Ch. 8 Somatic symptoms and psychophysiological Disorders Flashcards
Malingering Disorder
Intentionally faking illness for external gain (ex. money)
Factitious Disorder
intentionally faking illness for internal Gain (ex. attention from a medical professional or institution)
Munchausen Syndrome
A more extreme form of factitious disorder occurs when patient repeatedly travel from one hospital to another reciting their symptoms in order to get admission or treatment
Munchausen by proxy
parents induce symptoms onto their children to receive attention from a medical institution
Conversion Disorder
A sudden, dramatic, short-term, impairment of neurological/sensory function with no organic issue.
An alteration of physical functioning (ex. blindness and paralysis)
When do Conversion disorders occur?
Begin in childhood to young adulthood. Women 2x more likely than men to be diagnosed. During periods of stress
Treatment for Conversion disorders
if cause is known with exposure and response prevention (ERP). Otherwise suggestion, insight, reinforcement (SIR) or SSRI’s if low energy
Two types of Somatic Disorders
Somatization Disorder (Briquet’s Syndrome) and Predominant Pain Disorder
What is common of Somatic Disorders symptoms?
Appear to be physical/medical but are actually due to psychosocial factors that are long-term
Somatization Disorder (Briquet’s Syndrome)
Pain at four sites in the body with overall pain
two gastrointestinal problems
one sexual symptoms
one neurological
Pt’s of Somatization Disorder (Briquet’s Syndrome)
Are anxious or depressed and go from doctor to doctor, describe symptoms dramatically. 2% of women have it, few men runs in families and starts in adolescence or early adulthood
Predominant Pain Disorder (PPD)
Pain develops after painful accident or during illness. Pain in any area of the body that does not respond to medical intervention
Pain persist for 6 months in one area then travels
Psychological factors play a role in the onset severity/continuation of pain
More women than men report it
Treatments for Somatic Disorders
SIR
suggestions: hypnosis
insight: connecting the symptoms with the stressor
Reinforcement: reinforce healthy habits and change their rewards
SSRI’s if client is low energy
Illness Anxiety Disorder
Clients fearfully and unrealistically interpret normal functioning as a serious illness. PT’s go from doctor to doctor over many years and are not assured by negative test
Demographics of Illness Anxiety Disorder
Starts in early adulthood between 1-5% of PT exhibit the disorder
equally common in Men and Women
