Psychosomatic medicine

• A disturbance of body functioning (usually neurological) that does not conform to current concepts of the anatomy and physiology of the central or the peripheral nervous system.
• It typically occurs in a setting of stress and produces considerable dysfunction.
• Involuntary movements, tics, seizures, abnormal gait, paralysis, weakness etc.

Preoccupation with the fear of developing a serious disease or the belief that one has a serious disease.

• Preoccupation with the fear of developing a serious disease or the belief that one has a serious disease.
• The fear is based on the patient's interpretation of physical signs or sensations as evidence of disease even though the physician's physical examination does not support the diagnosis of any physical disorder.
• However, the belief does not have the certainty of delusional intensity.

Preoccupation with pain is consuming and to some extent disabling.

• Preoccupation with pain is consuming and to some extent disabling.
• That is, pain becomes the predominant focus of the clinical presentation and the pain itself causes clinically significant distress or impairment and the patient's life becomes organized around the pain.
• Psychological factors are judged to play a role in this disorder.

Preoccupation with an imagined defect in appearance. If a slight physical anomaly is present, the person's concern is markedly excessive.

• Preoccupation with an imagined defect in appearance. If a slight physical anomaly is present, the person's concern is markedly excessive.
• The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.