Axis I Disorders Flashcards
3 types of dissociative disorders?
Dissociative identity disorder, depersonalization disorder, dissociative fugue
What increases the risk of developing dissociative identity disorder (multiple personality disorder)?
History of sexual abuse
What is a persistent feeling of detachment from oneself or environment?
Depersonalization disorder
An abrupt change in geographic location with inability to recall past, confusion about personal identity, or assumption of new identity?
Dissociative fugue–assoc with traumatic circumstances
Pt consciously fakes/claims to have a disorder to attain a specific secondary gain (avoid work, obtaining drugs)?
Malingering
Pt consciously creates physical/psychological sxs in order to assume sick role and get primary gain (medical attention)?
Factitious disorder
Who avoids medical personnel?
Malingering (not factitious)
Example of factitious disorder?
Munchausen’s
What is Munchausen’s?
Chronic factitious disorder with predominantly physical sxs (multiple hospital visits)
Unconsciously driven physical sxs with no identifiable cause?
Somatoform disorder
What is a variety of complaints in multiple systems over a period of years?
Somatization disorder
What organ systems are involved in somatization disorder?
4 pain, 2 GI, 1 sexual, 1 pseudoneurologic
What age does somatization disorder occur?
<30 years old
What is conversion disorder?
Motor/sensory sxs (paralysis, seizures, blindness, mutism) often following an acute stressor
Do pts with conversion disorder aware of their sxs?
Yes, but indifferent
Hypochondriasis?
Preoccupation with/fear of having a serious illness despite medical evaluation
Preoccupation with minor/imagined defect in appearance?
Body dismorphic disorder–seek cosmetic surgery
Pain disorder?
Prolonged pain with no physical findings
Excessive dieting +/- purging?
Anorexia nervosa
Binge eating +/- purging?
Bulimia nervosa
<85% below ideal body weight?
Anorexia
Body weight maintained within normal range?
Bulimia
Who self-induces vomiting or uses laxatives, diuretics?
Bulimia (bulimia barfs)
Russell’s sign?
Dorsal hand calluses from induced vomiting
Who exercises a lot due to intense fear of gaining weight?
Anorexia
Assoc with electolyte disturbances and alkalosis?
Bulimia
Assoc with decreased bone density, metatarsal stress fractures, amenorrhea and anemia?
Anorexia
Assoc with parotitis?
Bulimia
