Dissociative, Somatoform, Impulse Control Disorders Flashcards
At least one inability to recall important personal information, usually involving a traumatic or stressful event. The amnesia cannot be explained by ordinary forgetfulness. Symptoms cause significant distress or impairment in daily functioning and cannot be explained by another disorder. Dx?
Dissociative Amnesia.
Sudden unexpected travel away from home, accompanied by the inability to recall ones identity or one’s past. Confusion about personal identity or assumption of new identity and they never recall the period of fugue. Dx?
Dissociative Fugue.
Presence of two or more distinct identities. At least 2 of the identities recurrently take control of the person’s behavior. Inability to recall personal information of one personality when the other is dominant. Dx?
Dissociative Identity Disorder (multiple personality disorder)
Persistent or recurrent experiences of being detached from ones body or mental processes. Reality testing remains intact during episodes. Causes of social/occupational impairment, and cannot be accounted for by another mental or physical disorder. Dx?
Depersonalization Disorder.
Onset before age 30, At least 2 GI 1 sexual or reproductive , 1 pseudoneurological, not limited to pain. Dx?
Somatization Disorder.
At least 1 neurological symptom that cannot be explained by medical disorder. Onset preceded by psychological stressor. Pts are often calm and unconcerned when describing their symptoms. Dx?
Conversion Disorder.
Preoccupation with fear of having or contracting a serious disease based on misinterpreting bodily symptoms. Persists despite medical evaluation and reassurance. Not of delusional intensity and not restricted to a circumscribed concern about appearance, significant impairment in functioning for at least 6 months.
Hypochondriasis.
Preoccupied with body parts that they perceive as flawed or defective, having strong beliefs that they are unattractive. Dx?
Body Dysmorphic Disorder.
Patients main complaint is pain at one or more anatomic sites, of sufficient severity to warrant clinical attention. The pain causes of significant distress or impairment in the patient’s life. Not intentionally produced. Dx?
Pain Disorder.
Patients intentionally produce signs of physical or mental disorders. They produce symptoms to assume the sick role. No secondary gang. Commonly feigned symptoms: hallucinations, depression, fever, abdominal pain. Dx?
Factitious Disorder.
Feigning of physical or psychological symptoms in order to achieve personal gain ie avoiding police, work, receiving room and board. Dx?
Malingering.
Recurrent outburst of aggression that result in assault against people or property. Outburst and aggression are out of proportion to the triggering event or stressor. Dx?
Intermittent Explosive Disorder.
Inability to resist uncontrollable urges to steal objects that not needed for personal use or monetary reasons. Dx?
Kleptomania.
Recurrent repetitive, intentional pulling out of ones hair causing visible hair loss. Usually involves scalp, though can included eyebrows, eyelashes, and facial and pubic hair. Tension experienced immediately before pulling behavior and pleasure of relief occurs afterwards. Dx?
Trichlotillomania.
At least one episode of deliberate fire setting. Tension and arousal experienced when setting fires and subsequent consequences.
Pyromania.
