- [Narrator] We know that medical conditions
often result in physical symptoms.
We also realize that mental disorders,
disorders affecting the mind, such as depression,
schizophrenia, anxiety disorders,
they can result in psychological symptoms.
We should also realize that medical conditions
can in fact, also manifest in psychological symptoms.
Whether we look at autoimmune conditions
or we look at cardiovascular disease or diabetes,
people with those conditions can get
symptoms of depression, symptoms of anxiety,
and even full blown psychiatric/mental disorders,
so we should also bear that in mind.
By the very same token,
Mental disorders can also manifest in physical symptoms.
Part of that could be, for example,
depression can manifest in disturbances of sleep,
but I want you to really concentrate on this,
because for some mental disorders,
this becomes a really big deal
and manifests in a really big way as physical symptoms
either directly leading to physical symptoms
or exacerbating physical symptoms
that may already be occurring from medical conditions
and may already be present.
I'm going to talk about a couple of those now.
The first one I want to talk about
is something called Somatic Symptom Disorder,
and I actually want to compare that to another disorder
called Conversion Disorder.
Now when I say somatic, what I'm actually referring to
is physical symptoms,
so if we go back to our boxes up here,
when I said "physical symptoms,"
when we talk about how mental disorders manifest,
this is just another word for somatic,
and somatic is another word for physical.
You can think of this as Physical Symptom Disorder
in some ways.
The first thing I want to do
is to talk about what kind of symptoms can arise,
and in Somatic Symptom Disorder, we can have any symptom.
It could be something very, very specific like wrist pain,
or it could be something much more generalized
like a general feeling of fatigue.
It could be any symptom whatsoever.
Now contrast this to what we have in Conversion Disorder,
because in Conversion Disorder,
we're actually looking for something
that's very neurological.
Think about it as a problem with speech, with swallowing,
with seizures, or even with paralysis,
anything whatsoever that could be a neurological symptom
that looks like, I should say, a neurological symptom.
Now the second point I'm going to say,
when we think about Somatic Symptom Disorder,
we may or may not be able to explain what we see
these symptoms with medical tests.
What this means is that they may or may not be
related to a medical condition.
Conversion Disorder on the other hand,
is very, very different.
The neurological symptoms that we see
are incompatible with any known neurological
or medical condition.
We simply cannot explain them
based on our tests or clinical exam.
What makes Somatic Symptom Disorder a mental disorder?
Well, when we say "disorder," we're looking at
some functional impairment.
This condition stops people from doing things
that they like to do.
It stops them from say, going to school,
enjoying life, and how does it do that?
It does that in a variety of ways.
These individuals, when they have these symptoms,
really get stressed out.
They really get worried,
and they get worried very, very excessively.
They can have really extreme levels of anxiety,
and they can spend a lot of time and energy
worrying and thinking about their symptoms.
All of these things are to a totally excessive level.
Excess, totally excessive level,
and it's really impairing for them,
the level of worry, anxiety,
and the amount of time and resources they spend
worrying about these, stressing about these symptoms.
Now when we look at Conversion Disorder,
we have these neurological symptoms that cannot be explained
by our understanding of medicine or neurology,
but it's something that we sometimes can see,
not always, but sometimes can see
when we talk to these individuals
and we try and understand them
is that they sometimes have a level of psychological stress
or traumatic event that's happened to them,
and the stressor or trauma can actually be resulting
in this manifestation of these neurologic symptoms.
Finally, there's another condition I want to touch base on,
and that condition is called Factitious Disorder.
Now in this disorder, the patient wants to be "sick,"
and they will falsify or deceive
their physical signs and symptoms
in order to get a diagnosis and treatment.
They may injure themselves.
They may falsify tests.
You may have heard of this as Munchhausen's
or even Munchhausen's by proxy.
Munchhausen's by proxy is a Factitious Disorder
of another individual.
One person is actually trying
to make another person look ill,
so that there's medical attention, investigation, treatment
provided for another individual.
What's notable about Factitious Disorder
is that people aren't doing this for money,
and people are doing this very specifically
to be in this "sick" role.