Functional Disorders Flashcards

1
Q

What are functional disorders

A

Medically unexplained symptoms

Present to all specialties esp. neurology

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2
Q

Risk factors for functional disorders

A

Psychological symptoms – mental health problems

Adverse child experiences/trauma

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3
Q

Presentation of mental health disorders

A

Often significant disability

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4
Q

Types of functional disorders

A

Dissociative disorders – separation of consciousness from body

Somatoform disorders – emotional symptoms converted into physical symptoms

  • Unconsciously done, unconscious reasons
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5
Q

Differentials for functional disorders

A

Factitious disorders e.g. Munchausen’s – consciously faking symptoms for personal gain e.g. sympathy (may or may not be aware)

  • Consciously done for unconscious reasons

Malingering – faking illness purely for personal gain e.g. time off work, benefits (aware they are doing it)

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6
Q

Management of functional disorders

A

Explanation

Medication for co-morbid mental health problems

Psychological therapies – CBT, IPT

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7
Q

Complications of functional disorders

A

Risk of iatrogenic injury – due to multiple, inappropriate investigations/treatments

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