Somatic/Disossiative Flashcards

1
Q

Describe Psychosomatic Disorder?

A

identifiable physical illness or deficit caused at least partly by psychological factors

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2
Q

What is Somatic Symptom Disorder?

A

one or some distressing somatic symptoms accompanied by abormal thoughts/feelings/behaviours in relation to symptoms.

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3
Q

What is illness anxiety disorder?

A

those preoccupied with having or aquiring illness in absence of experiencing marked somatic symptoms (disturbances in perception, affect, cognition, behaviour

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4
Q

What is conversion disorder?

A

marked by sudden loss of functioning in part of body without identifiable medical cause

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5
Q

What is La Belle indifference?

A

common feature of conversion disorder involving lack of concern regarding ones loss of function.

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6
Q

What is factitious disorder?

A

when person deliberatly fakes illness to gain medical attention.

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7
Q

What is some of the aetiology information about somatic disorders?

A

underactivity of HPA axis, temporary false body maps, gate control theory, trauma, personality of alexthymia, illness concern behaviour, childhood learning (modelling)

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8
Q

What are some treatment options for: somatic symptom disorder, illness anxiety disorder, conversion disorder and factitious disorder

A

SS: primary care, gp therapy, IA: SSRIs, CBT, mindfulness, C: physical therapy and behaviour technique, None for factitious yet

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9
Q

What is dissociation?

A

process whereby different facets of an individuals sense of self, memories and consiousness become split off from one another

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10
Q

What are the five pathological dissociations?

A

amnesia, depersonalisation, derealisation, identity confusion, identity alteration

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11
Q

What is Depersonalisation/Derealisation disorder?

A

repeated episodes of depersonalisation/derealisation, where there is a detachment from mental processes (automatic, dreamlike, surroundings unreal)

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12
Q

What is the Aetiology info about Depersonalisation/Derealisation D?

A

abuse, extreme depression/anxiety

people make catastrophic interpretations of what would normally be transient feelings of Depersonalisation/Derealisation

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13
Q

What is treatment for Depersonalisation/Derealisation D?

A

CBT may comprise of psychoed, reenterpreting symptoms, soping (no evidence for meds)

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14
Q

What is Dissociative Amnesia?

A

loss of memory for significant personal info

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15
Q

What is the aetiology info for Dissociative Amnesia?

A

shut down of hippo with stress, state dependant memory, betrayl trauma memory

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16
Q

What is Dissociative Idenity Disorder?

A

some than one distinct identity, identities appear to alter control (all other pathological dissociations too)

17
Q

What is the aetiology for DID?

A

severe childhood trauma, latrohenisis, fantasy model

18
Q

What is the fantasy model of DID?

A

focused on observed link between dissociation and reported trauma (only see link because highly diss people are highly fantasy prone and reports of abuse are fantasy rather than real

19
Q

What are the treatment steps for DID?

A

1) establish safety, stabalisation, symptom reduction
2) confronting, working through and integrating memories (exposure)
3) Integration (into identity), rehab