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Specific Culture, Age, and Gender Features There may be differences in how various ethnic and cultural groups respond to painful stimuli and how they express their reactions to pain. However, because there is so much individual variation, these factors are
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Differential Diagnosis Pain symptoms are included in the diagnostic criteria for Somatization Disorder. If the pain associated with psychological factors occurs exclusively during the course of Somatization Disorder, an additional diagnosis of Pain Disorder Associated With Psychological Factors is not
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Recording Procedures The diagnostic code for Pain Disorder is selected based on the subtype described above. The code is 307.80 for Pain Disorder Associated With Psychological Factors. For Pain Disorder Associated With Both Psychological Factors and a General Medical Condition,
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Subtypes and Specifiers Pain Disorder is coded according to the subtype that best characterizes the factors involved in the etiology and maintenance of the pain: 307.80 Pain Disorder Associated With Psychological Factors. This subtype is used when psychological factors are
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Diagnostic criteria for 300.11 Conversion Disorder A. One or more symptoms or deficits affecting voluntary motor or sensory function that suggest a neurological or other general medical condition. B. Psychological factors are judged to be associated with the symptom or
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Diagnostic Features The essential feature of Pain Disorder is pain that is the predominant focus of the clinical presentation and is of sufficient severity to warrant clinical attention (Criterion A). The pain causes significant distress or impairment in social, occupational,
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Differential Diagnosis The major diagnostic concern in evaluating potential conversion symptoms is the exclusion of occult neurological or other general medical conditions and substance (including medication)-induced etiologies. Appropriate evaluation of potential general medical conditions (e.g., multiple sclerosis, myasthenia gravis) should
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Diagnostic Features The essential feature of Undifferentiated Somatoform Disorder is one or more physical complaints (Criterion A) that persist for 6 months or longer (Criterion D). Frequent complaints include chronic fatigue, loss of appetite, or gastrointestinal or genitourinary symptoms. These
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Diagnostic Features The essential feature of Conversion Disorder is the presence of symptoms or deficits affecting voluntary motor or sensory function that suggest a neurological or other general medical condition (Criterion A). Psychological factors are judged to be associated with
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Subtypes The following subtypes are noted based on the nature of the presenting symptom or deficit: With Motor Symptom or Deficit. This subtype includes such symptoms as impaired coordination or balance, paralysis or localized weakness, difficulty swallowing or “lump in
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Associated Features and Disorders Associated descriptive features and mental disorders. Individuals with conversion symptoms may show la belle indifference (i.e., a relative lack of concern about the nature or implications of the symptom) or may also present in a dramatic
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Specific Culture, Age, and Gender Features Conversion Disorder has been reported to be more common in rural populations, individuals of lower socioeconomic status, and individuals less knowledgeable about medical and psychological concepts. Higher rates of conversion symptoms are reported in
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