nursing care plan for hypochondriasis

Your provider can diagnose and treat illness anxiety disorder. Using the collected data, you will develop a nursing diagnosiswhich the North American Nursing Diagnosis Association (NANDA) defines as a clinical judgment about the human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group or community. ((NANDA, Glossary of Terms: A nursing diagnosis sets the basis for choosing nursing actions to achieve specific outcomes. The Neurological Institute is a leader in treating and researching the most complex neurological disorders and advancing innovations in neurology. [QxMD MEDLINE Link]. Exercise helps to improve mood, reduce tension, and improve sleep in patients with associated depression, anxiety, or both. 158 0 obj<> endobj Neurosci Lett. They provide a centralized document of the patient's condition, diagnosis, the nursing team's goals for that patient, and measure of the patient's progress. Reassure the patient that evaluation will be ongoing. Is Transmission of Anxiety From Parents to Children Sex-Specific? These are the main reasons to write a care plan: Care plans are structured as a five-step framework: assessment, diagnosis, outcomes and planning, implementation, and evaluation. An outstanding resource for students and practicing nurses, the Ninth Edition of Lippincott's Manual of Psychiatric Nursing Care Plans contains 52 nursing care plans that address the most commonly encountered behaviors in psychiatric-mental health nursing. J Gen Intern Med. Care plans are a way to strategically approach and streamline the nursing process. It appears to men and women equally. You will consider the patients overall condition, along with their diagnosis and other relevant information, as you set goals for them to achieve desired and realistic health outcomes for the short and long term. Be aware of emotional reactions toward the patient (ie, anger, hopelessness, helplessness) and seek frequent informal consultation when possible. Medical-surgical nursing: Concepts for interprofessional collaborative care. 1996 Jan. 40(1):95-104. The following lifestyle changes can be helpful in managing somatoform disorder: Good working relationship with care providers. The following is a nursing assessment guide for heart failure nursing care plans. It typically appears during early adulthood. [QxMD MEDLINE Link]. Because the intensive search for illness cannot be found, they tend to get frustrated and angry. Constantly researching diseases and symptoms. Work-related performance problems or excessive absences. A persistent fear about having a serious illness or developing one is the top symptom of illness anxiety disorder. 1982 Apr. 140(3):273-83. 108(1):E1. BMC Psychiatry. Psychiatry Fast Five Quiz: What Do You Know About Anxiety Disorders? 1992. Medscape Education. [QxMD MEDLINE Link]. Excessive fear about having an illness Becoming obsessive Persists for at least 6 months or more Despite negative medical diagnosis Disease being feared can change DSM-5 Now known as Illness Anxiety Disorder Somatoform/Somatic Symptom Disorder Mental disorder Manifests as physical symptoms of illness Can't be explained Also discuss setting reasonable limits on tests, evaluations and specialist referrals. Using the collected data, you will develop a nursing diagnosiswhich the North American Nursing Diagnosis Association (NANDA) defines as a clinical judgment about the human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group or community. ((NANDA, Glossary of Terms: https://nanda.org/publications-resources/resources/glossary-of-terms/)), A nursing diagnosis sets the basis for choosing nursing actions to achieve specific outcomes. Review the patient's medical history to build an alliance and rule out medical disorders. 2012 Mar-Apr. Encourage the patient to perform relaxation techniques, such as deep breathing exercises, guided imagery, Assess the patients mental status. In the final step of a care plan, the health professional (who can be either a doctor or a nurse) will evaluate whether the desired outcome has been met. 0000024858 00000 n 0000003886 00000 n 107(6):449-56. J Clin Psychiatry. [QxMD MEDLINE Link]. [QxMD MEDLINE Link]. Illness anxiety disorder can harm your relationships and life. 19:67-84. Cognitive therapy also addresses depression and other mental health conditions. Primary care physicians generally treat illness anxiety disorder, with psychiatrists providing consultation. Psychother Psychosom. 