2. Explain psychosomatic illnesses with a focus on Somatic Symptom and Related Disorder as given in DSM 5. 

The latest edition of DSM 5 has moved away from the need to have no medical explanation in order to make the diagnosis of ‘medically unexplained symptoms’ and gain access to appropriate treatment.  The emphasis now is on symptoms that are substantially more severe than expected in association with distress and impairment.  The diagnosis includes conditions with no medical explanation and conditions where there is some underlying pathology but an exaggerated response. 

‘The major diagnosis in this diagnostic class, Somatic Symptom Disorder, emphasises diagnosis made on the basis of positive symptoms and signs (distressing somatic symptoms plus abnormal thoughts, feelings, and behaviours in response to these symptoms) rather than the absence of a medical explanation for somatic symptoms.  A distinctive characteristic of many individuals with somatic symptom disorders is not the somatic symptoms per se, but instead the way they present and interpret them.’(APA, 2013)

A new category has therefore been created under the heading ‘Somatic Symptom and Related Disorders’.    This includes diagnoses of Somatic Symptom Disorder, Illness _____ ________ _______ _________ ____ __________ _______ ________ __________ _________ ____ _________.
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