Chapter 6 Flashcards

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1
Q

Where are somatic disorders seen?

A

In-patient hospitals, not out patient

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2
Q

What is a somatic disorder?

A

physical/bodily symptoms explained by medical condition, or stress explained through a physical condition

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3
Q

What is CSSD?

A

Complex somatic symptom disorder, where there is physical symptoms but no actual physiological problem, not under conscious control

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4
Q

What are the symptoms of CSSD?

A

Excessive stress over symptoms accompanied with high levels of health-related anxiety, 6+ months.

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5
Q

What is CSSD with somatization disorder?

A

chronic symptoms usually varied and are varied and vague across the body

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6
Q

What is CSSD with Pain?

A

sever pain that lingeries

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7
Q

What is Illness Anxiety Disorder?

A

Person with extreme fear that they have a disease, but have no physical disease

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8
Q

What are the symptoms of IAD?

A

Read medical manuals, doctor visits, WEBMED visits frequently, do not believe that they are unreasonable

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9
Q

What is functional neurological symptoms disorder?

A

Physical problems in sensory and motor functions, conversion disorder, people think they are sick than feel the feelings
Symptoms: disturbances of stance/gait (motor, blindness, loss of voice, motor tics, dizziness (sensory), psychogenic seizures

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10
Q

Factitious disorder

A

deliberately saying they feel sick

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11
Q

What is the biology for these disorders?

A

modest geentic factor

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12
Q

What is psychological?

A

could be a defense mechanism, unconscious, if you are ill you have less responsiblities

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13
Q

What is the sociocultural for soamtic?

A

sexual abuse, family life, parent modeling, culture differences

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14
Q

What is the biological treatment for Somatic?

A

SSRI, increased physical activity for conversion disorder

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15
Q

What is the psychological treatment for Somatic?

A

correcting cognitive distortion, showing empathy, coping skills, better social relationships, interoceptive exposure, CBT

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16
Q

What is CBT?

A

employ relaxation training, fix maladaptive thinking, help client become aware of alternative hypotheses about their perceived illnesses, change the reinforcement schedule

17
Q

What is dissociative disorder?

A

disturbances in memory, identity, and consciousness, bad ways for dealing with stress

18
Q

What is Dissociative Amnesia?

A

partial or total loss of important information of yourself, not from physical trauma but from a traumatic event, recovery abrupt/complete
Retain skills
Localized Amnesia: May not remember specific events
Dissociative fugue amnesia: confusion over/loss of personal identity; partial/complete assumption of new identity; “traveling amnesia”

19
Q

Depersonalization/derealization disorder

A

Feeling unreal or detached from reality, most common, diagnosis is only given when impaired life, knowing they are not normal, a form of psychological escape

20
Q

What is Dissociative identity disorder?

A

2+identity in a person, not drug-induced, often a host with two other identities, cause may be abuse usually sexual, Usual types: good vs bad, one for anger or sadness, one for school or work

21
Q

Post Traumatic Model

A
  1. extreme childhood abuse or trauma
  2. high capacity to dissociate
  3. ability to mentally compartimlize
  4. different memory systems to help with trauma
22
Q

Socio-cognition Model

A

learned avoidance behavior reinforced by the environment
-goal-directed behavior reinforced by the environment
-patient learned about DID from movies or culture
-therapist asks them leading questions
-avoid responsibility and gain rewards
-may adopt multiple personalities so that they can avoid responsibility

23
Q

What is the biology etiology for DID?

A

variations of brain activity when dealing with different personalities

24
Q

What is the psychology etiology for DID?

A

may try to cope with trauma by regression, but regression not complete forming multiple personalities, may add on for future stress

25
Q

What is treatment for DID?

A

Supportive counseling, hypnotherapy, personality reconstruction (psychoanalysis), medications used to treat accompanying anxiety/depression

26
Q

What is the treatment for Dissociative Amnesia?

A

stress management techniques, antidepressants or CBT,
usually remits

27
Q

What is the treatment for Depersonalization?

A

calming the feelings down with either medications or CBT

28
Q

What is the treatment for Post traumatic DID?

A

Try to work through memories may be diifcult because it activates their traumatic reactions, attempt to integrate personalities
Hypnosis for memory retrieval
develop alternate coping techniques

29
Q

Etiology for DID and Somatic?

A

strong psychogenic origins, self-reports or patients
faking symptoms
hard to observe symptoms