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Mental Health Treatment California

Somatic Symptom And Related Disorders Mental Health Treatment Center Orange County California

Somatism is a condition in which mental disturbances are reflected in an individual’s physical (somatic) ailments. Somatic symptom disorders display physical symptoms such as intense pain, excessive fatigue, abnormal nervousness and other such reactions in response to a real or fictitious illness. Although the illness itself may or may not be real, the physical symptoms such as pain are experienced as real pain.

For people with somatic symptom disorder and related disorders, their health concerns and accompanying symptoms become a significant focus of their life causing challenges in their daily functioning. Risk factors for somatic symptom disorder may include anxiety, depression, past trauma, or a strong family history of a disease.

Clinically Reviewed by: Charee Marquez, LMFT

Signs and Symptoms of Somatic Symptom Disorder

  • Pain in varying degrees of severity
  • Weakness and body fatigue
  • Nausea, vomiting, diarrhea, constipation
  • Excessive worrying about pain and other symptoms
  • Fear and nervousness regarding normal physical sensations
  • Unexpectedly severe reactions to normal medical conditions
  • Extremely sensitive to side effects of medications
  • Frequent visits to the doctors for medical evaluations

Types of Somatic Symptoms and Related Disorders

Somatization Disorder

Usually indicated by pain and neurological symptoms such as headache, nervousness and fatigue.

Hypochondriasis

Usually indicated by overreacting to normal body sensations, believe minor symptoms to be symptomatic of serious illnesses.

Body Dysmorphic Disorder

Usually indicated by an uncommon obsession regarding physical appearances such as hair loss, wrinkles, weight gain, and other normal occurrences.

Conversion Disorder

Usually indicated by physical symptoms develop even when there is no other disorders or ailments, such as paralysis, seizures, and other disorders.

Causes of Somatic Symptom and Related Disorders

No specific causes have been identified for the appearance of somatic disorders and other related disorders, however it has been noticed in some cases that they tend to run in families. Other cases have shown complications with nerve signals that are supposed to send signals of pain, pleasure and other sensations. In cases where somatic disorders may be co-occurring with other mental disorders, dual-diagnosis is essential to treat the conditions.

Does Insurance Cover Somatic Symptom Treatment?

Insurance coverage for somatic symptom disorder treatment can vary depending on the individual’s insurance plan, the specific services needed, and the severity of the condition. Somatic symptom disorder is characterized by excessive thoughts, feelings, and behaviors related to physical symptoms.

Here are some considerations regarding insurance coverage for somatic symptom disorder treatment:

  1. Type of Insurance Plan:

    • Different types of insurance plans, such as private insurance, Medicaid, or Medicare, may have varying levels of coverage for somatic symptom disorder treatment.
  2. In-Network vs. Out-of-Network Providers:

    • Insurance plans typically have a network of preferred providers. In-network providers are often covered at a higher rate than out-of-network providers.
  3. Verification of Benefits:

    • It’s important to contact the insurance provider to verify specific coverage details for somatic symptom disorder treatment. This includes checking copayments, deductibles, and any out-of-pocket expenses.
  4. Medical Necessity:

    • Insurance coverage is often tied to the medical necessity of the treatment. A healthcare professional may need to provide documentation demonstrating the necessity of specific treatments or therapies for somatic symptom disorder.
  5. Preauthorization:

    • Some insurance plans may require preauthorization or approval before certain treatments or therapies are covered. Understanding and following the preauthorization process, if required, is essential.
  6. Coverage Limits:

    • Insurance plans may have limits on the number of therapy sessions, the duration of coverage, or the types of treatments covered for somatic symptom disorder.
  7. Parity Laws:

    • Mental Health Parity and Addiction Equity Act (MHPAEA) in the United States may apply to ensure that coverage for mental health conditions, including somatic symptom disorder, is comparable to medical and surgical coverage.
  8. Individual Plan Details:

    • Each insurance plan is unique, and coverage details can vary widely. Understanding the specific terms and conditions of the individual’s insurance plan is crucial.

Individuals seeking treatment for somatic symptom disorder should work closely with mental health professionals and the insurance company to navigate the coverage process. Treatment facilities and healthcare providers often have staff members who can assist in verifying benefits and understanding the insurance coverage available.

Seeking Treatment? We Can Help!

At California Prime Recovery, as an in-network provider we work with most insurance plans, such as:

If you or a loved one are struggling with mental health challenges or substance abuse, reach out to California Prime Recovery today. Our team of compassionate professionals is here to support your journey towards lasting well-being. Give us a call at 866-208-2390

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