20. Somatic Disorders

Question 1

pt becomes blind at times without organic cause, diagnosis?

Answer 1

conversion disorder/functional neurological symptom disorder

Question 2

pt has believed for last 12 months they have cancer but no signs of cancer, with extreme pain diagnosis?

Answer 2

somatic symptom disorder (somatic symptom for >6 months, pain and multiple symptoms)

Question 3

in conversion disorder, hw should peers act when symptoms occur?

Answer 3

peers should ignore the pt

Question 4

pt is convinced theyve had cancer for 12 months but there are no symptoms and no signs, diagnosis?

Answer 4

illness anxiety disorder

Question 5

time required w symptoms for somatic symptom disorders?

Answer 5

6 months

Question 6

df malingering?

Answer 6

faking illness for secondary gain (not going to war)

Question 7

df factitious disorder?

Answer 7

faking illness for primary gain (sick sympathy) and they know they dont have it

Question 8

dscb other specified somatic symptoms and related disorders

Answer 8

somatic disorder that does not meet time requirement (ie not for 6 months)

Question 9

dscb unspecified somatic symptom and related disorders

Answer 9

disorders involve somatic symptoms but do not meet critera

Question 10

best approach for treating conversion disorder?

Answer 10

let pt know they have disorder and tx psychiatric condition