somatic (1) Flashcards
What is the concept of expressing stress in physical symptoms
somatization
Which disorder is where physical symptoms suggest medical disease but with no organic pathology found
somatic symptom disorder
What are the fiscal symptoms that will show up with somatic symptom disorder
Chest pain, fatigue, dizziness, headache, swelling, back pain, shortness of breath, insomnia, abdominal pain, numbness
Do people with somatic symptom disorder perceive themselves as having a psych issue
no
what disorder is characterized by the extreme worry or fear of the possibility of having a disease
illness anxiety disorder
Describe behaviors of someone with illness anxiety disorder
Frequent scanning of the body, very in touch with sensations, unrealistic or inaccurate interpretation of physical symptoms, preoccupation
Describe fiscal symptoms in illness anxiety disorder
Actual symptoms are minimal or absent
what is the term for neurological symptoms with no neurological diagnosis
pseudoneurological
What disorder is characterized by the loss of volunteering or sensory functions resulting from a psych conflict or stressor with NO MEDICAL CAUSE
conversion disorder (functional neurological disorder)
Examples of the neurological symptoms experienced with conversion disorder
Paralysis, blindness, deafness, movement disorders, numbness, epilepsy episodes
What is the hallmark of conversion disorder / functional neurologic disorder
la belle indifference
Describe la belle indifference in conversion disorder / functional neurological disorder
It doesnt seem that upset about their condition or care, no urgency
What kind of family dynamics will encourage somatic symptom disorders
Rewarding negative behaviors
Describe primary gains in somatic symptom disorder, give an example
A gain that comes from getting to avoid something
- Child gets out of school with a “stomach ache”
Describe secondary gains related to somatic symptom disorder, provide an example
Gains that are done to get attention
- Mom makes the kids soup, lets them watch T V, and give them attention for being “sick”
Describe tertiary gains for somatic symptom disorder, give an example
Gains that shift areas of conflict for the child
- Now that the kid is sick, the parents don’t fight. Eliminating the source of stress
Describe reattribution treatment for somatic symptom disorders
- Make the client feel understood
- broaden the agenda
- Make the link, and remove the sense of blame
- Negotiate further treatment
What kind of therapy is necessary when secondary or tertiary gains are found in somatic symptom disorders
family therapy
what is there a risk for with somatic symptom disorders if it is not found
Dr shopping and Poly Pharmacy
Can fracticious disorder be imposed on another person
Yes, if they are a vulnerable dependent they can develop munchausen syndrome by proxy
Which conscious and intentional disorder is the dramatic presentation with medical terms, often demanding, with negative test results and new symptoms every time
Factitious disorder
What is a conscious and intentional problem characterized by exaggeration of symptoms for secondary gains such as disability compensation, insurance fraud, evading the military, and a reduced prison sentence
Malingering
what disorders are malingering seen in
antisocial and borderline personality
