somatic (1) Flashcards

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1
Q

What is the concept of expressing stress in physical symptoms

A

somatization

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2
Q

Which disorder is where physical symptoms suggest medical disease but with no organic pathology found

A

somatic symptom disorder

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3
Q

What are the fiscal symptoms that will show up with somatic symptom disorder

A

Chest pain, fatigue, dizziness, headache, swelling, back pain, shortness of breath, insomnia, abdominal pain, numbness

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4
Q

Do people with somatic symptom disorder perceive themselves as having a psych issue

A

no

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5
Q

what disorder is characterized by the extreme worry or fear of the possibility of having a disease

A

illness anxiety disorder

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6
Q

Describe behaviors of someone with illness anxiety disorder

A

Frequent scanning of the body, very in touch with sensations, unrealistic or inaccurate interpretation of physical symptoms, preoccupation

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7
Q

Describe fiscal symptoms in illness anxiety disorder

A

Actual symptoms are minimal or absent

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8
Q

what is the term for neurological symptoms with no neurological diagnosis

A

pseudoneurological

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9
Q

What disorder is characterized by the loss of volunteering or sensory functions resulting from a psych conflict or stressor with NO MEDICAL CAUSE

A

conversion disorder (functional neurological disorder)

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10
Q

Examples of the neurological symptoms experienced with conversion disorder

A

Paralysis, blindness, deafness, movement disorders, numbness, epilepsy episodes

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11
Q

What is the hallmark of conversion disorder / functional neurologic disorder

A

la belle indifference

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12
Q

Describe la belle indifference in conversion disorder / functional neurological disorder

A

It doesnt seem that upset about their condition or care, no urgency

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13
Q

What kind of family dynamics will encourage somatic symptom disorders

A

Rewarding negative behaviors

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14
Q

Describe primary gains in somatic symptom disorder, give an example

A

A gain that comes from getting to avoid something
- Child gets out of school with a “stomach ache”

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15
Q

Describe secondary gains related to somatic symptom disorder, provide an example

A

Gains that are done to get attention
- Mom makes the kids soup, lets them watch T V, and give them attention for being “sick”

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16
Q

Describe tertiary gains for somatic symptom disorder, give an example

A

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

17
Q

Describe reattribution treatment for somatic symptom disorders

A
  • Make the client feel understood
  • broaden the agenda
  • Make the link, and remove the sense of blame
  • Negotiate further treatment
18
Q

What kind of therapy is necessary when secondary or tertiary gains are found in somatic symptom disorders

A

family therapy

18
Q

what is there a risk for with somatic symptom disorders if it is not found

A

Dr shopping and Poly Pharmacy

18
Q

Can fracticious disorder be imposed on another person

A

Yes, if they are a vulnerable dependent they can develop munchausen syndrome by proxy

19
Q

Which conscious and intentional disorder is the dramatic presentation with medical terms, often demanding, with negative test results and new symptoms every time

A

Factitious disorder

20
Q

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

A

Malingering

21
Q

what disorders are malingering seen in

A

antisocial and borderline personality