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81, the 309 referring to adjustment disorders in general, the 81 to PTSD in particular. There are two useful appendices: Appendix A: a diagnostic tree for differentiating between commonly occurring, related conditions. The areas covered are: • mental disorders due to general medical conditions; • substance-induced disorders; • psychotic disorders; • mood disorders; • anxiety disorders; • somatoform disorders, ie with physical symptoms. Appendix C: a glossary of technical terms in psychiatry. ICD-10 Chapter V: this contains 10 basic blocks of diagnoses, each block divided up into particular disorders.

She struggled visibly but unavailingly to force her fingers onto the keyboard, but the pain and muscle spasm were too severe. It was obvious that she could not possibly do her work and that this was not her fault. The boss was gratifyingly concerned (because he feared an epidemic of RSI). Miss T was removed from keyboard work and given light other duties. She was not unhappy and was not, of course, aware of the mechanism underlying her symptoms. The meaning of symptoms: Miss T’s case illustrates what a particular symptom can mean to the individual.

46 Physical Symptoms from Psychological Causes MUSCULOSKELETAL SYMPTOMS The musculoskeletal system is the largest in the body and is involved in all forms of physical activity from championship tennis to playing a Beethoven piano sonata. It is particularly vulnerable to damage in road traffic and other accidents. The symptoms are: • pain; • stiffness; • limitation of movement. This combination is capable of producing severe disability, and leading to numerous compensation cases. The areas to assess are: • immediate pain and suffering and disability; • psychological effect of the trauma if the accident was alarming; • time off work, especially for sportspersons; • effect on the subject’s leisure activities, eg gardening, DIY, dancing; • possible impairment in sexual activity, affecting relationship; • continuing pain.

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