A 41 year old woman presented with a history of aches and pains all over the body and generalized weakness for four years. She cannot sleep because of the illness and has lost her appetite as well. She has lack of interest in work and doesn't like to meet friends and relatives. She denies feelings of sadness. Her most likely diagnosis is:
B i.e. Major depression For ruling outFor diagnosing Major depression* Somatization disorder, look for 4 pain, 2 gastrointestinal, 2A. essential criteriasexual & 1 pseudoneurological symptomsQ1. Depressed/Low mood* Dissociative disorder, look for2. Loss of interest or pleasureQ- Dissociative amnesia for stressful events of life (M.C.)B of the following for same 2 weeks- Wandering away from home with assumption of purposeful new identity1.,/t appetite or weightQ& complete amnesia for earlier life with absence of awareness of2. 411' sleepQamnesia (Fugue)3. 1/1.' psychomotor activityQ (not meeting- Multiple personality disorderfriends)- Trans/Possession disorder (control of person by spirit/bhoot)4. Concentration- Vorheirden or approximate answers (Ganser syndromeQ)5. Energy (Feeling of fatigue, weakness)Q* Somatoform Pain disorder, look for pain in one or more sites6. Feeling of wohlessness or guilt<2(more definite pain ex headache, pelvic pain)Q is predominantsymptom which is not intentionally produced and has strongassociation with psychological factors in onset, severity,exacerbation, or maintenance of painQ7. Suicidal thoughts
Somatoform pain disorder
Major depression
Somatization disorder
Dissociative