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Clinical Conditions > Somatic Disorder > Flashcards

Somatic Disorder Flashcards

1
Q

Somatic symptom disorder (SSD)

A
  • the manifestation of one or more physical symptoms accompanied by excessive thoughts, emotion, and/or behavior related to the symptom, which causes significant distress and/or dysfunction
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2
Q

Prevalence of SSD

A
  • more common in female
  • 5-7% of the population
  • occurs in any age (childhood, adolescence, or adulthood)
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3
Q

Etiology of SSD

A
  • neglect (childhood neglect or sexual abuse
  • chaotic lifestyle
  • substance abuse (alcohol or drugs)
  • anxiety
  • personality disorder (Axis II Disorders)
  • psychosocial stressors (unemployment)
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4
Q

Symptoms and challenges of SSD

A
  • heightened awareness of body sensations
  • interpreting normal symptoms as severe medical illness
  • physical symptoms such as pain or shortness of breath
  • excessive time spent on worrying about possible illness and symptoms (can be debilitating)
  • health care visits
  • care-seeking = frequently seeks tests and appointments
  • care-avoidant = avoids medical care
  • repeated checking of body for abnormalities
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5
Q

Somatic symptom disorder diagram (slide 8)

A
  • extreme focus on physical symptoms that results in major distress and problems functioning
  • seeing normal physical sensation as several physical illness
  • fearing that symptoms are serious, even where there is no evidence
  • constant worry about potential illness
  • constantly checking body for abnormalities
  • frequent health care visits don’t relieve concerns or make them worse
  • feel that medical evaluation and treatment have not been adequate
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6
Q

Comorbidities with SSD

A
  • depression
  • anxiety and panic
  • OCD
  • central sensitivity
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7
Q

SDD is commonly mixed up

A

Illness anxiety disorder:
- high health anxiety with NO SYMPTOMS
- fear surrounds developing symptoms or a serious illness
- equally common in either gender
Somatic symptom disorder:
- high health anxiety WITH SYMTOMS
- fear surrounds their current symptoms being a serious illness
- more common in females

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8
Q

Occupational limitations on work/school

A
  • poor work performance
  • missing days/sick days
  • being disruptive
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9
Q

Occupational limitations on relationships

A
  • family and friends
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10
Q

Occupational limitations on mental health

A
  • depression
  • anxiety
  • personality disorders
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11
Q

Occupational limitations on finances

A
  • excessive health care visits
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12
Q

Occupational implications on quality of life

A
  • always in a state of pain
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13
Q

Occupational limitations on substance use

A
  • alcohol or substance use as a way of coping
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14
Q

Physical limitations

A
  • chronic pain
  • fatigue
  • GI issues
  • dizziness
  • muscle weakness
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15
Q

Cognitive limitations

A
  • impaired concentration
  • memory problems
  • difficulty problem solving
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16
Q

Emotional limitations

A
  • anxiety
  • depression
  • irritability
  • emotional dysregulation
17
Q

Social limitations

A
  • isolation
  • misunderstanding/stigma
  • fear of judgment
18
Q

Impact on ADLs

A
  • self care
  • mobility
  • eating and nutrition
19
Q

Impact on IADLs

A
  • cleaning/housekeeping
  • transportation
  • meal preparation
  • managing finances
20
Q

Impact on work

A
  • physical
  • cognitive
21
Q

Impact on education

A
  • showing up to class
  • taking sick days because of symptoms
  • paying attention/concentration
22
Q

Impact on leisure

A
  • physical leisure
  • relaxation
23
Q

Impact on social participation

A
  • social isolation
24
Q

Lived experiences with Anna and Matthew

A
  • both Anna and Matthew felt feelings of isolation
  • feelings of uncertainty, doubt, and confusion because the doctors didn’t have answers
  • both Anna and Matthew stated they were so afraid to fail that that their body shit down
  • invisible disability
  • limited each of them from their meaningful occupations
  • symptoms rom the research align with the symptoms Anna and Matthew felt
  • common comorbidity is depression, which is something Anna felt when she could no longer dance
25
Q

Key Points

A
  • extreme and debilitating stress about small physical symptoms
  • symptoms are real but they are amplified
  • interferes with daily functioning such as work or social life/relationships
  • treatment can include CBT, antidepressants or anti-anxiety medications, and coping mechanisms such as mindfulness or meditiation

Clinical Conditions (27 decks)

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