Somatic Disorders and Feeding and Eating disorders

Question 1

Somatic Symptom disorders

- duration

Answer 1

greater than or equal to 6 months

Question 2

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

Answer 2

somatic symptom disorder

Question 3

Somatic Symptom disorders

- symptom

Answer 3

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

Question 4

somatic symptom disorder

- specifiers

Answer 4

w/ predominant pain

persistent (greater than 6 months)

Question 5

Somatic Symptom disorder

- differential

Answer 5

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

Question 6

Somatic Symptom disorder

- intervention

Answer 6

CBT

Mindfulness

Group therapy

Family Psychoeducation

Question 7

Illness Anxiety

- duration

Answer 7

greater than 6 months

Question 8

Illness Anxiety

- symptoms

Answer 8

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

Question 9

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

Answer 9

Illness anxiety

Question 10

Illness anxiety

- specifiers

Answer 10

care-seeking type - medical care is frequently used

care-avoidant type - medical care is rarely used

Question 11

Illness anxiety

- differential

Answer 11

Adjustment D/O

Somatic D/O

Anxiety

OCD

MDD

Psychotic D/O

Question 12

Conversion Disorder

- duration

Answer 12

none specified

Question 13

Conversion Disorder

- symptoms

Answer 13

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

Question 14

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

Answer 14

Conversion disorder

Question 15

Conversion Disorder

- specifiers

Answer 15

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

Question 16

Conversion Disorder

- differential

Answer 16

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

Question 17

Conversion disorder

- interventions

Answer 17

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

Question 18

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

Answer 18

Psychological Factors Affecting Other Medical Conditions

Question 19

Psychological Factors Affecting Other Medical Conditions

-symptoms

Answer 19

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

Question 20

Psychological Factors Affecting Other Medical Conditions

- specifiers

Answer 20

mild
moderate
severe
extreme

Question 21

Factitious disorder

Answer 21

Fakes an illness for psychological gain

- not external reward

Question 22

Fakes an illness for psychological gain

- not external reward

Answer 22

Factitious disorder

Question 23

Factitious Disorder

- specifiers

Answer 23

single episode

recurrent episode

Question 24

Factitious disorder

- differential

Answer 24

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

Question 25

Factitious Disorder | - interventions

Answer 25

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

Question 26

Binge Eating Disorder | - duration

Answer 26

at least 1x/week for 3 months

Question 27

Binge Eating Disorder | - symptoms

Answer 27

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

Question 28

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

Answer 28

Binge Eating Disorder

Question 29

Binge Eating Disorder | - specifiers

Answer 29

``` 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 ```

Question 30

Binge Eating disorders | - differential

Answer 30

``` Bulimia Bipolar Depressive D/O Borderline Obesity ```

Question 31

Binge Eating Disorder | - interventions

Answer 31

``` Cognitive Restructuring Thought Journal Cognitive Reframing Thought Stopping Decatastophizing Psychoeducation ```

Question 32

Bulimia Nervosa | - duration

Answer 32

at least 1x week for 3 months

Question 33

Bulimia Nervosa | - symptoms

Answer 33

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

Question 34

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

Answer 34

Bulimia Nervosa

Question 35

Bulimia Nervosa | -specifiers

Answer 35

``` 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 ```

Question 36

Bulimia Nervosa | differential

Answer 36

``` Anorexia Binge-Eating MDD Borderline Kleine-Levin Syndrome ```

Question 37

Bulimia Nervosa | - interventions

Answer 37

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

Question 38

Anorexia | - duration

Answer 38

none specified

Question 39

Anorexia | - symptoms

Answer 39

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

Question 40

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

Answer 40

Anorexia Nervosa

Question 41

Anorexia Nervosa | - specifiers

Answer 41

restricting type binge eating/purging type

Question 42

Anorexia | - differential

Answer 42

``` Bulimia Body Dysmorphic Avoidant/Restrictive Food Intake Substance Use OCD ```

Question 43

Anorexia | - interventions

Answer 43

``` 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 ```