Somatic Disorders and Feeding and Eating disorders Flashcards
Somatic Symptom disorders
- duration
greater than or equal to 6 months
authentic physical symptoms (ex. pain, fatigue, etc.), but no physical cause can be found for them. High levels of anxiety about health; think about the worst-case scenario when it comes to their health
somatic symptom disorder
Somatic Symptom disorders
- symptom
authentic physical symptoms (ex. pain, fatigue, etc.), but no physical cause can be found for them. High levels of anxiety about health; think about the worst-case scenario when it comes to their health
somatic symptom disorder
- specifiers
w/ predominant pain
persistent (greater than 6 months)
Somatic Symptom disorder
- differential
Panic; GAD
Illness Anxiety; Conversion
Body Dysmorphic; OCD Depressive
other medical condition
Somatic Symptom disorder
- intervention
CBT
Mindfulness
Group therapy
Family Psychoeducation
Illness Anxiety
- duration
greater than 6 months
Illness Anxiety
- symptoms
preoccupation with having or acquiring a serious illness, a high level of anxiety about health, obsessed about illness, medical exams are consistently benign
preoccupation with having or acquiring a serious illness, a high level of anxiety about health, obsession about illness, medical exams are consistently benign
Illness anxiety
Illness anxiety
- specifiers
care-seeking type - medical care is frequently used
care-avoidant type - medical care is rarely used
Illness anxiety
- differential
Adjustment D/O
Somatic D/O
Anxiety
OCD
MDD
Psychotic D/O
Conversion Disorder
- duration
none specified
Conversion Disorder
- symptoms
sudden dramatic loss of motor or sensory function with evidence of incompatibility between symptom and recognized neurological and medical conditions
sudden dramatic loss of motor or sensory function with evidence of incompatibility between symptom and recognized neurological and medical conditions
Conversion disorder
Conversion Disorder
- specifiers
w/ weakness/paralysis w/abnormal movement w/swallowing symptoms w/speech symptom w/attacks/seizures w/anesthesia/sensory loss w/mixed symptoms acute persistent
Conversion Disorder
- differential
Neurological D/O Somatic Symptoms Factitious Dissociative d/o Body Dysmorphic Depressive Panic D/O
Conversion disorder
- interventions
psychodynamic family therapy CBT Brief Regressive Hypnosis eclectic psychotherapy brief psychodynamic therapy biofeedback bibliotherapy relaxation training EMDR
Medical condition is present and affected by psychological/behavioral issues
Factors have altered the course of medical condition; interfere with treatment; increase health risks
Psychological Factors Affecting Other Medical Conditions
Psychological Factors Affecting Other Medical Conditions
-symptoms
Medical condition is present and affected by psychological/behavioral issues
Factors have altered the course of medical condition; interfere with treatment; increase health risks
Psychological Factors Affecting Other Medical Conditions
- specifiers
mild
moderate
severe
extreme
Factitious disorder
Fakes an illness for psychological gain
- not external reward
Fakes an illness for psychological gain
- not external reward
Factitious disorder
Factitious Disorder
- specifiers
single episode
recurrent episode
Factitious disorder
- differential
Somatic Symptoms Malingering Conversion D/O Borderline medical condition not associated with falsification
Factitious Disorder
- interventions
Reinforce recovery-based behaviors
Reframe feigned symptoms as a need for caring relationships
Direct discussion away from psychological symptoms to relationship problems
Goal- Living in the community instead of the hospital
Confrontation does not work
Relaxation
Paradoxical Intervention
Clarification and goal setting
Unconditional Positive Regard
Clarification and goal setting
Empathic Listening
Binge Eating Disorder
- duration
at least 1x/week for 3 months
Binge Eating Disorder
- symptoms
repeated episodes of out of control eating
eat in a discrete period of time, an amount of food larger than most would eat
lack of control over eating;
eating rapidly, until uncomfortably full, alone due to embarrassment, feeling disgusted w/ self
at least 1x/week over the course of at least 3 months
repeated episodes of out of control eating
eat in a discrete period of time, an amount of food larger than most would eat
lack of control over eating;
eating rapidly, until uncomfortably full, alone due to embarrassment, feeling disgusted w/ self
Binge Eating Disorder
Binge Eating Disorder
- specifiers
In partial remission In full remission mild - 1-3 episode/week moderate - 4-7 episodes/week severe - 8-13 episodes/week extreme - greater than 14 episodes/week
Binge Eating disorders
- differential
Bulimia Bipolar Depressive D/O Borderline Obesity
Binge Eating Disorder
- interventions
Cognitive Restructuring Thought Journal Cognitive Reframing Thought Stopping Decatastophizing Psychoeducation
Bulimia Nervosa
- duration
at least 1x week for 3 months
Bulimia Nervosa
- symptoms
binge eats and then uses variety of compensatory behaviors to limit weight gain
eat in a discrete period of time, an amount of food larger than most would eat
lack of control over eating
binge eats and then uses variety of compensatory behaviors to limit weight gain
eat in a discrete period of time, an amount of food larger than most would eat
lack of control over eating
Bulimia Nervosa
Bulimia Nervosa
-specifiers
In partial remission In full remission mild - 1-3 episode/week moderate - 4-7 episodes/week severe - 8-13 episodes/week extreme - greater than 14 episodes/week
Bulimia Nervosa
differential
Anorexia Binge-Eating MDD Borderline Kleine-Levin Syndrome
Bulimia Nervosa
- interventions
CBT: Self-Monitoring, Disputing irrational beliefs, Bibliotherapy REBT- Humor; Shame attacking (help with Self-Esteem)
Interpersonal Therapy Guided Self-Help
Anorexia
- duration
none specified
Anorexia
- symptoms
obsessive preoccupation w/ body weight and food
low body weight; fear of gaining weight
peculiar handling of food
distorted body image; loss of menstrual period
obsessive preoccupation w/ body weight and food
low body weight; fear of gaining weight
peculiar handling of food
distorted body image; loss of menstrual period
Anorexia Nervosa
Anorexia Nervosa
- specifiers
restricting type
binge eating/purging type
Anorexia
- differential
Bulimia Body Dysmorphic Avoidant/Restrictive Food Intake Substance Use OCD
Anorexia
- interventions
refer to physician family therapy (i.e. Maudsley family) Group therapy Progressive muscle relaxation Establish a safety contract to ensure living safely Journal to express feelings on eating Guided imagery Mirror exposure Complete homework assignments involving behavioral experiments and/or exposure exercises
