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Medically unexplained physical symptoms
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===Classification and alternative names === The following disorders and medical terms are also regarded as '''medically unexplained symptoms"'' and classified only as purely [[:Category:mental disorders|psychiatric disorders]], despite their physical symptoms: *[[Somatoform disorder]]s *[[Somatic symptom disorder]] (in the DSM-5 psychiatric manual) *[[Conversion disorder]] (in the [[ICD-10]] and DSM-5), also known as [[Functional movement disorder|Functional Neurological Symptom Disorder]] (in the DSM-5 psychiatric classification), or sometimes Functional Neurological Disorder (FND) *[[Functional somatic syndrome|Functional Somatic Symptoms]] (FSS) *[[Bodily distress disorder|Bodily Distress Disorder]] (BDD) (in the ICD-11) *Bodily Distress Syndrome (BDS), a term championed by [[Per Fink]], which is different from Bodily Distress Disorder and includes patients with ME/CFS<ref name="Desai2018" /><ref name="Wolfe2013" /><ref name="DXRevWatch-BDD2">https://dxrevisionwatch.com/category/bodily-distress-disorder-2/</ref ><ref name="ICD-11-BDD" /> ====Medically explained physical symptoms and MUPS==== Some patients diagnosed with MUS or MUPS have a diagnosis of a physical illness recognized by the [[World Health Organization]]'s [[ICD-10]] classification, or the newer [[ICD-11]] classification that fully explains the physical symptoms; this is because a clinician believes the physical symptoms are disproportionately "distressing to the individual", and the patient has "excessive attention directed toward the symptoms", which does not reduce with reassurances from medical professionals, causing the related psychiatric disorder.<ref name="ICD-11-BDD">https://icd.who.int/dev11/l-m/en#/http://id.who.int/icd/entity/767044268</ref><ref name="DXRevWatch-BDD2" /> Concerns have been raised about the [[ICD-11]]'s Bodily Distress Disorder, a psychiatric disorders chapter potentially being used for patients with [[ME/CFS]], either before a diagnosis has been reached or after diagnosis.<ref name="ICD-11-BDD" /> Consulting many different doctors is a behavior described that may be caused by BDD,<ref name="ICD-11-BDD" /> and the clinician's perception of the severity of the physical symptoms often does not match medical test results in patients with ME/CFS. As a result of significant advocacy work, including proposals by [[Suzy Chapman]], [[postviral fatigue syndrome]], [[chronic fatigue syndrome]], and [[myalgic encephalomyelitis|benign myalgic encephalomyelitis]] have recently been added as exclusions from Bodily Distress Disorder.<ref name="ICD-11-BDD" /><ref name="DXRevWatch-BDD2" /> ====Country-specific variations of the ICD==== The [[World Health Organization]]'s ICD-10 manual has been adapted by several countries with permission to do so, these adapted versions include: *ICD-10-CM used in the [[United States]] *ICD-10-CA used in Canada *ICD-10-GM used in Germany *ICD-10-AM adapted by Australia and also used in Ireland In some cases, an illness classified as physical by the World Health Organization's ICD-10 is classified psychiatric in an adapted version.<ref name="ChapmanDimmock2018">{{Cite web|url=https://dxrevisionwatch.files.wordpress.com/2018/07/comparison-of-classification-and-terminology-systems-v-3.pdf | title=Comparison of Classification and Terminology Systems | authorlink = | first = Suzy | last = Chapman | first2 = Mary | last2 = Dimmock | authorlink2 = Mary Dimmock | date = Jul 2018}}</ref> Country-specific variations of the ICD-11 have not been finalized yet.
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