Somatic Symptom and Related Disorders Flashcards
hysteria or hysterical neurosis
somatic complaints unexplained by organic pathology
dissociation
splitting off clusters of mental contents from conscious awareness
somatic symptom disorder RF X6
female
decreased serotonin and endorphins
depression, personality d/o or anxiety d/o
childhood trauma
1st degree family hx
learned helplessness
key features of somatic symptoms X3
one+ somatic symptoms
excessive thoughts/feelings/behaviors r/t somatic symptoms
state of being symptomatic is persistent while symptoms may vary
what are excessive thoughts in pain d/o
out of proportion with seriousness of symptoms
client has high level of anxiety about symptoms/health
excessive time and energy given to symptoms
somatic symptom d/o aka
pain disorder
illness anciety d/o aka
hypochondriasis
functional neurobiological symptom d/o aka
conversion d/o
factitious disorder aka
munchausen syndrome
somatic symptom s/s
PAIN
may be specific or generalized
appraisal of symptoms disproportionate
may be associated with another medical conditions
features of pain disorder X3
long complex hx
seek out multiple HCP’s
often believe the HCP’s are dumb
treatment of pain disorder medications
NSAIDS and SSRI’s
tx of pain disorder X5
referral to pain clinic
relaation therapy
group therapy
journaling
discourage doctor shopping
key features of illness anxiety disorder X5
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
two categories of illness anxiety disorder
care seeking type or care avoidant type
key features of conversion disorder X5
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
key features of r/t other medical condition
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
factitious disorder key features
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
body identity integrity disorder (BIID)
person feels alienated from most of their body and will seek an amputation as a “cure”
malingering
faking illness for primary and secondary rewards
key features on derealization disorder X4
recurring periods of feeling unreal, detached and outside body
numbness
dreamlike state
distortions in sense of time and visual perception
