Somatic DOs Flashcards
1
Q
You must have ss for ___mo+ to be Dx with Somatic Symptom or Illness Anxiety DO
A
6
2
Q
How is somatic symptom DO different than Conversion DO?
A
- Somatic Symp DO is when you have a physical condition that causes behavioral/psychological issues in your life
- Conversion DO is when you have physical (NEUROLOGICAL) ss of a health problem but no injury or illness to explain them
3
Q
_____ DO = Hypochondriac
A
Illness Anxiety DO
4
Q
____ DO is when you falsify medical/psych ss to convince others that you or someone else has a health condition
A
Factitious DO
5
Q
Somatic Symptom Tx
A
- Regular PCP visits
- +/- Antidepressants
- Tx Resistant -> Psychiatrist CONSULT, Meet family
- Tx Refractory -> Psychiatrist REFERALL
6
Q
Order ____ when considering Conversion DO
A
LAbs/Imaging to r/o structural dz
7
Q
Conversion DO Tx
A
- Dz Education
- PT/OT/SLP, Refer Psychiatrist, +/- Psychotherapy
- Anxiety/Depress + PAIN -> SNRI or TCA
8
Q
Conversion DO Tx if Anxiety/Depression + PAIN
A
SNRI or TCA
9
Q
Illness Anxiety DO 1st line Tx
A
CBT + PCP Appt q 1-2mo (initially)
dont avoid them, it will make it worse
10
Q
Illness Anxiety DO Tx if ACUTE?
A
- CBT
- SWITCH Psychotherapy
- Antidepressant
11
Q
Factitious DO 1st line Tx
A
1 clinician to oversee pt care
Make sure theyre not hopping b/w docs. Regular outpt appts
