • Medications

Bulimia Nervosa

An eating disorder in which a person alternates binge eating (usually of high-calorie foods) with purging (by vomiting or laxative use), excessive exercise, or fasting.

Symptoms

Bulimia signs and symptoms may include:

  • Being preoccupied with your body shape and weight

  • Living in fear of gaining weight

  • Repeated episodes of eating abnormally large amounts of food in one sitting

  • Feeling a loss of control during bingeing — like you can't stop eating or can't control what you eat

  • Forcing yourself to vomit or exercising too much to keep from gaining weight after bingeing

  • Using laxatives, diuretics or enemas after eating when they're not needed

  • Fasting, restricting calories or avoiding certain foods between binges

  • Using dietary supplements or herbal products excessively for weight loss

Treatments

  • Psychotherapy

  • Medications

  • Nutrition education

  • Hospitalization

Binge-Eating Disorder

Significant binge-eating episodes, followed by distress, disgust, or guilt, but without the compensatory purging or fasting that marks bulimia nervosa.

Symptoms

Most people with binge-eating disorder are overweight or obese, but you may be at a normal weight. Behavioral and emotional signs and symptoms of binge-eating disorder include:

  • Eating unusually large amounts of food in a specific amount of time, such as over a two-hour period

  • Feeling that your eating behavior is out of control

  • Eating even when you're full or not hungry

  • Eating rapidly during binge episodes

  • Eating until you're uncomfortably full

  • Frequently eating alone or in secret

  • Feeling depressed, disgusted, ashamed, guilty or upset about your eating

  • Frequently dieting, possibly without weight loss

Treatments

  • Psychotherapy

  • Medications

  • Behavioral weight-loss programs

Personality Disorders

Psychological disorders characterized by inflexible and enduring behavior patterns that impair social functioning.

There are three cluster types for personality disorders, Cluster A, B, and C.

Cluster A includes

  • Paranoid personality disorder

  • Schizoid personality disorder

  • Schizotypal personality disorder

Cluster B includes

  • Antisocial personality disorder

  • Borderline personality disorder

  • Histrionic personality disorder

  • Narcissistic personality disorder

Cluster C includes

  • Avoidant personality disorder

  • Dependent personality disorder

  • Obsessive-compulsive personality disorder

Antisocial Personality Disorder

A personality disorder in which a person (usually a man) exhibits a lack of conscience for wrongdoing, even toward friends and family members. May be aggressive and ruthless or a clever con artist.

Symptoms

  • Disregard for others' needs or feelings

  • Persistent lying, stealing, using aliases, conning others

  • Recurring problems with the law

  • Repeated violation of the rights of others

  • Aggressive, often violent behavior

  • Disregard for the safety of self or others

  • Impulsive behavior

  • Consistently irresponsible

  • Lack of remorse for behavior

Treatments

  • Psychotherapy

  • Medications

  • Hospital and residential treatment programs

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