Functional symptoms and Eponymous syndromes Flashcards
What is a functional disorder?
Physical symptoms that are suggestive of a organic cause but no identifiable physical illness is found
What is a malingering disorder?
When symptoms are made up in order for personal gain such as getting time off work or seeking the prescription of drugs
What is a factitious disorder?
When patients intentionally make up symptoms with primary aim of obtaining medical attention, a diagnosis and treatment
What is dissociation?
Detachment from reality
What is depersonalisation?
A feeling that your body doesn’t quite belong to you or is disconnected from you
What is derealisation?
A feeling that you are disconnected from the world around you or ‘spaced out’
How is psychoeducation done in functional disorders?
Normalisation - this is common, we see this often
Validation - these symptoms are genuine and you are not imagining it
Reversibility - many people make good progress, this can potentially be treated
Remove blame - its not your fault you have these symptoms
What are options for management of functional disorders?
Psychoeducation
Treat treatable comorbid disorders
CBT
Tricyclics - imipramine, amitriptyline
What is Othello syndrome?
Patient believes their partner is cheating despite their being no evidence for this
What is Cottard’s syndrome?
Where patients are convinced that their body or part of their body is dead and decaying
Seen in severe depression
What is Capgras syndrome?
Patient believes that a person has been replaced by an exact clone who is a replica
What is De Clérambault’s syndrome?
Patient believes that someone is madly in love with them and cant live without them
