Exam 2 - Somatic Symptom and Dissociative Disorders Flashcards
What are somatic symptom disorders? Do patients have any control over their symptoms?
involve chronic physical symptoms and complaints, but contain no evidence of physical pathology
- patients have no control over their symptoms
In somatic symptom disorders, bodily symptoms cause significant ___________ distress and ___________. Patients have no ______ over their symptoms.
psychological, impairment, control
Individuals with somatic symptoms disorder have a high level of ______ about health symptoms.
anxiety
What are some causes of somatic symptom disorder?
- prior experiences with illness
- negative affect (pessimism)
- absorption (absorbed with own experience)
- alexithymia (difficulty ID your feelings)
What are the treatments for somatic symptom disorder?
- cognitive behavioral treatment
- medical management (SSRIs and antidepressants)
Illness anxiety disorder, how long must symptoms occur?
high anxiety about having or developing a serious illness; occurs for at least 6 months
Are there any somatic symptoms in illness anxiety disorder?
no, or mild if any
What is the treatment for illness anxiety disorder?
- cognitive behavioral treatment
Conversion disorder (functional neurological symptom disorder)
neurological symptoms in the absence of a neurological diagnosis (ex: falling off your bike, and not being able to use your arm, but your arm isn’t injured)
What are the three main symptoms of conversion disorder?
- sensory symptoms or deficits (sensation in parts of the body are different/gone)
- motor symptoms or deficits
- seizures
Symptoms of conversion disorder can usually be removed by:
hypnosis or narcosis
What are the other treatments for conversion disorder?
- behavioral therapy
- cognitive-behavioral therapy
- hypnosis
Factitious disorder
person intentionally produces psychological or physical symptoms on purpose
What is the goal of factitious disorder?
to obtain and maintain benefits of playing the “sick role”, want attention and sympathy
Munchausen by proxy
Factitious disorder imposed on another - purposefully making someone else sick
Malingering
motivated by external incentives (to get a check or get out of school, etc.)
What are dissociative disorders?
disruption in normally integrated functions like consciousness, memory, identity, perception, and motor control
Depersonalization
temporary loss of oneself or reality - detached feeling from themselves (some say they can see their body floating above themselves)
Derealization
temporary loss of the reality of the world - detached feeling from reality (outside looking in)
Dissociative amnesia
limited to a failure to recall previously stored personal information (like forgetting your name)
What does dissociative amnesia often follow?
high stress
Dissociative fugue
identity loss, and the assumption of new identity
Dissociative identity disorder (DID)
disruption of identity characterized by two or more distinct/different identities or personality states
What will patients with dissociative identity disorder report?
recurrent episodes of amnesia
