M8: Dissociative, Somatic Symtoms, Eating Disorders Flashcards
types of dissociative disorders (3)
(1) depersonalization-derealization (2) dissociative amnesia (3) dissociative identity
depersonalization
feelings of being detached from self or being an outside observer of self
derealization
feelings that external world isn’t solid or real
dissociative fugue
involves dissociative amnesia coupled w/ sudden travel to another location
dissociative amnesia
blocking some or all of past memories, mostly of self
major symptom of dissociative identity disorder
distinct alter personalities (incl. diff. names and memories) that may take possession of host from time to time
root cause of dissociative symptoms
childhood trauma or stress
illnesses listed under “somatic symptom and related disorders” (5)
(1) somatic symptom d (2) illness anxiety d (3) conversion d (4) factitious d (5) psychological factors affecting medical condition
similarity b/w somatic symptom and illness anxiety disorder
worry about becoming ill
somatic symptom disorder
present symptoms lead them to believe they’re ill
illness anxiety disorder
afraid of becoming ill but do NOT have symptoms
conversion disorder (4)
(1) psychological problem»_space; physical problem (2) results from serious stress/trauma (3) involuntary (4) indvl relatively unconcerned about disorder
factitious disorder
indv’s create symptoms in themselves or others through tampering to seek medical attention
malingering
indv fakes symptoms to obtain an advantage or gain
brain function of mental illness conversion (2)
(1) dysfunction in default network or inability to stop inhibitory processes (2) no brain activity during movement or preparation of movement
factitious disorder is also known as
Munchausen syndrome by proxy
most effective treatment for somatic symptom disorders
CBT
concerns about body weight and health dates back to …
Ancient Greeks and Romans
Pica
consumption of non-food items
brain activation associated w/ eating food in obese girls
stronger in sensory areas in anticipation of food; lower in reward circuits when consuming food
countries with obesity problems
USA > Canada > Mexico > Australia > Iceland > Great Britain > Finland
region of USA w/ greatest obesity
south
obesity rates in the US over last 30 yrs has …
skyrocketed
mental illness linked to obesity
depression
how males rate their weight
actual, ideal, and attractive weights are very close
how females rate their weight
rate actual much higher than attractive and ideal weights
males rating of attractive weight for females
higher than female’s ideal and attractive weight
major eating disorders (3)
(1) anorexia nervosa (2) bulimia nervosa (3) binge eating disorder
sex differences in eating disorder
all major eating disorder are more common in females
subtypes of anorexia nervosa (2)
(1) restricting type (2) binge-eating/purging type
anorexia nervosa: dopamine system
little reward in relation to eating
relationship b/w abundance of food in culture and appearance of anorexia
anorexia rates are directly proportional to abundance of food in culture
key components of Maudsley approach to treating anorexia nervosa
(1) weight restoration (2) control (3) identity
Maudsley’s anorexia Tx: weight restoration
family encourages person to eat during meals w/out accusing indv of anorexia
Maudsley’s anorexia Tx: control
empower indv to take control over eating problem
Maudsley’s anorexia Tx: identity
help indv establish healthy identity and autonomy
(T/F) pharmacological treatments help relieve eating disorders
FALSE
main symptoms of bulimia nervosa (3)
(1) binge eating (2) lack of control over eating (3) purging
best Tx for bulimia nervosa
CBT
class of pharmacological medication used to treat depression associated w/ bulimia nervosa
SSRIs (prozac)
binge eating involves
uncontrollably consumption of food
bulimia nervosa
uncontrollable consumption of food followed by purging
