Somatic Disorders Flashcards
Often accompanies medical diagnoses, so a medical cause MUST BE ruled out
Somatic symptom disorder
Symptoms are accompanied by disproportionate thoughts, feelings, or behaviors regarding them. The patient’s suffering is authentic even if no medical cause can be identified
Somatic symptom disorder
Treatment for somatic symptom disorder
Psychotherapy.
SSRIs for comorbid depression/anxiety
Preoccupation > 6 months with FEAR of HAVING a serious disease based on MISINTERPRETATION of symptoms
Illness anxiety disorder
Recognize that concerns are excessive, but are not reassured by negative medical evaluations
Illness anxiety disorder
Treat with PT, psychotherapy, and antidepressants
Illness anxiety disorder
Symptoms are an attempt to avoid emotional distress after a stressful event
Conversion disorder
Treatment for conversion disorder
Reassure patient. Close monitoring and follow up with psychotherapy
Falsifying physical or psychological symptoms, or inducing injury/illness with intention of assuming the sick role or wanting to be taken care of
Factitious disorder
Treatment for factitious disorder
Therapy for underlying issues
Consciously making up symptoms for external rewards (money, etc.)
Malingering
REPEATED episodes of factitious disorders (either same OR new complaints). Feels need to play role of patient and is comforted by this role
Munchausen’s
