PSYCHIATRIC TERMS NO-ORGANIC CAUSE - Somatisiation, Hypochondriasis, Conversion, Dissociation, Factitious, Malingering Flashcards
There are a wide variety of psychiatric terms for patients who have symptoms for which no organic cause can be found. They include the psychiatric terms * Somatisation disorder * Hypochondrial disorder * Conversion disorder * Dissociation disorder * Munchausen’s syndrome * Malingering What is the difference between somatisation&hypochondrial?
Somatisation disorder * This disorder has multiple physical symptoms present for at least 2 years * Although the patient refuses to accept negative test results or reassurance Hypochondrial disorder * People believe they have a serious or life threatening illness ie cancer even though there ae few or no symptoms * Despite reassurance and negative tests
What is the new term that describe hypochondrial disorder known as?
They knew term for hypochondirasis is illness anxiety disorder An individual with hypochondriasis is known as a hypochondriac. Hypochondriacs become unduly alarmed about any physical or psychological symptoms they detect, no matter how minor the symptom may be, and are convinced that they have, or are about to be diagnosed with, a serious illness.
What is conversion disorder? What typically precedes the conversion disorder?
This typically involves motor or sensory loss of function without the patient consciously feigning the symptoms (factitious disorder) or seeking material gain (Malingering) The patients also may be indifferent towards the symptoms - this disorder is typically preceded by psychological anxiety or stress and ‘converted’ into physical symptoms
What is dissociative disorder? What s fugue? - one of the signs of this What is the most severe form of dissociative disorder?
* This is where there is typically a process of separating off certain memories from normal consciousness - usually in respnse to trauma * It involves amnesia, stupor and fugue - fugue is the inability to recall ones past +/- loss of identity or formation of a new identity * Dissociative identity disorder - patient has multiple personalities interacting in complex ways
What is munchausens syndrome also known as?
This is known as factitious disorder - where the patient intentionally produces physical or psyhcomotor symptoms - lies
WHat is malingering?
This is where ilness is faked for secondary gain • fraudulent simulation or exaggeration of symptoms with the intention of financial or other gain
There are a wide variety of psychiatric terms for patients who have symptoms for which no organic cause can be found. What are the ones we have discussed?
Somatisation disorder - multiple physical symptoms present for 2 years but refuses to accept negative tests or reassurance Hyponchondrial disorder - persistent belief of an underlying disease eg cancer when no or minimal symptoms Conversion disorder - usually preceded by pshychological anxiety or stress and ocnverted to physcial symptoms - ie loss of motor/sensory function - not feigned and not seeking material gain Dissociative disorder - patients have disruptions of memory, identity (fugue), perception Munchausen syndrome - factitiuous disorder - feigning symptoms of a disease Malingering - faking illness for secondary gain
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A - Malingering - she is faking o exaggerating an illness for secondary gain 2. This is a non-epileptic seizure - asosciated with a history of child abuse
What is a functional disorder?
A functional disorder is a medical condition that impairs normal functioning of bodily processes that remains largely undetected under examination, dissection or even under a microscope. At the exterior, there is no appearance of abnormality. Generally, the mechanism that causes a functional disorder is unknown, poorly understood - the brain and nerves are often believed to be involved
What are examples of functional disorders?
These include Irritable bowel syndrome Fibromyalgia Chronic fatigue syndrome Chronic pelvic pain Temporomandibular joint pain Functional neurological symptom disorder
