Which of the following is a type of somatic symptom and related disorder?

• A. Somatic symptom disorder
• B. Post-traumatic stress disorder
• C. Bipolar I disorder
• D. Obsessive-compulsive disorder

Answer: (A)

This item is about recognizing somatic symptom and related disorders, which center on significant physical symptoms accompanied by excessive thoughts, feelings, or behaviors about those symptoms. The best choice fits that pattern: somatic symptom disorder involves one or more distressing physical symptoms plus disproportionate and persistent thoughts, anxiety, or time and energy devoted to the symptoms. The focus is on how the person responds to the symptoms, not on the symptoms alone.

The other conditions listed are not in this category. Post-traumatic stress disorder is driven by trauma-related symptoms such as intrusive memories and hyperarousal. Bipolar I disorder centers on mood episodes, including mania. Obsessive-compulsive disorder revolves around persistent obsessions and compulsions.