Somatic Flashcards
Name the following
A disorder that includes previous diagnoses of somatization disorder, undifferentiated somatoform disorder, hypochondriasis, as well as some presenations of pain disorder
Somatic symptom disorder.
Somatic symptoms have _______ or more somatic symptoms that are distressing and or result in significant disruption of daily life
one
At least two of the following are required to meet the second category of somatic symptom disorder. What are the 3 possible?
1) Disproportionate and persistent concerns about the medical seriousness of one’s symptoms
2) high level of health-related anxiety
3) Excessive time and energy devoted to these symptoms or health concerns.
Three categories for somatic symptom disorder diagnostic criteria?
A) Somatic symptoms
B) Excessive thoughts, feelings, and behaviors related to these somatic symptoms or associated health concerns.
c) Chronicity - although any one symptom may not be continuously present, the state of being symptomatic is chronic (at least 6 months)
People who fulfill the SSD criteria will have the following optional specifiers that may be applied, they include?
Predominant somatic complaints - previously somatization disorder
Predominant health anxiety - previously hypochondriasis. If predominantly worries with no symptoms, not SSD –> illness anxiety instead.
A) Preoccupation with having or acquiring a serious illness.
B. Somatic symptoms are not present or, if present, are only mild in intensity
C. High level of anxiety about health or having or acquiring a serious illness.
D. The person performs related excessive behaviors (e.g. checking one‟s body for signs of disease, repeatedly seeking information and reassurance from the internet or other sourcesF. The illness-related preoccupation is not better accounted for by the symptoms of another mental disorder such as somatic symptom disorder, panic disorder, generalized anxiety disorder, or obsessive compulsive disorder
Illness anxiety disorder.
Conversion disorder is?
Physical symptoms suggesting neurological problems.
Sensory impairment: any modality
Paresthesias and paralysis
Conversion disorder typically has ______ onset and _____ termination. Sudden ______
Sudden onset, sudden termination, sudden reappearance
90% clear in a month.
La belle indifference is in what % of cases of conversion disorder.
1/3
What is treatment for somatic symptom disorders?
Strong and consistent physician-patient relationship is recommended
Avoid narcotics, invasive procedures
Treat comorbid conditions, referral to mental health needs to be done carefully.
Malingering is?
Exaggerating physcial or psychological symptoms motivated by external incentives
Avoiding working, obtaining drugs, obtaining financial compensation, avoiding prosecution.
Factitious disorder (munchausen’s syndrome) is?
Intentional production of physical or psychological signs or symptoms
Motivation is to assume the sick role with no external incentives.
What are some ways to deal with factitious disorder?
Have one primary caregiver with regular visits
Don’t take it personally
Treat comorbid conditions - depression
Educate staff
Reinforce positive behaviors in patient.
CCLING?
Confidence
Commmon - advise patient that symptoms are common
L- legitimizing patient suffering
I- idiopathic - some symptoms appear out of the blue
N- nonprogressive - not typical catastrophic condition
G- gradual - gradual remission is expected.
What were factors associated with higher odds of satisfaction for somatosensitization disorders?
Mainly related to physician-patient communication
General satisfaction, being taken seriously, knowing the seriousness of complaints afterward, physician’s discussing testing and not considering complaints bearable, older physician age.