0000106549 00000 n Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Sometimes, when they develop a real medical illness, they wont get proper care and effective treatment because of their search of confirmation to their believed condition. Janca A, Isaac M, Bennett LA, Tacchini G. Somatoform disorders in different cultures--a mail questionnaire survey. ((Chiung-Yu Shih et al, The association of sociodemographic factors and needs of haemodialysis patients according to Maslows hierarchy of needs, Journal of Clinical Nursing, July 30, 2018: https://pubmed.ncbi.nlm.nih.gov/29777561/)). [QxMD MEDLINE Link]. 0000269501 00000 n ((M. Barsky AJ, Ahern DK, Bailey ED, Saintfort R, Liu EB, Peekna HM. Nursing Diagnosis: Chronic Pain related to somatoform disorder as evidenced by unremarkable imaging results, verbalization of pain that cannot be explained medically, restlessness. J Consult Clin Psychol. [QxMD MEDLINE Link]. Geriatrics. 0000003263 00000 n 0000005100 00000 n That implies checking in with patients frequently and recording data about how the patient is progressing toward their goals, which will be important in the evaluation stage of the care plan. Exercise increases psychological well-being. Well also outline best practices to keep in mind and provide you with a nursing care plan sample that you can download and print. Illness Anxiety Disorder (formerly Hypochondriasis), encoded search term (Illness Anxiety Disorder (formerly Hypochondriasis)) and Illness Anxiety Disorder (formerly Hypochondriasis), Pediatric Illness Anxiety Disorder (Formerly Hypochondriasis), Psychiatric Disorders Associated With Epilepsy, Fast Five Quiz: Generalized Anxiety Disorder. Treatments include: Unfortunately, there is no known prevention against illness anxiety disorder. J Nerv Ment Dis. Part of it is the I'm paying to be here attitude another is the fear of falling if left alone. People with illness anxiety disorder cant control how they feel. As with the other somatoform disorders, inpatient psychiatric hospitalization for the somatoform disorder itself is rarely necessary. 2010 Nov 26. Symptoms of illness anxiety disorder include: To diagnose illness anxiety disorder, healthcare providers refer to the criteria listed in the American Psychiatric Associations (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM), 5th edition. 1983-1984. Am J Psychiatry. Typically, physicians feel angry, hopeless, and/or helpless because their assessments and interventions are not effective and efforts at reassuring the patient are usually met with resistance and even escalation of physical symptoms. Care plans also provide a means of communication among nurses, their patients, and other healthcare providers to achieve health care outcomes. Hypochondriacal beliefs and attitudes in family practice and psychiatric patients. J Consult Clin Psychol. St. Louis, MO: Elsevier. December 2008. (EHR) for easy access to everyone. Bass C, ed. Somatoform disorders are psychiatric illnesses characterized by the presence of physical symptoms suggesting medical condition that cannot be explained by an actual physical disorder. McManus F, Surawy C, Muse K, Vazquez-Montes M, Williams JM. To help you get started with a care plan writing practice, weve created a printable nursing care plan, which you can use to practice writing all the steps outlined in this article. The first step of writing a care plan requires critical thinking skills and data collection. It also helps in reducing stress and preoccupation with health and physical symptoms. Illness anxiety disorder is a chronic (ongoing) condition. While all nursing programs teach the basics of writing a care plan, your communication, goal setting, and critical thinking skills will be shaped by the program you attend. This is essential in helping them cope up with the disorder better. [QxMD MEDLINE Link]. As a nurse, you will either follow doctors orders for nursing interventions or develop them yourself using evidence-based practice guidelines. in a nursing team. Spend sufficient time on health care maintenance issues such as diet, experience, smoking cessation, and cancer detection. 1999 Sep-Oct. 40(5):387-95. Understand the the fear of having an unknown medical disorder as a form of emotional communication. Disorders of hysterical conversion. 1996 Jan-Feb. 37(1):48-56. Allow for time-limited structured discussions about somatic concerns. Kellner R. Psychotherapeutic strategies in hypochondriasis: a clinical study. 160 0 obj<>stream 1999 Aug. 60(8):554. 1993 May. : CD006520. No. [QxMD MEDLINE Link]. Hypochondriacal Concerns: Management Through Understanding. One difficulty with which physicians struggle is related to countertransference (ie, physicians' own emotional reactions to the patient). Am J Psychiatry. Appointments 866.588.2264 Appointments & Locations Request an Appointment [QxMD MEDLINE Link]. 