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Psychopathology > Somatic Symptom and Related Disorders > Flashcards

Somatic Symptom and Related Disorders Flashcards

1
Q

Somatic Symptom Disorder

A.

A

One or more somatic symptoms that are distressing or result in significant disruption of daily life.

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2
Q

Somatic Symptom Disorder

B. 1.-3.

A

Excessive thoughts, feelings, or behaviors related to the somatic symptoms or associated health concerns as manifested by at least one of the following:

  1. Disproportionate and persistent thoughts about the seriousness of one’s symptoms.
  2. Persistently high level of anxiety about health or symptoms.
  3. Excessive time and energy devoted to these symptoms or health concerns.
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3
Q

Somatic Symptom Disorder

C.

A

Although any one somatic symptom may not be continuously present, the state of being symptomatic is persistent (typically more than 6 months).

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4
Q

Somatic Symptom Disorder
Specify if:
With predominant pain:

A

(previously pain disorder): This specifier is for individuals whose somatic symptoms predominantly involve pain.

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5
Q

Somatic Symptom Disorder
Specify if:
Persistent:

A

A persistent course is characterized by severe symptoms, marked impairment, and long duration (more than 6 months).

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6
Q

Somatic Symptom Disorder

Specify current severity:

A

Mild: Only one of the symptoms specified in Criterion B is fulfilled.

Moderate: Two or more of the symptoms specified in Criterion B are fulfilled.

Severe: Two ore more of the symptoms specified in Criterion B are fulfilled, plus there are multiple somatic complaints (or one very severe somatic symptom).

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7
Q

Illness Anxiety Disorder

A.

A

Preoccupation with having or acquiring a serious illness.

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8
Q

Illness Anxiety Disorder

B.

A

Somatic symptoms are not present or, if present, are only mild in intensity. If another medical condition is present or there is a high risk for developing a medical condition (e.g., strong family history is present), the preoccupation is clearly excessive or disproportionate.

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9
Q

Illness Anxiety Disorder

C.

A

There is a high level of anxiety about health , and the individual is easily alarmed about personal health status.

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10
Q

Illness Anxiety Disorder

D.

A

The individual performs excessive health-related behaviors (e.g., repeatedly checks his or her body for signs of illness) or exhibits maladaptive avoidance (e.g., avoids doctor appointments and hospitals).

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11
Q

Illness Anxiety Disorder

E.

A

Illness preoccupation has been present for at least 6 months, but the specific illness that is feared may change over that period of time.

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12
Q

Illness Anxiety Disorder

F.

A

The illness-related preoccupation is not better explained by another mental disorder, such as somatic symptom disorder, panic disorder, generalised anxiety disorder, body dysmorphic disorder, obsessive-compulsive disorder, or delusional disorder, somatic type.

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13
Q

Illness Anxiety Disorder
Specify whether
Care-seeking type:

A

Medical care, including physician visits or undergoing tests and procedures, is frequently used.

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14
Q

Illness Anxiety Disorder
Specify whether
Care-avoidant type:

A

Medical care is rarely used.

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15
Q

Conversion Disorder
(Functional Neurological Symptom Disorder)
A.

A

One or more symptoms of altered voluntary motor or sensory function.

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16
Q

Conversion Disorder
(Functional Neurological Symptom Disorder)
B.

A

Clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions.

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17
Q

Conversion Disorder
(Functional Neurological Symptom Disorder)
C.

A

The symptom or deficit is not better explained by another medical or mental disorder.

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18
Q

Conversion Disorder
(Functional Neurological Symptom Disorder)
D.

A

The symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation.

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19
Q

Conversion Disorder
(Functional Neurological Symptom Disorder)
Specify symptom type:

A
  • With weakness or paralysis
  • With abnormal movement (e.g., tremor, dystonic movement, myoclonus, gait disorder)
  • With swallowing symptoms
  • With speech symptoms (e.g., dysphonia, slurred speech)
  • With attacks or seizures
  • With anesthesia or sensory loss
  • With special sensory symptom (e.g., visual, olfactory, or hearing disturbance)
  • With mixed symptoms
20
Q

Conversion Disorder
(Functional Neurological Symptom Disorder)
Specify if:

A

Acute episode: Symptoms present for less than 6 months.

Persistent: Symptoms occurring for 6 months or more.

