Functional Disorders Flashcards

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1
Q

what are functional symptoms

A

symptoms that cannot be associated with identifiable organic disease process

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2
Q

what are some common functional symptoms

A
Pain 
Altered sensation 
Dizziness 
Movement disorders 
Weakness
Seizures
Cognitive symptoms
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3
Q

what is dissociation

A

detachment from reality

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4
Q

what is depersonalisation

A

feeling that your body doesn’t quite belong to you or it disconnected from you

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5
Q

what is derealisation

A

feeling you are disconnected from the world around you - spaced out

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6
Q

who is most likely to respond to treatment for a functional disorder

A

Having the view that things may be amenable to change
Time to presentation
Hopelessness, despair and entrapment = poor predictors

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7
Q

how should you take a history of someone with a functional disorder

A
Take time over history - make them feel listened to 
Get clear timescale 
Ask about disability 
Ask about dissociation (dizzy, faint) 
Ask about other medical experiences 
Illness beliefs? 
PMH 
Previous functional symptoms 
Psychiatric history and mood at the end
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8
Q

what to look for in examination of functional disorders

A

elicit functional signs - later explain them to the patient

inconsistent findings are common - use them to ur benefit

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9
Q

what factors make up the formulation for functional disorders

A
thoughts 
mood 
social factors 
physiology 
behaviour
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10
Q

important things to include in the formulation for the patient

A
Include normalisation 
Include validation of symptoms 
Include concept of reversibility 
Remove blame 
BUT remind that it will take some effort to get better
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11
Q

treatment for functional disorders

A
Formulation 
Treat the treatable - comorbid psych illness 
CBT 
Tricyclic antidepressants 
Breathing retraining
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