Each of the following criteria must be met. Individual symptoms may occur at any time during the course of disturbance.
1.
Four pain symptoms: pain related to at least four different sites or functions (e.g., head, abdomen, back, joints, extremities, chest, rectum; during menstruation, sexual intercourse, or urination) 2.
Two gastrointestinal symptoms: at least two gastrointestinal symptoms other than pain (e.g., nausea, bloating, vomiting, diarrhea, or intolerance of several foods) 3.
One sexual symptom: at least one sexual or reproductive symptom other than pain (e.g., sexual indifference, erectile or ejaculatory dysfunction, irregular menses, excessive menstrual bleeding, vomiting throughout pregnancy) 4.
One pseudoneurologic symptom: at least one symptom or deficit suggesting a neurologic condition not limited to pain (conversion symptoms such as impaired coordination or balance, paralysis or localized weakness, difficulty swallowing or lump in throat, aphonia, urinary retention, hallucinations, loss of touch or pain sensation, double vision, blindness, deafness, seizures; dissociative symptoms such as amnesia; or loss of consciousness other than fainting) 1.
After appropriate investigation, each of the symptoms is not fully explained by a known general medical condition or the direct effects of a substance (e.g., drug, medication).
2.
When there is a related general medical condition, the physical complaints, social or occupational impairment are in excess of what is expected from the history, physical examination, or laboratory findings.
A. One or more physical complaints (e.g., fatigue, loss of appetite, gastrointestinal complaints)
B. Either (1) or (2) 1.
After appropriate investigation, the symptoms cannot be fully explained by a known general medical condition or the direct effects of a substance (e.g., drug or medication).
2.
When there is a related general medical condition, the physical complaints, social, or occupational impairment is in excess of what is expected from the history, physical examination, or laboratory findings.
C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D. At least 6 months of disturbance
E. The disturbance is not better accounted for by another mental disorder (e.g., another somatoform disorder, sexual dysfunction, mood disorder, anxiety disorder, sleep disorder, or psychotic disorder).
F. The symptom is not intentionally produced or feigned (factitious disorder, malingering).
Symptoms are often self-limited but may be associated with chronic sequelae, such as contractures or iatrogenic injury.
Falling out syndrome (falling down with altered consciousness) is common in several cultures throughout the world, including the United States. Stocking glove (nonanatomic) anesthesia is another common finding. Symptoms are
A. One or more symptoms affect voluntary motor or sensory function, suggesting a neurologic or other general medical condition.
B. Psychological factors are judged to be associated with the symptom or deficit because the initiation or exacerbation is preceded by conflicts or other stressors.
C. The symptom is not intentionally produced or feigned (factitious disorder, malingering).
D. After appropriate investigation, the symptom cannot be fully explained by a general medical condition, by the direct effects of a substance, or as a culturally sanctioned behavior or experience.
E. The symptom causes clinically significant distress or impairment in social, occupational, or other function or warrants medical evaluation.
F. The symptom is not limited to pain or sexual dysfunction, does not occur exclusively during the course of somatization disorder, and is not better accounted for by another mental disorder.
often inconsistent; patients may move a paralyzed extremity when they think that no one is watching.