Functional Disorders Flashcards

1
Q

what is the pathophysiology of functional disorders?

A

problem in the way brain is sending messages to body, problem in the way body is receiving messages from brain

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2
Q

what are the psychiatric disorders that can cause functional symptoms?

A

adjustment disorder, anxiety disorders of all kinds and depressive disorder

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3
Q

what are the predisposing factors to developing functional disorders?

A

genetic factors, structural disease, personality traits, depression/anxiety, adverse experiences

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4
Q

what are the precipitating factors to developing functional disorders?

A

physical injury/illness acute dissociation, concern/attention about bodily symptoms, stressful life events

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5
Q

what are the perpetuating factors to developing functional disorders?

A

changes in nervous system function, subtle neuroendocrine changes, worry about cause, avoidance of symptoms provocation anger/frustration/depression, not being believed, stigma of undiagnosed illness, loss of job/independent income

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6
Q

what are functional symptoms?

A

where one cannot easily associate the symptoms with a classically identifiable organic disease process

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7
Q

what are common functional symptoms?

A

pain, altered sensation, dizziness, movement disorders, weakness, seizures, cognitive symptoms

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8
Q

what are neurological functional symptoms/syndromes?

A

functional weakness, non-epileptic attacks, hemisensory symptoms

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9
Q

what are GI functional symptoms/syndromes?

A

IBS, non-ulcer

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10
Q

what are gynaecological functional symptoms/syndromes?

A

chronic pelvic pain, prementstrual syndrome

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11
Q

what are ENT functional symptoms/syndromes?

A

functional dysphonia, globus pharynges

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12
Q

what are Cardio functional symptoms/syndromes?

A

atypical chest pain, unexplained palpitations

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13
Q

what are rheumatology functional symptoms/syndromes?

A

fibromyalgia

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14
Q

what are infectious diseases functional symptoms/syndromes?

A

post viral chronic fatigue syndrome

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15
Q

what are immunology functional symptoms/syndromes?

A

multiple chemical sensitivity syndrome

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16
Q

what are the additional symptoms in functional disorders?

A

dissociative disorder
depersonalisation
derealisation

17
Q

What is the management of functional disorders?

A

Normalisation, validation, reversibility
CBT
Tricyclics