Sexual & Somatization Disorders Flashcards
True/False. Factitious Disorder may present as personal symptoms or as an individual presenting symptoms for another person (ex: child or grandparent).
True. Factitious Disorder presents with and without proxy.
What is dissociative fugue?
Intentional travel or bewildered wandering associated with dissociative amnesia
This disorder presents when an individual’s thoughts, feelings, or behaviors are removed from conscious awareness and control.
Dissociative Disorders
What is sexual sadism?
A paraphilia in which pain or humiliation is sexually pleasing
What criteria are required for a diagnosis of gender dysphoria in adolescents and adults?
At least 2 symptoms for 6+ months that impair functioning
What sexual dysfunctions are listed in the DSM-V?
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.
Dissociated Amnesia
What is voyeurism?
A paraphilia characterized by an urge to observe an unsuspecting individual who is naked or engaging in sexual activity
What is another term for Factitious Disorder?
Munchausen Syndrome
True/False. Gender dysphoria is an incongruence in one’s assigned and perceived gender.
False - gender dysphoria specifically refers to the distress caused by the incongruence, not the incongruence itself
What treatment options are available for paraphilia?
Incorporation therapy (decreased or modified paraphilic behavior), psychotherapy, orgasmic reconditioning, medication
Use of inanimate objects for sexual pleasure is termed?
Fetishism
What is the treatment for dissociative disorders?
Psychotherapy
What criteria are required for a diagnosis of gender dysphoria in children?
At least 6 symptoms for 6+ months that impair functioning
This disorder is characterized by sudden onset of anger or aggression with no provocation that lasts less than 30 minutes.
Intermittent explosive disorder
A patient with this somatic disorder presents with somatic symptoms that do not match the presentation of known neurological or medical illnesses.
Conversion Disorder
This somatoform disorder involves a preoccupation with having or acquiring an illness, with or without somatic symptoms.
Illness Anxiety Disorder
What is the difference between malingering and factitious disorder?
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.
What are the diagnosis criteria for intermittent explosive disorder?
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
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?
Malingering
Touching or rubbing against a non-suspecting person is what type of paraphilia?
Frotteurism
What paraphilias are listed in the DSM-V?
This paraphilia is characterized by exposure of one’s genitals to an unsuspecting individual or performing sexual acts that may be watched by others.
Exhibitionism
Wanting to be humiliated, beaten, bound, or otherwise made to suffer for sexual satisfaction is what type of paraphilia?
Sexual machoism
What treatment is available for factitious disorder?
There is no cure. Support the patient, ensure safety, and utilize psychotherapy
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?
Depersonalization Disorder
Derealization Disorder is similar, but applies to surroundings and not oneself.
Arousal from the clothing of the opposite sex is what type of paraphilia?
Transvestic Fetishism
What medications may be used to treat paraphilia?
SSRIs, synthetic steroidal analogs, GnRH analogs
This disorder is characterized by disruption of identity by two or more personality states. Symptoms cause impairment and result in gaps in memory.
Dissociative Identity Disorder
What is somatic symptom disorder?
The presence of a somatic symptom that causes distress, functional impairment, and excessive thoughts/behavior related to that symptom
How does paraphilia differ from paraphilia disorder?
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.