Sexual & Somatization Disorders

Question 1

True/False. Factitious Disorder may present as personal symptoms or as an individual presenting symptoms for another person (ex: child or grandparent).

Answer 1

True. Factitious Disorder presents with and without proxy.

Question 2

What is dissociative fugue?

Answer 2

Intentional travel or bewildered wandering associated with dissociative amnesia

Question 3

This disorder presents when an individual’s thoughts, feelings, or behaviors are removed from conscious awareness and control.

Answer 3

Dissociative Disorders

Question 4

What is sexual sadism?

Answer 4

A paraphilia in which pain or humiliation is sexually pleasing

Question 5

What criteria are required for a diagnosis of gender dysphoria in adolescents and adults?

Answer 5

At least 2 symptoms for 6+ months that impair functioning

Question 6

What sexual dysfunctions are listed in the DSM-V?

Answer 6

Question 7

This dissociative disorder is characterized by an inability to recall important autobiographical information. Information may be related to a specific time/event or generally to the individual.

Answer 7

Dissociated Amnesia

Question 8

What is voyeurism?

Answer 8

A paraphilia characterized by an urge to observe an unsuspecting individual who is naked or engaging in sexual activity

Question 9

What is another term for Factitious Disorder?

Answer 9

Munchausen Syndrome

Question 10

True/False. Gender dysphoria is an incongruence in one’s assigned and perceived gender.

Answer 10

False - gender dysphoria specifically refers to the distress caused by the incongruence, not the incongruence itself

Question 11

What treatment options are available for paraphilia?

Answer 11

Incorporation therapy (decreased or modified paraphilic behavior), psychotherapy, orgasmic reconditioning, medication

Question 12

Use of inanimate objects for sexual pleasure is termed?

Answer 12

Fetishism

Question 13

What is the treatment for dissociative disorders?

Answer 13

Psychotherapy

Question 14

What criteria are required for a diagnosis of gender dysphoria in children?

Answer 14

At least 6 symptoms for 6+ months that impair functioning

Question 15

This disorder is characterized by sudden onset of anger or aggression with no provocation that lasts less than 30 minutes.

Answer 15

Intermittent explosive disorder

Question 16

A patient with this somatic disorder presents with somatic symptoms that do not match the presentation of known neurological or medical illnesses.

Answer 16

Conversion Disorder

Question 17

This somatoform disorder involves a preoccupation with having or acquiring an illness, with or without somatic symptoms.

Answer 17

Illness Anxiety Disorder

Question 18

What is the difference between malingering and factitious disorder?

Answer 18

In both disorders, an individual intentionally produces or falsely exaggerates somatic symptoms. In malingering, this is to obtain a secondary gain. In factitious disorder, this is to take on the role of a sick person and receive medical attention.

Question 19

What are the diagnosis criteria for intermittent explosive disorder?

Answer 19

Aggression/anger twice weekly for 3 months, 3 outbursts causing damage or harm within the last 12 months, outbursts are not premeditated, patient is 6+yo

Question 20

A patient presents to the clinic complaining of ear pain. You review their chart and notice the patient has been seen several times over the past 6 months for similar reasons. You provide the patient with a work note and referral ENT. The patient returns weeks later for the same reason asking for a work note, but shares they never followed up with an ENT and have no interest in doing so. What somatic disorder may this patient be exhibiting?

Answer 20

Malingering

Question 21

Touching or rubbing against a non-suspecting person is what type of paraphilia?

Answer 21

Frotteurism

Question 22

What paraphilias are listed in the DSM-V?

Answer 22

Question 23

This paraphilia is characterized by exposure of one’s genitals to an unsuspecting individual or performing sexual acts that may be watched by others.

Answer 23

Exhibitionism

Question 24

Wanting to be humiliated, beaten, bound, or otherwise made to suffer for sexual satisfaction is what type of paraphilia?

Answer 24

Sexual machoism

Question 25

What treatment is available for factitious disorder?

Answer 25

There is no cure. Support the patient, ensure safety, and utilize psychotherapy

Question 26

A patient comes to you and describes a feeling of being apart from their body. At times, they feel like they are floating above and watching events take place from a third-person perspective. What dissociative disorder may this person be exhibiting?

Answer 26

Depersonalization Disorder Derealization Disorder is similar, but applies to surroundings and not oneself.

Question 27

Arousal from the clothing of the opposite sex is what type of paraphilia?

Answer 27

Transvestic Fetishism

Question 28

What medications may be used to treat paraphilia?

Answer 28

SSRIs, synthetic steroidal analogs, GnRH analogs

Question 29

This disorder is characterized by disruption of identity by two or more personality states. Symptoms cause impairment and result in gaps in memory.

Answer 29

Dissociative Identity Disorder

Question 30

What is somatic symptom disorder?

Answer 30

The presence of a somatic symptom that causes distress, functional impairment, and excessive thoughts/behavior related to that symptom

Question 31

How does paraphilia differ from paraphilia disorder?

Answer 31

Paraphilia refers to persistent sexual interest in something other than genitals and fondling. Paraphilia disorder specifically refers to the distress and impairment caused by paraphilia.