Trastorno relacionado con síntomas somáticos no especificado: Presentación de un caso clínico.
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2020-06-10
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Jaén: Universidad de Jaén
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El DSM-5 recoge entre sus categorías diagnósticas los trastornos de síntomas somáticos y trastornos relacionados, sustituyendo así la categoría de trastornos somatoformos del antiguo DSM-IV. Se presenta el caso clínico de un varón de 28 años. Ha sufrido varios desmayos que no han podido ser explicados por ninguna causa médica. Estos desmayos parecen tener como base un nivel elevado de ansiedad retroalimentada por el nivel elevado de autoexigencia. Por las características y la evolución del caso no se puede incluir de forma concisa en ninguna categoría diagnóstica del DSM-5, tratándose de somatizaciones y siendo la forma más precisa de diagnóstico: Trastorno relacionado con síntomas somáticos no especificado. Para la evaluación y decisión del tratamiento se llevaron a cabo dos entrevistas semiestructuradas y varios cuestionarios. Las técnicas elegidas para la intervención son: restructuración cognitiva, terapia de aceptación y compromiso, relajación progresiva de Jacobson, exposición, organización del tiempo y autorregistros.
The DSM-5 includes among its diagnostic categories, somatic symptom and related disorders, replacing somatoform disorders in the former DSM-IV. A clinical case of a 28-year-old man is presented. He suffered several fainting spells which have not been possible to explain by any medical cause. These fainting spells seem to be based on a high level of anxiety fed by the high level of self-demandingness. Due to the characteristics and progress of the case, it cannot be included in a concise manner in any diagnostic category of the DSM-5, considering somatizations and being the most accurate diagnosis: unspecified somatic symptom related disorder. Two semi-structured interviews and several questionnaires were performed in order to evaluate and make a treatment decision. The chosen techniques for the intervention are: cognitive restructuring, acceptance and commitment therapy, Jacobson’s progressive relaxation technique, exposure, time organization and self-recording.
The DSM-5 includes among its diagnostic categories, somatic symptom and related disorders, replacing somatoform disorders in the former DSM-IV. A clinical case of a 28-year-old man is presented. He suffered several fainting spells which have not been possible to explain by any medical cause. These fainting spells seem to be based on a high level of anxiety fed by the high level of self-demandingness. Due to the characteristics and progress of the case, it cannot be included in a concise manner in any diagnostic category of the DSM-5, considering somatizations and being the most accurate diagnosis: unspecified somatic symptom related disorder. Two semi-structured interviews and several questionnaires were performed in order to evaluate and make a treatment decision. The chosen techniques for the intervention are: cognitive restructuring, acceptance and commitment therapy, Jacobson’s progressive relaxation technique, exposure, time organization and self-recording.