SOMATIC SYMPTOM AND RELATED DISORDERS

Question 1

What are the disorders present in somatic symptom and related disorders?

Answer 1

1. Somatic Symptom Disorder
2. Illness Anxiety Disorder
3. Conversion Disorder
4. Factitious Disorder

Question 2

what is somatic symptom disorder?

Answer 2

• Multiple, current, somatic symptoms that are distressing or result in significant disruption of daily life
• Persistent thoughts, high level of anxiety, excessive time and energy devoted to the symptoms
• Distress may not be focused on the somatic symptom only
• High level of medical care utilization
• Called “Hypochondriasis” in the past

Question 3

What is illness anxiety disorder?

Answer 3

• Preoccupation with having or acquiring a serious illness
• Minimal or no somatic symptoms
• High level of anxiety about health
• Excessive health-related behaviors
• Normal physiological sensation
• A benign and self-limited dysfunction
• Or a bodily discomfort not generally considered indicative of disease

Question 4

What is the difference between somatic symptom disorder and illness anxiety disorder?

Answer 4

In SOMATIC SYMPTOM DISORDER, they would feel that their symptoms are too distressing that it would cause them harm or death while ILLNESS ANXIETY DISORDER has minimal to no somatic symptoms and is only concerned with being ill

Question 5

What is Conversion Disorder?

Answer 5

One or more symptoms of altered voluntary motor or sensory function

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

• Weakness or paralysis
• Abnormal movement
• Swallowing symptoms
• Seizures
• Sensory Loss

Question 6

What are the 3 ways of testing Conversion Disorder?

Answer 6

1. Hoover’s Sign
2. Tremor Entrainment Test
3. Closed eyes with resistance to opening

Question 7

This way of testing conversion disorder is a motor test that helps determine if a patient’s leg weakness is due to a real neurological issue or a functional (psychogenic) problem.

Answer 7

Hoover’s Sign

Question 8

This way of testing conversion disorder is a diagnostic tool used to assess functional (psychogenic) tremor, where the tremor’s frequency shifts to match the rhythm of a voluntary movement performed with the opposite limb.

Answer 8

Tremor Entrainment Test

Question 9

What is Factitious Disorder?

Answer 9

• Intentional falsification of physical or psychological signs or symptoms of illness, which in some cases leads the person to make hospitalization a way of life
• Induction of injury or disease
• The individual presents himself or herself to others as ill, impaired, or injured
• The deceptive behavior is evident even in the absence of obvious external rewards

Question 10

What is another name for factitious disorder?

Answer 10

Munchausen Syndrome

Question 11

What is malingering?

Answer 11

Exaggerating or feigning illness to escape duty or work