1996. Earn your advanced nursing degree while keeping your work and life in balance. ((TigerConnect, How to Develop a Nursing Care Plan for Your Hospital: https://tigerconnect.com/blog/how-to-develop-a-nursing-care-plan-for-your-hospital/)), Care plans also need to be easy to share with the relevant stakeholderspatients, doctors, other members of the nursing team, insurance companies, etc. Int J Psychiatry Med. 28(1-4):294-304. For patients, having clear goals to achieve will make them more involved in their treatment and recovery. Common limbic and frontal-striatal disturbances in patients with obsessive compulsive disorder, panic disorder and hypochondriasis. Illness coping strategies and hypochondriacal traits among medical inpatients. Body dysmorphic disorder: clinical features and drug treatment. Provide comfort measures for the patient in terms of temperature of the room, positioning of the bed, provision of pillows. 0000114297 00000 n ((TigerConnect, How to Develop a Nursing Care Plan for Your Hospital: Finally, you will need to update your care plans often with the latest information. [QxMD MEDLINE Link]. Psychol Med. 0000213869 00000 n 2007. a) Hypochondriasis The nurse obtains a psychosocial history from a client who may have psychological factors affecting his medical condition. 39(4):423-42. Glen L Xiong, MD is a member of the following medical societies: AMDA - The Society for Post-Acute and Long-Term Care Medicine, American College of Physicians, American Psychiatric Association, Central California Psychiatric SocietyDisclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: SafelyYou, Blue Cross Blue Shield, Included Health
book co-editor for: Wolter Kluwer, American Psychiatric Publishing Inc. Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug ReferenceDisclosure: Received salary from Medscape for employment. [QxMD MEDLINE Link]. This national network of local crisis centers provides 24/7 free, confidential support to people in suicidal crisis or emotional distress. Subjects handled: Psychiatric, Obstetric, Pediatric and Fundamentals of Nursing. 0000107633 00000 n [78]. 2011 Jun 14. A care plan is your roadmap for effective nursing care, and a collaboration tool that improves the entire healthcare process. Cochrane Database of Systematic Reviews 2007, Issue 4. Antidepressants, such as selective serotonin reuptake inhibitors (SSRIs), may help treat illness anxiety disorder. If you log out, you will be required to enter your username and password the next time you visit. Ravindran AV, da Silva TL, Ravindran LN, Richter MA, Rector NA. van den Heuvel OA, Mataix-Cols D, Zwitser G, Cath DC, van der Werf YD, Groenewegen HJ, et al. [QxMD MEDLINE Link]. Buy on Amazon, Gulanick, M., & Myers, J. L. (2022). 0000003808 00000 n Repeatedly checking for signs of illness, such as taking your. Lipowski ZJ. 0000004276 00000 n Write down everything immediately so you dont forget the details. As a student or recent graduate, including all the information in your care plan will help you solidify your training. Anna Curran. Exaggerating symptoms and their severity (for instance, a. A nursing care plan is not a prescription. Gen Hosp Psychiatry. Behavioral medicine approaches to somatoform disorders. 0000116656 00000 n 0000004354 00000 n 1996 Jan. 34(1):23-31. A primary care physician usually suspects the case and sends the client to a psychiatrist for conformation if the doctor cannot find medical support for the symptoms presented. There are several basic interventions that you need to implement during each shift: pain assessment, changing the resting position, listening, cluster care, preventing falls, and fluid consumption. 0000004509 00000 n Psychopharmacol Bull. 22(1-2):43-8. 0000002872 00000 n : Why does your patient suffer from this? Nursing Care Plan Components. Nursing care plans: Diagnoses, interventions, & outcomes. Basic management principles include the following: Establish a firm therapeutic alliance with the patient Educate the patient regarding the manifestations of hypochondriasis Offer consistent. The major nursing care plan goals for patients with somatoform disorders are: The client will identify the relationship between stress and physical symptoms. 