Concomitant disorders that may influence tx Flashcards
-Affective disorder of mood
depression
begins in adolescence or early adulthood
schizophrenia
physical symptoms that are unexplained by general or specific medical conditions
conversion disorder
chronic illness characterized by recurrent, multiple physical complaints, & a belief that one is ill.
somatization disorder
E.g., PTSD
stress and stress reactions
two types:
- 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.
- Malingering - deliberate, voluntary feigning of physical or psychological symptoms for consciously motivated purposes
* malingering = not a mental disorder
volitional disorders
primary & secondary types.
primary: exists without any psychiatric disorders or any serious organic disorders.
secondary: associated w/a preexisting organic or psychiatric illness.
depression
can be accompanied by mania (excited mood, eurphoria, low frustration tolderance, elevated self-esteem, poor judgement, disorganization, paranoia
depression
Active phase: delusions, hallucinations, disorganized or catatonic behaviors, affective flattening & disorganized speech.
schizophrenia
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.
conversion disorder
“hysteria or hysterical neurosis”
conversion disorder
social isolation and withdrawal; peculiar behavior such as talking to oneself
schizophrenia
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.
somatization disorder
can play a causal role in some organic diseases
stress and stress reactions
associated w/alcoholism and/or drug abuse, history of poor parental relationships, sexual abuse, incest, & rape.
conversion disorder
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”)
depression
reduced or inappropriate affect and digressive, vague, overelaborated, or metaphoric speech; odd/bizarre thinking & perceptual experiences
schizophrenia
actual loss or alteration of volitional muscle control or sensation that is not consciously motivated.
conversion disorder
abrupt onset and sometimes remits rapidly
conversion disorder
At risk for drug dependence & complications from unnecessary medications and invasive procedures.
somatization disorder
patients are rarely indifferent to their symptoms & tend to be highly demanding & manipulative in their efforts to get help.
somatization disorder
conditions leading to this behavior:
- CHI
- Wilson’s disease
- Demyelinating diseases
schizophrenia
