Somatic Disorders Flashcards
def functional somatic syndrome
medical conditions characterized by chronic or recurrent physical symptoms that cannot be explained by known med conditions
def somatic symptom disorder
excessive anxiety + preoccupation w/ >1 unexplained symptom
ex. recurrent abdo pain, headache
def illness anxiety disorder
fear of having a serious illness despite few or no symptoms and consistently negatively ix
think GAD that focuses on health concerns
def conversion disorder / functional neurological disorder
neuro s/s w/o evidence of neurologic disease
often acute onset and associated with stress
def facticious disorder
intentional falsification of symptoms to assume sick role
def malingering
not a dsm 5
intentionally faking illness for secondary gain/external incentives
examples of stress related medical illnesses
- cardio: HTN, arrhythmias
- GI: IBS and ulcers
- MSK: muscle pain + TMJ
- mental health: depression, anxiety, PTSD, mood
- reprod: menstrual irregularities and sexual dysfunction
- skin: eczema, acne
- MS
how to tx somatic disorders?
- reassurance to pt
- therapy ➔ CBT
- tx comorbid psychiatric conditions
what is a trauma informed approach for interviewing?
- background - what is going on in your life rn?
- affect - how does that make you feel?
- trouble - what is the most difficult part of the situation?
- Handling: how are you managing this?
- empathy: this must be very challenging
*cultural context
