exam ii: ch17 - somatic symptom disorder Flashcards

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1
Q

the expression of psychological stress thru physical symptoms

A

somatization

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2
Q

what s/s do children usually experience with somatic symptom disorders

A

abd pain, HA, fatigue, nausea

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3
Q

meds for this disorder? what tx necessary

A

none - no FDA approved meds; pts need CBT

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4
Q

what should the focus be on for somatic symptom disorder pts

A

focus on coping and LESS on complaints

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5
Q

what is needed before a dx of any somatic symptom disorder

A

cleared and negative of ALL medical aspects

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6
Q

somatic disorder;
- predominant in women 16-25
- s/s triggered by biological/outside cues
- s/s need to be persistent for 6+ months
- pain is real but too obsessed with it
- s/s: chest pain, fatigue, HA, back pain, abd pain, numbness

A

somatic symptom disorder

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7
Q

somatic disorder;
- misinterpretation of physical sensation
- preoccupied with having illness for at least 6 months
- pain not usually present for very minor, but pt believes it is massive
- care seeing OR care avoidant

A

illness anxiety disorder (hypochondriasis)

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8
Q

how long does preoccupation take to be dx with illness anxiety disorder

A

at least 6 months

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9
Q

somatic disorder;
- functional neurological symptom disorder without actual neuro distress
- no actual injury, but neurologically chooses to have injury if it can serve benefit
- la belle indifference
- s/s: paralysis, blindness, gait disorder, paresthesias, loss of senses

A

conversion disorder

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10
Q

“i don’t care” vibe; pt plays ignorance to mental illness if it serves benefit

A

la belle indifference

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11
Q

somatic disorder;
- artificially, deliberately, and dramatically fabricate s/s or self inflict injury
- goal: assuming sick role (factitious) for SECONDARY GAIN (malingering)
- manipulate, lie, falsify

A

factitious (munchausen syndrome)

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12
Q

what are the 7 key elements for effective tx

A
  1. cont of care without implying s/s are real
  2. avoid unnecessary procedures
  3. freq brief/reg visits
  4. physical exam
  5. avoid disparaging comment (derogatory)
  6. focus on COPING
  7. set reasonable therapeutic goals
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