Concomitant disorders that may influence tx

Question 1

-Affective disorder of mood

Answer 1

depression

Question 2

begins in adolescence or early adulthood

Answer 2

schizophrenia

Question 3

physical symptoms that are unexplained by general or specific medical conditions

Answer 3

conversion disorder

Question 4

chronic illness characterized by recurrent, multiple physical complaints, & a belief that one is ill.

Answer 4

somatization disorder

Question 5

E.g., PTSD

Answer 5

stress and stress reactions

Question 6

two types:

1. factitious - feign physical or psychological symptoms but do so for uncontrolled or unconscious psychological reasons that lead the individual to seek out the role of a sick person.
2. Malingering - deliberate, voluntary feigning of physical or psychological symptoms for consciously motivated purposes
   * malingering = not a mental disorder

Answer 6

volitional disorders

Question 7

primary & secondary types.

primary: exists without any psychiatric disorders or any serious organic disorders.
secondary: associated w/a preexisting organic or psychiatric illness.

Answer 7

depression

Question 8

can be accompanied by mania (excited mood, eurphoria, low frustration tolderance, elevated self-esteem, poor judgement, disorganization, paranoia

Answer 8

depression

Question 9

Active phase: delusions, hallucinations, disorganized or catatonic behaviors, affective flattening & disorganized speech.

Answer 9

schizophrenia

Question 10

physical symptoms without demonstratable organic causes but that suggest a medical or neurological cause and for which there is at least circumstantial evidence of a link between the symptoms and psychological factors or conflicts.

Answer 10

conversion disorder

Question 11

“hysteria or hysterical neurosis”

Answer 11

conversion disorder

Question 12

social isolation and withdrawal; peculiar behavior such as talking to oneself

Answer 12

schizophrenia

Question 13

numerous dramatic complaints involving multiple organs; insist on & recieve tests and treatment but fail to be reassured when told there is no evidence of organic disease.

Answer 13

somatization disorder

Question 14

can play a causal role in some organic diseases

Answer 14

stress and stress reactions

Question 15

associated w/alcoholism and/or drug abuse, history of poor parental relationships, sexual abuse, incest, & rape.

Answer 15

conversion disorder

Question 16

reduced/inappropriate affect, sadness, feeling hopeless and gloomy sometimes w/reduced speech & facial expression, fixed gaze, and reduced eye scanning, stopped posture, and slow movement (“psychomotor retardation”)

Answer 16

depression

Question 17

reduced or inappropriate affect and digressive, vague, overelaborated, or metaphoric speech; odd/bizarre thinking & perceptual experiences

Answer 17

schizophrenia

Question 18

actual loss or alteration of volitional muscle control or sensation that is not consciously motivated.

Answer 18

conversion disorder

Question 19

abrupt onset and sometimes remits rapidly

Answer 19

conversion disorder

Question 20

At risk for drug dependence & complications from unnecessary medications and invasive procedures.

Answer 20

somatization disorder

Question 21

patients are rarely indifferent to their symptoms & tend to be highly demanding & manipulative in their efforts to get help.

Answer 21

somatization disorder

Question 22

conditions leading to this behavior:

• CHI
• Wilson’s disease
• Demyelinating diseases

Answer 22

schizophrenia