0000117888 00000 n Without the nursing care planning process, quality and . [QxMD MEDLINE Link]. You will consider the patients overall condition, along with their diagnosis and other relevant information, as you set goals for them to achieve desired and realistic health outcomes for the short and long term. You can take steps to keep illness anxiety disorder symptoms in check. Campo JV, Di Lorenzo C, Chiappetta L, et al. For instance, a person is convinced the headaches he or she experiences is caused by a brain tumor or fear the normal sounds of digestion. Arch Intern Med. CMAJ. Her work experiences include Nursing Local Board Examination Reviewer, Clinical Instructor, NC2 Examination Reviewer and Caregiver Lecturer. Symptoms and social adjustment in Jewish depressives. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, Illness Anxiety Disorder (Hypochondria, Hypochondriasis), (https://www.psychiatry.org/patients-families/somatic-symptom-disorder/what-is-somatic-symptom-disorder), (https://adaa.org/learn-from-us/from-the-experts/blog-posts/consumer/health-anxiety-what-it-and-how-beat-it-updated), (https://www.ncbi.nlm.nih.gov/books/NBK554399/), (https://www.merckmanuals.com/home/mental-health-disorders/somatic-symptom-and-related-disorders/illness-anxiety-disorder), (https://www.nhs.uk/conditions/health-anxiety/), Visitation, mask requirements and COVID-19 information, Diagnostic and Statistical Manual of Mental Disorders (DSM), 5th edition. Psychol Med. [QxMD MEDLINE Link]. A revisit to Elisabeth Kbler Ross -Nursing Implications on Loss, Post traumatic Stress Disorder Nursing Intervention, Anorexia Nervosa Nursing Considerations, Depression Nursing Interventions & Nine Clinical Symptoms, Burns Nursing Care and Medical Management, Myocardial Infarction (MI) Nursing Care and Medical Management, Meningitis Nursing Care and Medical Management, Urinary Tract Infection Nursing Care Plan, Preoccupation of having a serious illness, Persistent fear despite medical reassurance, Clinical distress or functional impairment. 0000268920 00000 n A well-written care plan allows nurses to measure the effectiveness of care and to record evidence that the care was given. People with this disorder have a persistent fear that they have a serious or life-threatening illness despite few or no symptoms. 0000004588 00000 n Jones LR, Mabe PA 3rd, Riley WT. Medical management and psychiatric treatment. Psychosomatics. [QxMD MEDLINE Link]. St. Louis, MO: Elsevier. [76, 77] Mindfulness-based cognitive therapy also appears to be effective when added to usual care. Digital health records may help in the assessment process by populating some of this information automatically from previous records. [QxMD MEDLINE Link]. C) Factitious disorders respond much more readily to psychopharmacologic treatment than does somatic symptom disorder. Hiller W, Leibbrand R, Rief W, Fichter MM. The five specific somatoform disorders are: Save my name, email, and website in this browser for the next time I comment. Some people become severely depressed and even suicidal. The advanced, Nurse practitioners and physician assistants are advanced healthcare practitioners with similar responsibilities, such as diagnosing illnesses and prescribing medications. Step 3: Plan Patient Goals and Desired Outcomes. As part of the patients health record, the care plan is used to establish continuity of care. General Nursing Care Plans, Nursing Care Plans, Surgery and Perioperative Care Plans. 310-318. ((TigerConnect, How to Develop a Nursing Care Plan for Your Hospital: https://tigerconnect.com/blog/how-to-develop-a-nursing-care-plan-for-your-hospital/)), Despite the overall general objective, nursing care plans written by students are not the same as those created by registered nurses in clinical settings. 1-13. 0000107215 00000 n Desired Outcome: The patient will verbalize feeling of comfort and reduced perception of pain. If you have considered pursuing an advanced nursing education, you may have wondered, what is an MSN degree? Method for Mastering Nursing Pharmacology, 39 Things Every Nursing Student Needs Before Starting School. Ulcers may form when inflammation damages the lining of the gut . Speckens AE, Spinhoven P, Sloekers PP, Bolk JH, van Hemert AM. A nursing diagnosis is based on Maslows Hierarchy of Needs pyramid ((Saul McLeod, Maslows Hierarchy of Needs, Simply Psychology, Dec. 29, 2020: https://www.simplypsychology.org/maslow.html)) (which identifies and ranks human needs) and helps prioritize treatments. It is helpful to assess what the patient has tried to correct their hearing loss, such as technological devices, surgery, or specialist care, so the nurse does not duplicate interventions. (4):3:323-38. Fallon BA, Harper KM, Landa A, Pavlicova M, Schneier FR, Carson A. Physician Assistant: Key Differences, The DNP Degree: Costs, Requirements, Benefits. [QxMD MEDLINE Link]. The purpose of a nursing care plan is to document the patients needs and wants, as well as the nursing interventions (or implementations) planned to meet these needs. Essentially, it is a plan of action. If theres any identified medical condition, then treatment will be prescribed accordingly. 