Exam 2, Part 4

Question 1

Somatoform disorders are

Answer 1

Patients with unexplained physical complaints

Common in primary care settings

Question 2

Somatoform disorders are caused by

Answer 2

THE MIND, but symptoms are reflected in the body

Question 3

Somatic means what from Greek

Answer 3

Body

Question 4

Illness anxiety disorder is aka

Answer 4

Hypochondriasis

Question 5

Somatic symptom disorder is

Answer 5

Psychological distress in the form of physical symptoms

Question 6

What are the 4 mechanisms of somatization that is hyposthesized

Answer 6

Neurobiological

Psychodynamic

Behavioral

Sociocultural

Question 7

Many somatization patients also suffer from

Answer 7

Depression and anxiety up to 75% of visits in US and UK

Question 8

What is a common complaint from a somatization patient

Answer 8

Fatigue, dizziness, headache, abdominal or extremity pain

Question 9

Clues a patient has somatization

Answer 9

Thick chart syndrome

Vague, confusing, or bizarre symptoms

Resistance to psychological inquiry

Nonspecific dizziness, fatigue, or insomnia

Physicians HEARTSINK response

Question 10

Conversion disorder aka conversion hysteria

Answer 10

Patient has psychological disorder with a wide range of neurological symptoms that cant be explained

Question 11

Fictitious disorders is

Answer 11

Fake symptoms or disorders, bc patient has an internal need to maintain a sick role

Extreme= Munchausens syndrome

Question 12

Malingering vs. fictitious disorders

Answer 12

Malingering want sick time, insurance payments etc.

Factitious have internal motivation bc need attention from others

Question 13

Treatment for somatic symptom and related disorders

Answer 13

Meds- SSRI’s

CBT, hypnotherapy, interpersonal therapy

Question 14

Best way to manage a somatoform syndrome patient

Answer 14

doctor patient relationship