Block 3

Question 1

Somatic Symptom Disorder

Answer 1

Pt has a distressing physical complaint with an excessive response to that distressing physical complaint, 6+ months,

• Focus is not on where there is a medical explanation for the somatic symptoms
• Cognitive-behavioral therapy, medication, address delayed development of emotional intelligence

Question 2

Illness Anxiety Disorder

Answer 2

Pt does NOT have a distressing physical complaint (or mild) but nonetheless worries about one’s health and is preoccupied by this worry
*Cognitive-behavioral therapy, medication, address delayed development of emotional intelligence

Question 3

Conversion Disorder

Answer 3

Incompatibility of the symptom with neurological disease is a key feature of this diagnosis- rule out neurological cause

• Sudden, unconcerned with disability, without recurrence
• Psychotherapy, Hypnosis, medication is NOT approved
• ex. trouble swallowing because friend died
• Many subtypes

Question 4

Factitious Disorder

Answer 4

Primary gain is attention and being in the sick role without external reward, inconsistent history, insistent on treatment

• Munchausen’s Syndrome (imposed on oneself)
• Munchausen’s Syndrome by proxy (imposed on another)
• no specific treatment

Question 5

Malingering

Answer 5

Individual fakes physical or psychological symptoms in self/ others for external rewards (ex. avoiding work)

• Malingering
• Malingering by proxy
• complaint does not continue once reward is given

Question 6

Dissociative Amnesia

Answer 6

Memory loss for autobiographical information not used by another disorder

• Localized: memory loss during circumscribed period of time
• Selective:some recall of memory during circumscribed period of time
• Generalized: loss of memory of entire life up to and including triggering event

Question 7

Dissociative Amnesia with Fugue

Answer 7

Purposeful travel or bewildered wandering (away from home) associated with amnesia for identity or other autobiographical information

• Sudden, brief, rarely recurs, unobtrusive lifestyle during fugue
• If biological: pt have difficulty learning new information in addition to past memory loss
• If psychological: pt learned new information well; only past memory loss

Question 8

Dissociative Identity Disorder (multiple personality disorder)

Answer 8

Disruption of individual identity characterized by 2+ distinct personality states