Functional disorders Flashcards
functional disorder with muscles aches
fibromyalgia
function disorder with tiredness, lack of concentration, poor sleep
chronic fatigue syndrome
seizures with no abnormal EEG activity
functional disorder
non epileptic attack disorder
low mood, constipation, anxiety, abdo pain, sexual dysfunction
irritable bowel syndrome (IBS)
functional disorder definition
medically unexplained symptoms
all test results come back negative
dissociation in functional disorders definition
detachment from reality
depersonalization in functional disorders definition
feeling that your body doesn’t belong to you
derealization in functional disorders definition
feeling that you are disconnected to the world around you, ‘spaced out’
are the symptoms real or imagined in functional disorders
real symptoms! just unexplained
what questions are important if you suspect functional disorder
psych PMH
mood disorders
malingering definition
may present like functional disorder (symptoms with no medical explanation) but are feigning illness for secondary gain (eg benefits)
hoovers sign
when sitting lift one leg and place hand under other = will feel it contract to compensate
= proof of functional disorder as true weakness leg wouldn’t contract
treatment of functional disorders
reassure them theyre fine, validate why (normal investigations)
remove blame from them = not their fault
willingness to change
CBT
tricyclics (amitriptyline) - if depression, anxiety, pain
hypochondriasis definition
health anxiety - always think theres something wrong with them but no symptoms
difference between factitious disorder and malingering
there is no motivation in facticious disorder
both just making up symptoms
