Somatoform symptom disorders
Patients can present as new patients seeking diagnoses that other physicians "could not figure out," and it is not uncommon for these patients to seek consultations with multiple medical specialists. The patients may convey significant distress; explanation that an adequate evaluation has been performed is not always accepted and satisfying. There is a significant comorbidity with anxiety and affective disorders. When severe, hypochondriasis and body dysmorphic disorder can take on delusional qualities. These tend to be lifelong disorders with waxing and waning severity. A consistent, supportive doctor-patient relationship is essential for therapeutic effect.
F45.21 – Hypochondriasis
F45.9 – Somatoform disorder, unspecified
31297008 – Somatoform disorder