Somatic And Factitious Disorders Flashcards
Physical symptoms not explained by medical disease
-Not consciously created for gain
Somatization
Somatization is associated with
Anxiety and Depression
One management of somatization is regular visits with the same
Physician
Characterized as somatic symptoms that cause distress
-Persistent thoughts about seriousness of symptoms
Somatic Symptom Disorder
Preoccupation with having an undiagnosed illness
-Mild or no somatic symptoms
Illness anxiety disorder
Repeatedly checking for signs of illness present for AT LEAST 6 months
Illness Anxiety Disorder
Voluntary motor or sensory neurological symptoms with sudden onset following a stressor
Conversion disorder (Functional Neurologic Symptom Disorder)
Has positive findings incompatible with disease. For example, absence of plantar flexion but can stand on toes
Conversion Disorder
When a patient with Conversion Disorder shows lack of concern (indifference) about symptoms
La Belle Indifference
Falsified medical or psychiatric symptoms
-Done consciously out of desire for attention
Factitious Disorder on Self
Done for primary (internal) gain from illness
-Patient feels better in sick role
Factitious Disorder on Self
What are the two major risk factors for Factitious Disorder on Self (Munchausen Syndrome)
Female and prior or current healthcare worker
Falsified medical symptoms by a caregiver
-Often parent of child or caretaker of elderly
Factitious Disorder on Another (Munchausen by proxy)
Consciously falsified medical symptoms done for secondary (external) gain
Malingering
Allows patient to miss work but get paid by obtaining workman’s compensation
Malingering