2009 May. Am J Psychiatry. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. 2002 Nov-Dec. 71(6):326-32. 0000004998 00000 n It helps guide nurses throughout their shift in caring for the patient. Avoidance of alcohol and drugs. Holder-Perkins V, Wise TN, Williams DE. The following are seven (7) nursing care plans (NCP) and nursing diagnoses (NDx) for patients with anxiety and panic disorders: Anxiety Fear Ineffective Coping Powerlessness Social Isolation Self-Care Deficit Deficient Knowledge 1. Substance use can make symptoms worse. [QxMD MEDLINE Link]. [QxMD MEDLINE Link]. It can occur at any time of life, but most often begins in early adulthood. 2002 Jul. But because of illness anxiety disorder, they may feel their condition is more severe than it is. * Role specialties include. The challenges for clinicians include how to distinguish true somatic symptoms from those associated with fear or other psychiatric symptoms. Successful care plans use the fundamental principles of critical thinking, client-centered techniques, goal-oriented strategies, evidence-based practice (EBP) recommendations, and nursing intuition. [QxMD MEDLINE Link]. Nursing care plans are a vital part of the nursing process. We do not endorse non-Cleveland Clinic products or services. 0000004746 00000 n 0000058587 00000 n Hypochondriasis: common presentations and treatment strategies in primary care and specialty settings. Supportive care. [QxMD MEDLINE Link]. Group psychotherapy of somatizing patients. 0000003341 00000 n 2002 Jul-Aug. 43(4):282-9. In general, the data you will collect here is both subjective (e.g., verbal statements) and objective (e.g., height and weight, intake/output). 1-12. 11:99. [QxMD MEDLINE Link]. But if health anxiety affects your ability to enjoy life, you should talk honestly with your healthcare provider. ((TigerConnect, How to Develop a Nursing Care Plan for Your Hospital: https://tigerconnect.com/blog/how-to-develop-a-nursing-care-plan-for-your-hospital/)), Finally, you will need to update your care plans often with the latest information. Int J Psychiatry Med. When no physical cause for their symptoms can be found, clients often become upset and experience even more symptoms, or the symptoms may change. ((Mariam Yazdi, 4 Steps to Writing a Nursing Care Plan, Nurse.org, March 23, 2018: : What does the patient suffer from? 2008 May 10. Buy on Amazon, Silvestri, L. A. 2001 Jul. People with illness anxiety disorder -- also called hypochondria or hypochondriasis -- have an unrealistic fear that they have a serious medical condition or fear that theyre at high risk of becoming ill. Lifestyle changes. Acknowledge the patient's pain and suffering. James A Bourgeois, MD, OD, MPA Chair, Department of Psychiatry, Baylor Scott and White Health, Central Texas Division; Clinical Professor, Department of Medical Education, Texas A&M University Health Science Center College of Medicine The student version is much longer, has a greater level of detail, and is exhaustively thorough. [QxMD MEDLINE Link]. Covering the most common medical-surgical nursing diagnoses and clinical problems, Gulanick & Myers' Nursing Care Plans: Diagnoses, Interventions, and Outcomes, 10th Edition features more than 200 care plans, each reflecting the latest evidence-based guidelines and . 0000117833 00000 n 2011 May 5. 0000003496 00000 n Seeking reassurance from loved ones about your symptoms or health. 54(5):200-1. Vera., Nursing Care Plans (NCP): Ultimate Guide and Database, July 5, 2021: https://nurseslabs.com/nursing-care-plans/)), For example, in the interventions section, a student would write: vital signs recorded every four hours: blood pressure, heart rate, three- or five-lead electrocardiograms, functional oxygen saturation, respiratory rate, and skin temperature, while an experienced registered nurse might just write Q4 vital signs.. 156:379-83. Different healthcare organizations use different formats for the assessment phase. In the final step of a care plan, the health professional (who can be either a. or a nurse) will evaluate whether the desired outcome has been met. However, providing the illness anxiety disorder patient with support and understanding may help reduce severity of the symptoms, and help the patient cope with the disorder. Somatoform disorder, also known as Somatic Symptom Disorder (SSD), is a mental health condition characterized by having significant physical symptoms brought about by psychological or emotional distress. 