Somatic Disorders Flashcards
somatic symptom disorders are characterized by _____ symptoms with no identifiable physical cause. Both illness production and motivation are _____ drives
physical
unconscious
In somataform disorders, symptoms (are/are not) intentionally produced or feigned
are not
_____ gain: patient consciously creates symptoms to assume the sick role and get medical attention
primary
primary gain (has/has no) perceivable benefit to the patient
has no
_____ gain: patient consciously fakes/exaggerates disorder in order to attain a specific EXTERNAL gain
secondary
examples of somatoform disorders (3):
conversion disorder
hypochondriasis (illness anxiety disorder)
somatic symptom disorder
malingering is an example of a disorder with _____ gain; facticious is an example of a disorder with ____ gain
secondary
primary
______ disorder: number of CHRONIC complaints/symptoms associated with excessive, persistent thoughts and anxiety about symptoms that causes distress/dysfunction
somatic symptom
excessive worry regarding mild or absent symptoms: ____ disorder
illness anxiety (hypochondriac)
4 d’s of hypochondriasis:
disease _____, _____, _____
_____
disease fear, preoccupation, conviction
disability
illness anxiety disorder can be treated with a ____ dose of _____, similar to OCD
high, SSRIs
______ disorder: loss of sensory/motor function, often following an acute stressor
conversion
in conversion disorder, patients are ____ of the symptoms but are sometimes ____ towards them
aware
indifferent (la belle indifference)
features of conversion disorder symptoms:
_____
sensory symptoms that split at the _____
gap between tested ____ and _____
distractability
midline
strength, function
There appears to be no _____ rewards in Factitious disorder/Munchausen syndrome
external