final-somatic symptom/dissociative

Question 1

difference between DSM4 somatoform and DSM 5 somatic symptom

Answer 1

4- looks like a physical symptom but there is not medical diagnosis

5- more focus on the stress and changed how the diagnosis iare organized

Question 2

illness anxiety disorder, conversion disorder, factitious disorder

Answer 2

ilness anxiety- worry excessively you will become ill

conversion- neurological symptoms that can’t be explained

factitious- acting sick to get attention

Question 3

clinical description of somatic symptom disorder and how long

Answer 3

-need a physical symptom that is effecting them

excessive

• thinking about how the symptom is affecting them
• going to different health professional

6 months

Question 4

somatic symptom- prevalence, gender, onset, comorbidity

Answer 4

• 5%
• more common in women
• can occur at any age
• higher rates of anxiety/depression

Question 5

illness anxiety disorder clinical description

Answer 5

• preoccupation w serious disease( may think they have cancer)
• goes from doc to doc trying to support their theory
• causes a lot of anxiety about health
• 6months

Question 6

prevalence, gender, onset of illness anxiety disorder

Answer 6

5%
gender is equal
onset early to mid adulthood

Question 7

treatment for somatic symptom and illness anxiety disorders

Answer 7

• modify:help them challenge their idea that the physical symptom is linked to some disease
• Evoke senstations: bring on some sensations and show them ways to cope with it

Question 8

conversion disorder clinical description

Answer 8

• people are converting psychological symptoms into physical symptoms (not explained by medical conditions)
• ex seizures or convulsions

Question 9

prevalence, onset, gender difference of conversation

Answer 9

rare <1%
2-3x more common in women
onset usually after trauma

Question 10

malingering (la belle) and factitious disorder (oneself/ others)

Answer 10

malingering- faking symptoms for financial or legal gain
with conversion they talk about it in a more matter of fact way (la belle)
-factitious- do it for secondary gain like getting out go school

Question 11

eitiology and treatment of conversion disorder

Answer 11

eitology

• trauma (little to no evidence for genetics)
• some neurophysiological evidence

treatment
-adress traumatic event

Question 12

possitive/ negative dissociate symptoms

Answer 12

pos- depersonalization, derealization, fragmentation of identity

neg- memory loss

Question 13

how many people reported a dissociate disorder

Answer 13

90% reported a dissociate disorder

Question 14

depersonalization/ derealization disorder

Answer 14

• recurrent depersonalization and recurrent derealization

- impairment of functioning/sig. distress

Question 15

dissociative amnesia clinical description

Answer 15

person is unable to recall important personal info (usually of traumatic or stressful nature)

-can be selective, beyond a short period etc

Question 16

dissociate fugue

Answer 16

-memory loss plus go to another location and assume new identity

Question 17

dissociate identity disorder description

Answer 17

-person identity is dissociated- at least 2 personalities

Question 18

dissociate identity disorder prevalence/ onset/gender/comorbidity

Answer 18

uncommon
females>males
onset in childhood( linked to extreme abuse)
-comorbidity with PTSD

Question 19

3 phases of treatment of dissociative identity disorder

Answer 19

long term psychotherapy

1. saftey
2. trauma
3. integration of personaities