Somatization Disorder Calculator

Timothy C. Hain, MD•Most recent update: November 19, 2023

See also:•PPPD calculator

This structured questionnaire is taken from the DSM-IV manual. It asks whether an individual has symptoms that are required for the diagnosis of somatization disorder, as published in the DSM-IV manual. The diagnosis of somatization disorder is sometimes considered as a "functional" source of unsteadiness, as is PPPD. This calculator checks for the DSM-IV criteria for 300.81, which they call "Somatization disorder, not otherwise specified".

There are also related criteria in DSM-IV for 300.11 (conversion disorder), 307.## (Pain disorder), 300.7 (Hypochondriasis), and Body Dysmorphic disorder. These are not implemented here.

Disclaimer: This page is not a substitute for medical care, and by itself, it does not establish a diagnosis. It is not written for or appropriate for use in legal endeavors. Answers to questions are not stored. The content does not reflect the opinions of Dr. Hain, but is taken from the DSM-IV manual.

Please answer the questions below, and then click "evaluate".

SYMPTOM CHECKLISTS

A. Check off your symptoms You can check off none or more than one of these.

A history of many physical complaints beginning before age 30 years
Symptoms occur over a period of several years
Symptoms result in treatment being sought
Symptoms result in significant impairment in social, occupational, or other important areas of functioning.

B1. Pain symptoms: Again, you can check none or more than one of these.

head
abdomen
back
joints
extremities
chest
rectum
during sexual intercourse
during urination

B2. Gastrointestinal symptoms. Again, you can check none or more than one of these

nausea
bloating
vomiting other than during pregnancy
diarrhea
intolerance of several different foods

B3. Sexual symptoms: Again, you can check none or more than one of these.

sexual indifference
erectile or ejaculatory dysfunction
irregular menses
excessive menstrual bleeding
vomiting throughout pregnancy

B4. Neurological symptoms. Again, you can check none or more than one of these.

impaired coordination or balance
paralysis, or localized weakness
difficulty swallowing or lump in throat
aphonia
urinary retention
hallucinations
loss of touch or pain sensation
double vision
blindness
deafness
seizures
dissociative symptoms such as amnesia
loss of consciousness other than fainting

Click to score

In addition to meeting the criteria above, which are listed as items A-B, there are two additional diagnostic criteria, which are judged by your health care provider:

C. Either (1) or (2)

1. after appropriate investigation, each of the symptoms in Criterion B cannot be fully explained by a known general medical condition or the direct effects of a substance (e.g., a drug of abuse, a medication)
2. when there is a related general medical condition, the physical complaints or resulting social or occupational impairment are in excess of what would be expected from the history, physical examination, or laboratory findings

D. The symptoms are not intentionally produced or feigned (as in Factitious Disorder or Malingering).

References:

• Diagnostic and Statistical Manual of Mental Disorders : DSM-IV. Washington, DC :American Psychiatric Association, 1994.