Somatic & Functional
Somatic & Functional
≥1 somatic symptom that is distressing or results in significant disruption of daily life
Preoccupation with having or acquiring a serious illness
B. Excessive thoughts, feelings, or behaviours related to the somatic symptoms or associated health concerns: ≥1 of: disproportionate/persistent thoughts about symptom seriousness; persistently high health anxiety; excessive time/energy devoted to symptoms/health concerns C. Somatic state may or may not coexist with diagnosed medical condition; must be persistently symptomatic (≥6 months, though any one symptom need not be continuously present)
B. Somatic symptoms are absent or, if present, only mild in intensity; if medical condition present or at high risk, concern is clearly excessive or disproportionate C. High anxiety about health; easily alarmed about personal health status D. Excessive health-related behaviours (repeated body checking/seeking reassurance/medical appointments) or maladaptive avoidance (avoiding doctors)
A. ≥1 somatic symptom that is distressing or results in significant disruption of daily life B. Excessive thoughts, feelings, or behaviours related to the somatic symptoms or associated health concerns: ≥1 of: disproportionate/persistent thoughts about symptom seriousness; persistently high health anxiety; excessive time/energy devoted to symptoms/health concerns C. Somatic state may or may not coexist with diagnosed medical condition; must be persistently symptomatic (≥6 months, though any one symptom need not be continuously present)
A. Preoccupation with having or acquiring a serious illness B. Somatic symptoms are absent or, if present, only mild in intensity; if medical condition present or at high risk, concern is clearly excessive or disproportionate C. High anxiety about health; easily alarmed about personal health status
With predominant pain (previously pain disorder); Persistent; Mild; Moderate
Care-seeking type; Care-avoidant type
Illness anxiety disorder (minimal or no somatic symptoms; anxiety focuses on having disease); Functional neurological symptom disorder (neurological symptoms incompatible with known neurology); MDD or anxiety disorder (somatic symptoms as part of mood/anxiety; may coexist)
Somatic symptom disorder (prominent somatic symptoms; B criteria relate to those symptoms); GAD (worry across multiple domains; not exclusively health); OCD (health obsessions may overlap; ego-dystonic intrusions vs health focus)