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DSM - 5 > Somatic Disorders and Feeding and Eating disorders > Flashcards

Somatic Disorders and Feeding and Eating disorders Flashcards

1
Q

Somatic Symptom disorders

- duration

A

greater than or equal to 6 months

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2
Q

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

A

somatic symptom disorder

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3
Q

Somatic Symptom disorders

- symptom

A

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

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4
Q

somatic symptom disorder

- specifiers

A

w/ predominant pain

persistent (greater than 6 months)

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5
Q

Somatic Symptom disorder

- differential

A

Panic; GAD
Illness Anxiety; Conversion
Body Dysmorphic; OCD Depressive
other medical condition

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6
Q

Somatic Symptom disorder

- intervention

A

CBT

Mindfulness

Group therapy

Family Psychoeducation

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7
Q

Illness Anxiety

- duration

A

greater than 6 months

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8
Q

Illness Anxiety

- symptoms

A

preoccupation with having or acquiring a serious illness, a high level of anxiety about health, obsessed about illness, medical exams are consistently benign

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9
Q

preoccupation with having or acquiring a serious illness, a high level of anxiety about health, obsession about illness, medical exams are consistently benign

A

Illness anxiety

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10
Q

Illness anxiety

- specifiers

A

care-seeking type - medical care is frequently used

care-avoidant type - medical care is rarely used

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11
Q

Illness anxiety

- differential

A

Adjustment D/O

Somatic D/O

Anxiety

OCD

MDD

Psychotic D/O

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12
Q

Conversion Disorder

- duration

A

none specified

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13
Q

Conversion Disorder

- symptoms

A

sudden dramatic loss of motor or sensory function with evidence of incompatibility between symptom and recognized neurological and medical conditions

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14
Q

sudden dramatic loss of motor or sensory function with evidence of incompatibility between symptom and recognized neurological and medical conditions

A

Conversion disorder

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15
Q

Conversion Disorder

- specifiers

A 
w/ weakness/paralysis 
w/abnormal movement
w/swallowing symptoms
w/speech symptom 
w/attacks/seizures 
w/anesthesia/sensory loss
w/mixed symptoms 
acute
persistent
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16
Q

Conversion Disorder

- differential

A 
Neurological D/O 
Somatic Symptoms
Factitious
Dissociative d/o 
Body Dysmorphic 
Depressive
Panic D/O
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17
Q

Conversion disorder

- interventions

A 
psychodynamic
family therapy
CBT
Brief Regressive Hypnosis
eclectic psychotherapy
brief psychodynamic therapy
biofeedback
bibliotherapy
relaxation training
EMDR
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18
Q

Medical condition is present and affected by psychological/behavioral issues
Factors have altered the course of medical condition; interfere with treatment; increase health risks

A

Psychological Factors Affecting Other Medical Conditions

19
Q

Psychological Factors Affecting Other Medical Conditions

-symptoms

A

Medical condition is present and affected by psychological/behavioral issues
Factors have altered the course of medical condition; interfere with treatment; increase health risks

20
Q

Psychological Factors Affecting Other Medical Conditions

- specifiers

A

mild
moderate
severe
extreme

21
Q

Factitious disorder

A

Fakes an illness for psychological gain

- not external reward

22
Q

Fakes an illness for psychological gain

- not external reward

A

Factitious disorder

23
Q

Factitious Disorder

- specifiers

A

single episode

recurrent episode

24
Q

Factitious disorder

- differential

A 
Somatic Symptoms 
Malingering
Conversion D/O
Borderline
medical condition not associated with falsification
25
Q

Factitious Disorder

- interventions

A

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

26
Q

Binge Eating Disorder

- duration

A

at least 1x/week for 3 months

27
Q

Binge Eating Disorder

- symptoms

A

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

28
Q

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

A

Binge Eating Disorder

29
Q

Binge Eating Disorder

- specifiers

A 
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
30
Q

Binge Eating disorders

- differential

A 
Bulimia
Bipolar
Depressive D/O 
Borderline 
Obesity
31
Q

Binge Eating Disorder

- interventions

A 
Cognitive Restructuring
Thought Journal
Cognitive Reframing 
Thought Stopping 
Decatastophizing 
Psychoeducation
32
Q

Bulimia Nervosa

- duration

A

at least 1x week for 3 months

33
Q

Bulimia Nervosa

- symptoms

A

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

34
Q

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

A

Bulimia Nervosa

35
Q

Bulimia Nervosa

-specifiers

A 
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
36
Q

Bulimia Nervosa

differential

A 
Anorexia 
Binge-Eating
MDD
Borderline 
Kleine-Levin Syndrome
37
Q

Bulimia Nervosa

- interventions

A

CBT: Self-Monitoring, Disputing irrational beliefs, Bibliotherapy REBT- Humor; Shame attacking (help with Self-Esteem)
Interpersonal Therapy Guided Self-Help

38
Q

Anorexia

- duration

A

none specified

39
Q

Anorexia

- symptoms

A

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

40
Q

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

A

Anorexia Nervosa

41
Q

Anorexia Nervosa

- specifiers

A

restricting type

binge eating/purging type

42
Q

Anorexia

- differential

A 
Bulimia
Body Dysmorphic
Avoidant/Restrictive Food Intake
Substance Use 
OCD
43
Q

Anorexia

- interventions

A 
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

DSM - 5 (13 decks)

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