כרטיסיות Flashcards
9 y girl with somatic symptoms , father suffering from PTSD
- DD of somatic symptoms in children
- Discussion of different somatic symptoms in children - normal state and pathology
Structure
1. Introduction - Definition ‘ high prevalence - 50 % of school aged children have somatic symptoms in last 2 weeks Reccurrent symptoms 11 % girls and 5 % boys ( 12- 16 y)
Starts after 4 y - frequency by age :
5-9 y Stomachache
11- 13 y Headache and extremities + 10 % Chestpain
adilescent - HA + fatigue
most frequent underlying psychiatric issues - Anxiety / Depression
Mention : primary and secondary gain
2. DD
components of assesment - BPSM
Diagnoses to consider : Somatic Symptoms Disorder, Illness anxiety disorder, Functional Neurological Symptoms disorder Psychological factors affecting other medical condition
Factitious dis.
Other anxiety disorders
3. Discussion - case formulation according to BPS Model , Epidemiology, Functional assesment’ - Normal vs disorder , general assemnt required for DD , most frequent - first to check ( anxiety and depression )
