06b_Somatic Symptom and Related Disorders

Question 1

Somatic Symptom Disorder:

Essential feature

Answer 1

1+ somatic symptoms that cause significant distress and disruption

Excessive thoughts/feelings/behaviors related to symptoms

Question 2

Somatic Symptom Disorder:

Characteristic symptoms

Answer 2

Disproportionate thoughts about the seriousness of symptoms

High Anxiety about one’s health or symptoms

Excessive time and energy devoted to health concerns or symptoms

Question 3

Somatic Symptom Disorder:

Diagnostic criteria

Answer 3

1+ characteristic symptom

6+ months

*Any one symptom may not be continuously present

Question 4

Somatic Symptom Disorder:

Specifier

Answer 4

“Predominant pain”

Question 5

Illness Anxiety Disorder:

Overview

Answer 5

**Absence of somatic symptoms
(or presence of mild somatic symptoms)

Preoccupation with having a serious illness

Excessive health-related behaviors or Maladaptive avoidance of healthcare

Question 6

Illness Anxiety Disorder:

Duration criteria

Answer 6

6+ months

*Specific illness of concern may change over time

Question 7

Conversion disorder:

Symptom characteristics

Answer 7

Disturbances in voluntary motor or sensory function

Suggests serious neurological / other medical condition

Incompatibility between symptom and neurological condition

Question 8

Conversion disorder:

Examples of symptoms

Answer 8

Paralysis

Seizures

Blindness

Loss of pain sensation

Question 9

Conversion disorder:

Specifiers

Answer 9

With weakness or paralysis

With abnormal movement

With anesthesia or sensory loss

Presence/absence of a psychological stressor

Question 10

Conversion disorder:

Alternate name of disorder

Answer 10

Functional Neurological Symptom Disorder

Question 11

Factitious Disorder:

Two types

Answer 11

Imposed on Self

Imposed on Another

Question 12

Factitious Disorder:

Self-report

Answer 12

Falsified physical /psychological symptoms

Deception of etiology

E.g. falsified depression after lying about the death of a spouse

Question 13

Factitious Disorder:

Self presentation

Answer 13

Present as being ill or impaired

Question 14

Factitious Disorder:

Behavior

Answer 14

Engage in deceptive behavior

**Even in the absence of an obvious external reward for doing so

Question 15

Factitious Disorder:

Four types of deceptive behavior

Answer 15

Feigning

Exaggeration

Simulation

Induction
e.g. ingestion of substance; self injury

Question 16

Factitious Disorder:

Main distinguishing feature from Malingering

Answer 16

Malingering is motivated by obtaining an external reward

Malingering is associated with ASPD

Question 17

Factitious Disorder:

Treatment Considerations

Answer 17

Individuals usually only attend therapy at family urging, or court-order

No effective treatment

Common factors = best way to manage symptoms