USMLE ALGORITHMS: PSYCH-Somatoform DIsorders

Topics covered include:
-somatization disorder
-conversion disorder
-hypochondriasis
-pain disorder
-body dysmorphic disorder
-factitious disorder
-malingering

Written and narrated by a USMLE Expert. Watch out for the book USMLE ALGORITHMS Step 3 coming out this spring including the most essential cases algorithms and CCS hits needed for success on the clinical portions of the USMLE

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[josephmedman]

WOW GUYS..IM SORRY to offend many of you. I think I will remove this algorithm this week and update it. This is just how I was taught. I am faaaar from an expert in psychiatry or psychology. I just thought it would be an easy way to remember for those who are taking USMLE ONLY. I even have a disclaimer on my front page saying these are for USMLE Prep only. So guys, if you guys are NOT preparing for the USMLE, please watch this video at your own risk.

[Bluebottle83]

The World  Health Organisation has classified fibromyalgia as a physical illness, a soft tissue disorder, since the 1990s.

[josephmedman]

@Bluebottle83

I agree..However the etiology remains depression in most instances which is why anti depressants remain the 1st line drug of choice. However some new medications are coming out that were formerly anti seizure medications such as pregabalin which are being used. I would like to reiterate what is written on my board that this is JUST for USMLE board exams. I am in no way an expert in Psychiatry or even close.

[oreganooilz]

Watch this video and become the new Mengele. This is Nazi science. Just shows how fake psychology and psychiatry are. This is not medicine and it is not science.

How can you build "rapport" when you so disdain the patient and are actually lying to them when you pretend to treat them for an illness that does not exist...somataform illness is a figment of the imaginations of psches that are themselves malingerers, trying to concoct jobs out of imaginary illnesses.

[josephmedman]

this is for USMLE!!! UNITED STATES MEDICAL LICENSING EXAMS!. As I stated in my wall, please do not use this for any type of standard of care. These are just facts that physicians need to know to become licensed. I am not a psychiatrist, nor do I claim to even be close to an expert in psychiatrist. If you have any factual evidence that disproves anything I have written then I am open to discussion.

[WildaisyFLA]

This is scary. 4 complaints without medical explanation = somatoform disorder. Psychotherapy is the treatment of choice. It's just too bad when the patient actually has a deadly retrovirus, such as XMRV, which is causing the patient to be ill, rather than "false illness beliefs."

[BONABOOTS]

So, not long ago, MS would have been classed as a somataform disorder. A few decades earlier, diabetes, tuberculosis, any not yet understood physical illness would have been classed by your philosophy as a somataform disorder. Yeah right.

[sizzlefairy]

This is awesome! I am so happy I found this, totally subscribing to your channel! I'm a psych major and this totally helps me prepare for my tests. Thank you!

[nzosteo1]

Yeah, yeah...There are numerous Napoleons, M Jacksons, B Clintons institutionalised by doctors who don't believe they are real somehow. Let them go, mongrels, for the sake of all of us, genuine sufferes doctors know nothing of course. Let the patients run psychiatric hospitals!!! Thanks a lot, josephmedman, keep up good work.

[nzosteo1]

Yeah, yeah...There are numerous Napoleons, M Jacksons, B Clintons institutionalised by doctors who don't believe they are real somehow. Let them go, mongrels, for the sake of all of us, genuine sufferes doctors know nothing of course. Let the patients run psychiatric hospitals!!!

[munam87]

@josephmedman great videos. jus a minor point--first aid says that malingering is secondary gain (ie to get out of work), your video says primary gain, which may cause confusion.

[TruthBeyond]

@josephmedman News flash pal, the burden of proof is on you since you are the one making the claim(s). Oh but of course you're just here to relay exam information, you take no responsibility if this information is inaccurate in real life situations.

Who cares if we instil poor scientific methodology into the next generation...

[SYMDS7]

Excellent algorithm

[bodycrying]

I have fibromyalgia cfs/me somatization/conversion disorder HOW in the heck can you expect people to understand a PSYCHOLOGICAL disorder when there are so many changes in the bodily systems especially INFLAMMATION. and "la belle indifference" What a flipping generalisation. Doctors, researching and writers should stop generalising.

[Bluebottle83]

@josephmedman

It is just another physical illness, like myalgic encepahomyelitis, that has been hijacked by the psychiatric profession although there is an ever growing amount of research proving they are not psychiatric conditions. A newly discovered gamma retrovirus is being found in both fibromyalgia and ME patients, but that isn't stopping psychiatrists, from using the conditions as there milch cow regardless of the incredible harm they are doing .

[Bluebottle83]

You say the etiology of fibromyalgia remains depression. There is no scientific evidence of this. It is far more likely that long term pain and disability (alongside being treated the appalling way you describe in your video by doctors who have been misinformed that it is somehow a psychological illness) are causing secondary depression in some patients.