Somatic Flashcards
Somatization
Express stress in physical symptoms
Somatic Symptom Disorder
Physical symptoms suggest disease but no pathology found
excessive concern/fear of symptoms (high anxiety) but do not think they have psych issues
Eg. CP, dizziness
Illness Anxiety Order
Extreme fear of the possibility of a disease
Sx are minimal/absent
***seeking care/or/care avoidant type
Conversion Disorder**
Pseudoneurological symptoms
No medical cause
Paralysis, blindness, deafness, movement/gait disorder
Patient Z –> “seizures”
la belle indifference
“yeah i can’t see today”
Normal: I CANT SEEEE
Learning theory: Somatic
1, 2, 3 gains
Primary: Avoid
(playing sick to skip test)
Secondary: Attention
(playing sick, being coddled)
Tertiary: Shift areas of conflict
(kid constantly sick, parents don’t fight anymore)
Somatic Symptom Biolocial
decreased seratonin/endorphins
low tolerance for discomforts
high cortisol 1/2 of heme
Somatic Frud
ego defense:
covers up unwanted feelings
Somatic Behavioral theory
learned helplessness
High ACE
Somatic Cognitive
negative catastrophic thinking with reinforcement
Somatic Assessement
r/o medical (physical)
HX ACE/trauma
Gains?
Coping
Emotional needs
Comorbidity: Depression/Anxiety
Somatic symptom disorder Interventions (1)
Reattribution treatment
FEEL UNDERSTOOD, broaden agenda, making link
CBT
Psychopharm - antidepressant
Somatic Nursing Intervention (2)
Relief discomfort from physical sx
Don’t deny complaints
Use facts
Neutral topic
Assertiveness training/distraction
Factitious Disorder Psych Risk
HX abuse/ hospitalized frequently as child
Masochistic - punishment
Factitious Disorder
Conscious/Intentional
Dr. shop,
dramatic presentation with medical terms
On proxy (other person)