21
Q

Conversion Disorder
(Functional Neurological Symptom Disorder)
Specify if:

A

With psychological stressor (specify stressor)

Without psychological stressor

22
Q

Psychological Factors Affecting Other Medical Conditions

A.

A

A medical symptom or condition (other than a mental disorder) is present.

23
Q

Psychological Factors Affecting Other Medical Conditions

B.

A

Psychological or behavioral factors adversely affect the medical condition in one of the following ways:

24
Q

Psychological Factors Affecting Other Medical Conditions

1.

A

The factors have influenced the course of the medical condition as shown by a close temporal association between the psychological factors and the developmental or exacerbation of, or delayed recovery from, the medical condition.

25
Q

Psychological Factors Affecting Other Medical Conditions

2.

A

The factors interfere with the treatment of the medical condition (e.g., poor adherence).

26
Q

Psychological Factors Affecting Other Medical Conditions

3.

A

The factors constitute additional well-established health risks for the individual.

27
Q

Psychological Factors Affecting Other Medical Conditions

4.

A

The factors influence the underlying pathophysiology, precipitating or exacerbating symptoms or necessitating medical attention.

28
Q

Psychological Factors Affecting Other Medical Conditions

C.

A

The psychological and behavioral factors in Criterion B are not better explained by another mental disorder (e.g., panic disorder, major depressive disorder, posttraumatic stress disorder).

29
Q

Psychological Factors Affecting Other Medical Conditions

Specify current severity:

A

Mild: Increases medical risk (e.g., inconsistent adherence with antihypertension treatment).

Moderate: Aggravates underlying medical condition (e.g., anxiety aggravating asthma).

Severe: Results in medical hospitalisation or emergency room visit.

Extreme: Results in severe, life-threatening risk (e.g., ignoring heart attack symptoms).

30
Q

Factitious Disorder Imposed on Self

A.

A

Falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception.

31
Q

Factitious Disorder Imposed on Self

B.

A

The individual presents himself or herself to others as ill, impaired, or injured.

32
Q

Factitious Disorder Imposed on Self

C.

A

The deceptive behavior is evident even in the absence of obvious external rewards.

33
Q

Factitious Disorder Imposed on Self

D.

A

The behavior is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder.

34
Q

Factitious Disorder Imposed on Self

Specify:

A

Single episode

Recurrent episodes (two or more events of falsification of illness and/or induction of injury)

35
Q

Factitious Disorder Imposed on Another
(Previously Factitious Disorder by Proxy)
A.

A

Falsification of physical or psychological signs or symptoms, or induction of injury or disease, in another, associated with identified deception.

36
Q

Factitious Disorder Imposed on Another
(Previously Factitious Disorder by Proxy)
B.

A

The individual presents another individual (victim) to others as ill, impaired, or injured.

37
Q

Factitious Disorder Imposed on Another
(Previously Factitious Disorder by Proxy)
C.

A

The deceptive behavior is evident even in the absence of obvious external rewards.

38
Q

Factitious Disorder Imposed on Another
(Previously Factitious Disorder by Proxy)
D.

A

The behavior is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder.

39
Q

Note:

A

The perpetrator, not the victim, receives the diagnosis.

40
Q

Specify:

A

Single episode

Recurrent episodes (two or more events of falsification of illness and/or induction of injury)

41
Q

Other Specified Somatic Symptom and Related Disorder

A

This category applies to presentations in which symptoms characteristic of a somatic symptom and related disorder that cause clinically significant distress or impairment in social, occupational, or other important areas of functioning predominate but do not meet the full criteria for any of the disorders in the somatic symptom and related disorders diagnostic class.
Examples of presentations that can be specified using the “other specified” designation include the following:

42
Q

Other Specified Somatic Symptom and Related Disorder

1. Brief somatic symptom disorder:

A

Duration of symptoms is less than 6 months.

43
Q

Other Specified Somatic Symptom and Related Disorder

2. Brief illness anxiety disorder:

A

Duration of symptoms is less than 6 months.

44
Q

Other Specified Somatic Symptom and Related Disorder

3. Illness anxiety disorder without excessive health-related behaviors:

A

Criterion D for illness anxiety is not met.

45
Q

Other Specified Somatic Symptom and Related Disorder

4. Pseudocyesis:

A

A false belief go being pregnant that is associated with objective signs and reported symptoms of pregnancy.

Psychopathology (5 decks)

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