First Aid: Somatic and factitious Flashcards
Malingering
conscious feigning of symptoms in order to avoid jail, court, or obtain housing or compensation
Somatic disorder
complains of at least 1 complaint
- frequently seek treatment
- 6month
a difference between somatic and conversion
somatic: express concern over condition
conversion: abrupt onset of neurological problems, but not infrequently appear unconcerned
how do you manage somatic disorder
schedule visits with a single primary care doctor
Conversion disorder
one symptom of motor or sensory deficits
- symptom incompatible with medical condition
- patient is calm and unconcerned (la belle indifference)
treatment for conversion
CBT
illness anxiety disorder
preoccupation with having or acquiring a serious illness
- high level of anxiety
- 6 months present
an example of psychological factors affecting medical condition
not taking insulin to be skinny
Facitious disorder
intentionally falsifying medical symptoms
- absence of external reward
low 5-HIAAA concentration has shown what behavior
impulsivity
treatment for intermittent explosive disorder
SSRi, anticonvulsants, lithium
CBT
kleptomania
failure to resist uncontrollable urges to steal objects that are not needed for personal use or monetary value
many kleptomania patients also suffer from
buliemia nervosa
you have a higher risk of kleptomania if this runs in your family
OCD and substance abuse
treatment for Kleptomania
CBT and SSRI
restricting type of anorexia
decrease eating
binge-eating/purging anorexia
eating then purging
difference between anorexia and bulimia
bulimia has normal BMI
abnormal lab value for someone throwing up
hypokalemic alkalosis
appetite difference in anorexia and MDD
anorexia: good appetite
MDD: poor appetite
what medication is not used in anorexia
SSRI
refeeding syndrome
- fluid retention
- decrease ions
what hormone is increased in anorexia
cortisol
what ion is increased in bulimia
bicarb to compensate
first line medication for bulimia
SSRI: fluxoetine
what treatment should be avoided in bulimia
bupropion
how often must binge occur in binge eating disorder
once a week for 3 months
treatment for binge eating disorder
Stimulants
topiramte and zonisimide
Orlistat
