1) Physical illness in the early stages. It takes time for a disease to manifest its pathognomonic signs. Before this the sufferer may have sub threshold symptoms without any objective evidence. Hence it is mandatory that the patients’ symptoms are treated as real and adequate evaluation is done.
2) Subjective exaggeration of mild discomforts by a person who has excessive traits of anxiety or depression.
3) Anxiety and Depressive disorders
4) Somatoform disorders.
i. Somatization disorder.
ii. Conversion disorder.
iii. Persistent pain disorder.
iv. Hypochondriasis.
v. Factitious disorders
5) Malingering.
Each of these are unique situations. They need diferent skills and approaches. In most situations close collaborationb between the treating doctor and mental health professional is needed for proper evaluation and management.
ഇന്ത്യ
6 months ago
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