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Psych > Dissociative/ Somatic > Flashcards

Dissociative/ Somatic Flashcards

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1
Q

When do dissociative events most often occur?

A

following significant trauma, esp in childhood

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2
Q

What distinguishes dissociative disorders from other neurocognitive disorders?

A

-procedural memory remains intact

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3
Q

What are common comorbidities assc with dissociative disorders?

A
  • MDD
  • PDD/dysthymia
  • increased risk for suicide
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4
Q

How common are dissociative disorders?

A

-6-7% more common in women

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5
Q

Treatment for dissociative disorders?

A
  • removal from traumatic situation

- psychotherapy

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6
Q

What is dissociative fugue now a subtype of?

A

-dissociative amnesia with dissociative fugue

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7
Q

Contrast depersonalization and derealization

A
  • depersonalization: experiences of detachment from ones body (dejavu)
  • derealiztion-detachment from ones surroundings
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8
Q

How common is depersonalization/derealization disorder?

A

-2%; equal in both sexes; MC age 16

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9
Q

Disorders commonly comorbid with depersonalization/derealization?

A
  • anxiety

- MDD

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10
Q

Treatment for depersonalization/derealization disorder

A
  • CBT
  • psychodynamic therapy
  • hypnotherapy
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11
Q

Dissociative Identity Disorder is aka?

A

-multiple personalities disorder

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12
Q

Comorbidities assc with DID

A
  • MDD
  • PTSD
  • suicide
  • eating disorders
  • borderline personality disorder
  • substance use
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13
Q

How common is suicide in DID?

A

Better than (70%) commit suicide!

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14
Q

What sex more commonly experiences DID?

A

women

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15
Q

Treatment for DID

A

psychotherapy
SSRIs for comorbid MDD,PTSD
-Prazosin for nightmares
-Naloxone to prevent self mutilation

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16
Q

What do you call a dissociative disorder with no name that does cause distress?

A

-Other specified dissociative disorder

17
Q

Conversion d/o is aka?

A

Functional neurological symptom disorder

this helps you remember what conversion disorder IS

18
Q

How common is somatic symptom disorder?

A

5-7% population

19
Q

Criteria for somatic symptom disorder?

A
  • one or more somatic complaints
  • significant distress
  • at least 6 months
20
Q

How to handle somatic symptom disorder

A

-regularly scheduled visits with primary care providers who minimize unnecessary medical testing

21
Q

Contrast somatic symptom disorder with conversion disorder

A
  • somatic symptom= patient is severely distressed
  • conversion disorder= patient has SUDDEN onset of NEURO complaint that they are often unconcerned about (blindness, paralysis, anesthesia)
22
Q

What population with conversion disorder is most likely to have a true underlying neuro deficit?

A

-elderly

23
Q

MC population w/ conversion d/o

A
  • women, teens-early adulthood

- comorbid neuro, depressive, anxiety disorders

24
Q

Contrast treatment for somatic symptom and conversion disorder:

A
  • conversion: provide EDUCATION about the illness + CBT +/- PT
  • somatic symptom: patients more distressed, less likely to accept psych treatment, mainly try to minimize testing
25
Q

Illness Anxiety D/O criteria:

A
  • 6 months
  • excessive health related behaviors
  • preoccupation with having/ acquiring a serious illness
26
Q

Illness Anxiety Disorder:

-sex + age

A
  • men= women

- 20-30

27
Q

Treatment for Illness Anxiety

A
  • CBT

- SSRIs for comorbid depression/ anxiety

28
Q

Contrast facticious disorder and malingering

A 
both= conciuous creation of symptoms 
malingering= for external gain
facticious= not for gain
29
Q

Facticious D/O is aka?

A

-Munchhausen (primarily physical complaints)

30
Q

What type of illness is malingering?

A

ITS NOT!

not considered a psychiatric illness

31
Q

Sex in which malingering is more common

A

men

Psych (16 decks)

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