Reference
Guide | Reference

77  Somatic Symptom Burden Prototype

77.1 Summary

  • A pattern of multiple or persistent bodily symptoms with high distress and functional impact.

77.2 Prototype Features

  • Ongoing pain, fatigue, or multisystem symptoms.
  • High symptom-related distress or preoccupation.
  • Functional impairment and healthcare use.

77.3 Threshold Guidance

  • Use when symptom burden is persistent and impairing after evaluation.

77.4 Expected Domain Profile

  • Somatic Distress and Interoception: moderate to high.
  • Anxiety and Threat Sensitivity: variable.

77.5 Time-Course and Trajectory

  • Chronic with episodic flares.

77.6 Differential and Red Flags

  • Medical conditions with clear etiology.
  • Substance or medication effects.
  • Trauma-related somatic hyperarousal.

77.7 Specifiers (treatment-relevant, non-prescriptive)

  • Course/time pattern (chronic, fluctuating).
  • Contributors (medical comorbidity, sleep disruption).
  • Risk modifiers (functional decline, care avoidance).

77.8 Measurement Prompts

  • Brief somatic symptom measure.
  • Pain or fatigue tracking.

77.10 Documentation Snippet (1-2 lines)

  • “High somatic symptom burden with chronic pain and fatigue; Somatic 3; chronic course with flares.”