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Flashcards in Somatic Symptoms and Related Disorders Deck (86)
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1

What is somatization?

The experiencing and communicating of emotional distress, as physical distress

2

What are the reasons for somatization?

-A physical symptom may be perceived as a necessary ticket of admission to receive care from a clinician
-Emotional disturbance have physical effects on the body

3

What are the characteristics of somatization symptoms? (3)

-Vague
-atypical
-Impairment in functioning is disproportionately high relative actual pathology

4

What is the effect of varying levels of awareness of bodily sensations?

Higher level of awareness usually means seek more care

5

True or false: pts with somatizations disorders often overtly deny that symptoms might relate to psychological factors

True

6

What is the usual medical h/o pts with somatization disorder? (3)

-long h/o vague symptoms
-Complementary medicine use
-Sensivity to medication

7

True or false: patient with somatization disorders are generally more sensitive to the side effects of the drug, but also to the main effect of the drug

False--More sensitive to the side effects, but less sensitive to the actual effect of the drug

8

What are the criteria for somatic symptoms disorder? (3)

-One or more somatic symptoms that are distressing, or result in disruption in daily life
-Excessive thoughts or behaviors related to the symptoms
-Symptoms may vary, but state of being symptomatic persists

9

True or false: psychiatric problems comorbidities are common with somatic symptom disorder

True

10

What are the three signs that a patient may have excessive thoughts or behavior related to somatic symptom disorder?

-Disproportionate and persistent thoughts about symptoms' seriousness
-persistent high levels of anxiety about health or symptoms
-Excessive time and energy devoted to symptoms

11

What are the criteria for illness anxiety disorder (hypochondriasis)? (4)

-Preoccupation with health to the exclusion of everything else
-Somatic symptoms are not present or mild
-High level of anxiety
-Individual performs excessive health-related behaviors

12

What is the major difference between somatic symptom disorder, vs illness anxiety disorder?

IAD do not have a major symptom, or it is mild--it is more a general dis-ease about their health, whereas somatic symptom disorder is much more specific and distressing

13

What is the duration needed to diagnose illness anxiety disorder?

6 months

14

What is conversion disorder? (3 criteria)

-One or more symptoms of altered voluntary motor or sensory function
-Clinical findings show incompatibility between the symptom and recognized neurological or medical conditions
-Significant distress/impairment

15

What is the approach to conversion disorder?

Rather than telling the patient their symptoms are not real, can reassure that there are no serious neurological causes

16

True or false: conversion disorder commonly occurs in individuals who actually have related pathology

True

17

What is factitious disorder?

(Munchausen's syndrome)
-Intentional production of symptoms
-Goal is to assume the sick role

18

How is factitious disorder different from conversion disorder?

Conversion disorder is unconscious etiology, and the patient is not knowingly portraying false symptoms, whereas factitious disorder is conscious

19

Is malingering a psychological disorder?

No--lying for external reward

20

True or false: malingering is uncommon

True

21

What is the goal behind malingering?

To obtain some other desired benefit or outcome, not the sick role itself

22

What is the major issue with telling a patient with somatization disorder etc that their symptoms are all in their head?

-Decreases care seeking
-Further dismisses mental disorders

23

What is the best way to handle pts with somatization disorder? (2)

-Have them followed by one physician, and develop a trusting relationship
-Have regular visits

24

True or false: you should avoid promising a cure with a pt

True

25

What is the drug category of choice for somatic symptom disorders?

-SSRIs/SNRIs
-TCAs

26

Diagnostic and treatment efforts should focus on what part of the H and P with somatic symptom disorder?

Physical exam signs

27

What are the general features of impulse control disorders?

Problem controlling own emotions and actions, in a way that creates problems with others

28

What major personality trait is usually seen in impulse control disorders?

Disinhibition

29

Are impulse disorders usually considered externalizing or internalizing?

Externalizing

30

What is the biological cause of impulse control disorders?

Neurotransmitter dysregulation