Dissociative, Obsessive, and Somatic Disorders Flashcards
dissociation
loss or impaired sense of self
temporary altération in consciousness, memory, personality, behavior or motor function
dissociative identity disorder
presence of >2 distinctive identities or states of personalities that take control of behavior
symptoms of disruption may be self reported or observed by others
dissociative identity disorder
associated with?
MC in women
hx of sexual abuse
also PTSD
depersonalization disorder
persistent feelings of detachment or estrangement from oneself or surrounding environment
during these experiences, reality testing is intact and they symptoms cause distress
dissociative amnesia
inability to recall personal/autobiographical information
MC secondary to sexual abuse, stress or trauma
dissociative fugue
abrupt change in geographic location with loss of identity or inability to recall the past
management of dissociative disorders
psychotherapy
obsessive compulsive disorder (OCD)
anxiety disorder with combo of thoughts/obsessions + behaviors/compulsions
mean age of onset OCD? gender?
typically in 20s
men = women
obsessions
recurrent or persistent thoughts/images
inappropriate, intrusive and unwanted
specifiers of obsessions
- good/fair insight
- poor insight
- absent insight/delusional beliefs
good/fair insight
recognizes OCD beliefs are not true or may not be true
poor insight
thicks OCD beliefs are probably true
absent insight/delusional beliefs
completely convinced that the OCD beliefs are true
compulsions
repetitive behaviors the person feels driven to perform to reduce/prevent stress
compulsions interfere with Time consuming
4 major patterns of OCD
- contamination (compulsion may include cleaning or hand washing)
- pathologic doubt (forgetting to unplug iron)
- symmetry/precision (must arrange objects with precision)
- intrusive obsessive thoughts
management of OCD
- SSRIS (esp. fluoxetine, sertraline, paroxetine)
2. CBT
body dysmorphic disorder
excessive preoccupation that >1 body part is deformed or over exaggeration of minor flaw
causes them to be ashamed or feel self conscious = functional impairment
management of body dysmorphic disorder
- antidepressant
2. psychotherapy
somatic symptom disorder
chronic condition where patient has physical symptoms involving >1 body part but NO PHYSICAL cause
epidemiology of somatic symptom disorder
MC in women, <30
patients previously diagnosed with hypochondriasis
criteria of somatic symptom
one or more vague somatic symptoms that are distressing or causing disruption
> 2 are high likelihood of disorder
“Symptoms Described as Body Laments & Ailments Void a Physical cause”
symptom of somatic symptom disorder
SOB Dysmenorrhea burning in sexual organ lump in throat amnesia vomiting painful extremes
specifiers of somatic symptom disorder
with predominant pain
- disproportionate and persistent thoughts about seriousness of symptoms
0 high anxiety level about symptoms or health - excessive time and energy devoted to symptoms of health concerns
