Somatic Symptom and Related Disorders

Question 1

hysteria or hysterical neurosis

Answer 1

somatic complaints unexplained by organic pathology

Question 2

dissociation

Answer 2

splitting off clusters of mental contents from conscious awareness

Question 3

somatic symptom disorder RF X6

Answer 3

female

decreased serotonin and endorphins

depression, personality d/o or anxiety d/o

childhood trauma

1st degree family hx

learned helplessness

Question 4

key features of somatic symptoms X3

Answer 4

one+ somatic symptoms

excessive thoughts/feelings/behaviors r/t somatic symptoms

state of being symptomatic is persistent while symptoms may vary

Question 5

what are excessive thoughts in pain d/o

Answer 5

out of proportion with seriousness of symptoms

client has high level of anxiety about symptoms/health

excessive time and energy given to symptoms

Question 6

somatic symptom d/o aka

Answer 6

pain disorder

Question 7

illness anciety d/o aka

Answer 7

hypochondriasis

Question 8

functional neurobiological symptom d/o aka

Answer 8

conversion d/o

Question 9

factitious disorder aka

Answer 9

munchausen syndrome

Question 10

somatic symptom s/s

Answer 10

PAIN

may be specific or generalized

appraisal of symptoms disproportionate

may be associated with another medical conditions

Question 11

features of pain disorder X3

Answer 11

long complex hx

seek out multiple HCP’s

often believe the HCP’s are dumb

Question 12

treatment of pain disorder medications

Answer 12

NSAIDS and SSRI’s

Question 13

tx of pain disorder X5

Answer 13

referral to pain clinic

relaation therapy

group therapy

journaling

discourage doctor shopping

Question 14

key features of illness anxiety disorder X5

Answer 14

preoccupation with having or acquiring a serious illness for 6+ months

somatic symptoms absent or very mild

high level of anxiety about health

excessive health related behaviors

not better explained by another diagnosis

Question 15

two categories of illness anxiety disorder

Answer 15

care seeking type or care avoidant type

Question 16

key features of conversion disorder X5

Answer 16

1+ symptoms of altered voluntary motor or sensory function

unsable to substantiate a neruological or medical condition causing the symptoms

causes impaired functioning in social, occupational or other areas of functioning

la belle indifference

often there is an identifiable cause for development of the symptom

Question 17

key features of r/t other medical condition

Answer 17

occurs in the presence of disease or somatic symptom

psychological and/or behavioral factors adversely affect the condition

not better explained by another mental disorder

Question 18

factitious disorder key features

Answer 18

purposefully causing injury or disease to oneself

presents self to others as ill, impaired, or injured

deceptive behavior evident even in the absence of obvious external rewards

not better explained by another mental disorder

lack of insight into psychological disorder

Question 19

body identity integrity disorder (BIID)

Answer 19

person feels alienated from most of their body and will seek an amputation as a “cure”

Question 20

malingering

Answer 20

faking illness for primary and secondary rewards

Question 21

key features on derealization disorder X4

Answer 21

recurring periods of feeling unreal, detached and outside body

numbness

dreamlike state

distortions in sense of time and visual perception