Psychotherapy High Wycombe
Psychotherapy High Wycombe |
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When a patient's predominant complaint is of physical pain that is not intentionally produced or faked (Factitious Disorder or Malingering) and "psychological factors are judged to have played a significant role in the onset, severity, exacerbation, or maintenance of the pain," this Somatoform Disorder can be diagnosed. Subtyping is based upon the categories of factors thought to predominate:
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.
Code as follows:
307.80 Pain Disorder Associated With Psychological Factors: psychological factors are judged to have the major role in the onset, severity, exacerbation, or maintenance of the pain. (If a general medical condition is present, it does not have a major role in the onset, severity, exacerbation, or maintenance of the pain.) This type of Pain Disorder is not diagnosed if criteria are also met for Somatization Disorder.
Specify if:
Acute: duration of less than 6 months
Chronic: duration of 6 months or longer
307.89 Pain Disorder Associated With Both Psychological Factors and a General Medical Condition: both psychological factors and a general medical condition are judged to have important roles in the onset, severity, exacerbation, or maintenance of the pain. The associated general medical condition or anatomical site of the pain (see below) is coded on Axis III.
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 and is included here to facilitate differential diagnosis.
Pain Disorder Associated With a General Medical Condition: a general medical condition has a major role in the onset, severity, exacerbation, or maintenance of the pain. (If psychological factors are present, they are not judged to have a major role in the onset, severity, exacerbation, or maintenance of the pain.) The diagnostic code for the pain is selected based on the associated general medical condition if one has been established or on the anatomical location of the pain if the underlying general medical condition is not yet clearly established--for example, low back (724.2), sciatic (724.3), pelvic (625.9), headache (784.0), facial (784.0), chest (786.50), joint (719.4), bone (733.90), abdominal (789.0), breast (611.71), renal (788.0), ear (388.70), eye (379.91), throat (784.1), tooth (525.9), and urinary (788.0).
Based on the Diagnostic & Statistical Manual of Mental Disorders, 4th edition APA
| Topic | AN INTRODUCTION TO DISSOCIATION / AUTOMATIC WRITING / COMPOUND SUGGESTIONS / CONFUSION TECHNIQUES / COVERING ALL POSSIBILITIES OF RESPONSE / HYPNODONTICS / INTRODUCTION TO ERICKSONIAN HYPNOSIS / NOT KNOWING AND NOT DOING / OPEN-ENDED SUGGESTIONS / PANIC ATTACKS AND PANIC DISORDER / PATTERN BREAKING INDUCTIONS / PSEUDO-ORIENTATION IN TIME / THE INTERSPERSAL TECHNIQUE / THE USE OF METAPHOR / THE USE OF QUESTIONS / THE USE OF THE NEGATIVE / THE YES SET / TIME DISTORTION / TRUISMS AND TRUISMS UTILISING TIME |
| Reference | Battino R and South TL (2005) Ericksonian Approaches Crown House Publishing Ltd |
| Topic | ANOREXIA NERVOSA / BINGE EATING / BULIMIA NERVOSA / DEPRESSION / NOCTURNAL ENURESIS / OBSESSIVE COMPULSIVE DISORDER / PANIC ATTACKS AND PANIC DISORDER / PSYCHOSEXUAL DISORDERS |
| Reference | The American Psychiatric Association (2000) DSM-IV-TR: Diagnostic and Statistical Manual of Mental Disorders The American Psychiatric Association |
| Topic | FEAR |
| Reference | Der DF. Lewington P. () Rational self-directed hypnotherapy: a treatment for panic attacks.: American Journal of Clinical Hypnosis 1990;32(3):160-7 |
| Topic | HYPNOSIS TRIALS 1976 - 1998 |
| Reference | Papp LA. Welkowitz LA. Martinez JM. Klein DF. Browne S. Gorman JM. Instructional set does not alter outcome of respiratory challenges in panic disorde |
| Topic | HYPNOSIS TRIALS 1976 - 1998 |
| Reference | Van Dyck R. Spinhoven P. Depersonalization and derealization during panic and hypnosis in low and highly hypnotizable agoraphobics. International Jour |
| Topic | HYPNOSIS TRIALS 1976 - 1998 |
| Reference | Van Dyck R. Spinhoven P. Does preference for type of treatment matter? A study of exposure in vivo with or without hypnosis in the treatment of panic |
| Topic | PANIC ATTACKS AND PANIC DISORDER |
| Reference | Andrews G, Creamer, M, Crino R, Hunt C, Lampe L and Page A (2002) The Treatment of Anxiety Disorders Cambridge University Press |
| Topic | PANIC ATTACKS AND PANIC DISORDER |
| Reference | Yapko M (1989) Brief Therapy Approaches to Treating Anxiety and Depression Brunner-Mazel |
| Topic | PHOBIAS |
| Reference | Prior M () Ericksonian hypnosis in the treatment of clients with examination panic: Hypnos 1990 May;17(2):97-105 |
| Topic | PHOBIAS |
| Reference | van Dyck R, Spinhoven P () Depersonalization and derealization during panic and hypnosis in low and highly hypnotizable agoraphobics: Int J Clin Exp H |
The online Diagnostic & Statistical Manual of Mental Disorders lists most of the major psychological disorders and illnesses and lists the criteria that must be fulfilled in order for a diagnosis to be made. This resource is not a substitute for proper professional psychiatric diagnosis.
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Last Updated 09 October 2024 ()
