Somatic Symptom and Related Disorders (3)

Question 1

Functional Neurological Symptom
Disorder (conversion disorder)

Altered?
Causes?
No clear?
Causes?

Answer 1

Altered/loss of motor or sensory function

Causes neurological symptoms such as vision, deafness, and seizures.

No clear basis or condition
Causes funtional impairment

Question 2

Somatic Symptom Disorder (1)
Not?
Symptoms like?
No?
Stressors?

Answer 2

NOT NEUROLOGICAL

Somatic symptoms like pain, fatigue, dyspnea, nausea that is distressing or disruptive

No medical causes

Stressors in life are becoming physical in body

Question 3

Somatic Symptom and & Functional Neurological Symptom Disorder:

Treatment

Therapy?
Meds? 2

Nursing interventions?

Answer 3

Therapy:
CBT: focusing on problem solving & identifying triggers.

Meds:
SNRIs: duloxetine
SSRIs for comorbid depression anxiety

Listen to their experience
Assess stressors/family function

Question 4

Illness Anxiety Disorder
Hypochondriasis

Fear of?
Visit?
Somatic symptoms?

Answer 4

Fear of developing a serious disease

Visit doctors alot or not at all

Somatic symptoms not really present

Question 5

Factitious Disorder
(Munchausen’s)

What is it?
Actions are?
Motivation?

What is malingering?

Answer 5

Fakes or exaggerates injury in themselves or someone else

Actions are fake or exaggerated

Motivation: desire to be a patient or develop dependent relationship

Malingering: Goal is to gain something like money, housing.