Somatic and Dissociative Disorders

Question 1

Diagnostic Criteria of Somatic symptom disorder

Answer 1

1. one or more somatic symptoms resulting in distress or disruption of daily life
2. excessive thoughts about the symptoms
3. symptomatic state is persistent for more than 6 months
4. No secondary gain

Question 2

Diagnostic criteria for Factitious Disorder

Answer 2

1. falsification of physical or psychological signs/ symptoms associated with the identified deception
2. individual presents as ill to others
3. behavior is evident even in the absence of obvious external rewards

Question 3

Diagnostic Criteria for Conversion Disorder

Answer 3

1. one or more symptoms of altered motor/ sensory function
2. clinical findings incompatible between the symptoms and recognized neurological or medical condition
3. causes clinically significant distress or impairment

Question 4

Diagnostic Criteria for Illness Anxiety Disorder

Answer 4

1. preoccupation with having or acquiring a serious illness
2. somatic symptoms or absent or MILD
3. high level of anxiety about health and the individual is easily alarmed about personal health issues​
4. preoccupation with illness present for at least 6 months

Question 5

Define Malingering

Answer 5

vague, inconsistent somatic complaints made for secondary gain

Question 6

Diagnostic criteria for dissociative amnesia

Answer 6

1. Inability to recall important autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting
2. symptoms cause clinically significant distress or impairment in social, occupational or other important areas of functioning

Question 7

Diagnostic Criteria for Depersonalization/ Derealization Disorder

Answer 7

1. persistent or recurrent experiences of depersonalization(identity from self), derealization (identity from environment), or both
2. reality testing remains intact
3. clinically significant distress or impairment in social, occupational or other important areas of functioning

Question 8

another name of dissociative disorders

Answer 8

multiple personality disorders

Question 9

epidemiology of Depersonalization/ Derealization Disorder

Answer 9

2% lifetime prevalence with onset around 16 y/o

Question 10

treatment for DDD

Answer 10

CBT

Hypnotherapy

Psychodynamic therapy

Question 11

Epidemiology of Dissociative amnesia

Answer 11

about 7% lifetime prevalence with women>men

Question 12

treatment for Dissociative amnesia

Answer 12

psychotherapy

Question 13

Epidemiology of Dissociative Identity Disorder

Answer 13

<1% prevalence for any age

increased risk of others psych conditions and high suicidal rates

Question 14

treatment for Dissociative Identity Disorder

Answer 14

Psychotherapy

Add SSRIs if comorbidities are present

Question 15

Epidemiology of Somatic Symptom Disorder

Answer 15

5-7% in general population, but more in primary care

women> men

~ 20y/o

low education

familial cases increase risk

Question 16

Epidemiology of Factitious Disorders

Answer 16

unknown prevalence as often misreported

if presenting during early childhood, can become chronic