CHAPTER 17 Flashcards
Factitious Disorders
Know there isn’t anything wrong with them but imposes on another. Has a secondary gain.
Sometimes b/c of providing maslow needs
What is malingering
Milking an illness with secondary benefits
Illness Anxiety Disorder
Misinterpretation of physical sensations
May be care-seeking or care-avoidant
Preoccupation with having or acquiring serious illness for at least 6 months
usually happens after major life stressor. loneliness associated w/ illness anxiety
Somatic Symptom Disorder
Without significant physical findings and medical diagnosis
Suffering is authentic
High level of functional impairment
Conversion Disorder
Neurological symptoms in the absence of a neurological diagnosis
paralysis, blindness, movement and gait disorders, numbness
“La belle indifférence”
more common in females
could have bio basis
transforms anxiety into physical symptom symbolically related to conflict
Psychological Factors Affecting Medical Condition
Depression
Cardiovascular diseases and cancer
Stress
Six Key Elements for Effective Treatment
Provide continuity of care.
Avoid unnecessary procedures.
Provide frequent, brief, and regular visits.
Always conduct a physical exam.
Avoid disparaging comments.
Set reasonable therapeutic goals.
Factitious Disorder
compulsed to fabricate symptoms/self inflict injury
Malingering
exaggerating symptoms for secondary gain such as insurance fraud, prescription medication, avoidance of prison or military service