0000309569 00000 n Inquire about the patient's attempts to correct their hearing loss. You are being redirected to Assess the patient's developmental needs. [QxMD MEDLINE Link]. CNS Drugs. 2000 Jul-Aug. 69(4):205-15. Join NURSING.com to watch the full lesson now. The symptoms related to somatoform disorder may vary and can range from mild to severe. 1981 Jun 4. It is a type of somatoform disorder that affects the person for a long time, with symptoms related to. Even after medical tests show no problems, people with hypochondriasis are still preoccupied with the idea that think theyre seriously sick. Desired Outcome: The patient will be able to cope with her current condition by re-establishing normal ADLs. Desired outcomes are also important when establishing goals in a care plan. Tachycardia is an early sign of heart failure. Mood, cultural, developmental, and environmental factors that influence hypochondriasis. ((Tammy J. Toney-Butler and Jennifer M. Thayer, Nursing Process, StatsPearls, July 10, 2020: : Your goals for the patient must be well-defined and unambiguous. Healthcare providers now use the term illness anxiety disorder. xref Personality disorders in hypochondriasis: prevalence and comparison with two anxiety disorders. Ford CV, Long KD. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjkwOTU1LXRyZWF0bWVudA==. Despite not having any medical reason for the pain, healthcare providers should provide a caring environment to the patient and allow expression of feelings and thoughts about it. 0000107422 00000 n Having medical condition or is recovering from one, High risk of getting a condition due to strong family history, Financial issues due to frequent clinic visits. Psychother Psychosom. It helps reduce symptoms related to anxiety, depression, and. **The Nurse Educator role specialty is not available for the DNP program. A person can be born with increased sensitivity to pain which can then contribute to emotional distress. Vera., Nursing Care Plans (NCP): Ultimate Guide and Database, July 5, 2021: : heart rate 100 bpm, dyspnea, restlessness, guarding behavior., : impaired gas exchange RT collection of mucus in airway., : patient must maintain optimal gas exchange., : assess respiration; encourage breathing and position changes., : respiration will indicate the level of lung involvement, as the patient will adjust their breathing to facilitate gas exchange; these will improve ventilation and allow for chest expansion., : the patient maintained good gas exchange, normal respiratory rate., Wrapping Up: Writing an Effective Nursing Care Plan, For example, one of the benefits of writing care plans is that it will allow you to develop. That implies checking in with patients frequently and recording data about how the patient is progressing toward their goals, which will be important in the evaluation stage of the care plan. In such a case, an illness anxiety disorderdiagnosis may be established in the context of an inpatient admission. After the diagnosis is the planning stage. Assessment: 1. The pharmacotherapy of hypochondriasis. A symptom of somatoform disorder can indicate a particular condition like cancer. Diagnosis [QxMD MEDLINE Link]. Kellner R. Prognosis of treated hypochondriasis. Writing skills are crucially important for nursesyoull need to be as accurate and current as possible in your descriptions. Xiong GL, Bougeois JA, Chang CH, Liu D, Hilty DM. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Nursing Diagnosis: Disturbed Thought Process related to aging asevidenced by disorientation to person, place, and time. If youre considering earning a post-graduate degree in nursing, your main choice will be between a Master of Science in Nursing (MSN) and a Doctor of Nursing Practice (DNP) program. Earn your advanced nursing degree while keeping your work and life in balance. Pathophysiology Somatic Symptom Disorder (SSD), previously known as somatoform disorder, is a mental illness that causes unexplained physical symptoms such as pain that are distressing or disrupt the client's normal functioning. When is hypochondriasis not hypochondriasis? JAMA. 207-34. de Leon J, Bott A, Simpson GM. Smith RC. Clients diagnosed with this illness misinterpret sensations and functions of the body. Hypochondriasis. Ask questions to determine if the patient has suicidal ideations, or possible.