The symptom initiation or exacerbation is preceded by psychological conflicts or stresses 3. The symptom, after appropriate investigation, cannot be fully explained by a general medical condition, substance, or culturally sanctioned experience. The symptom causes significant distress or impairment and is not feigned. The symptom is not limited to pain or sexual dysfunction and does not occur only in the course of somatization disorder. One-third have concurrent neurological illness 2.
Symptoms are inconsistent with exams d.
May resemble patients own symptoms, ex. pseudoseizures in epileptic e. Rarely cause physical disability f. More common following extreme stress 3. Biological factors 4. Increased in rural, low socioeconomic, developing regions 3.