Somatic Symptom and Related Disorders Flashcards

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1
Q

Somatic symptom disorder

A

One or more somatic symptoms that are significantly disrupting

Excessive throughts related to somatic symptoms

State of being symptomatic is persistent

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2
Q

Somatic symptom disorder demographics

A

Around age of 30

Many more women

May have symptoms for several months then several without

Increased stress brings on

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3
Q

Tx of somatic symptom and what to do as physician

A

Single ID primary caretaker

Monthly but without tests and lab work

Look at this si as emotional expression

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4
Q

Illness anxiety disorder

A

Somatic symptoms are ot really present

Lots of anxiety about illness

At least 6 months but specific illness feared may change

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5
Q

Illness anxiety disorder demographics

A

Men and women equal

20-30

May misinterpret their own sensations

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6
Q

Illness anxiety vs

Somatic
Conversion

and what is length

A

Complain about fewer symptoms and more concerned with an illness

Conversion typically acute and involves a symptom rather than a dz

Episodes last from months to years

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7
Q

Good prognostics of illness anxiety and tx

A

Higher SES, etc.

Use group psychotherpay

Make sure to regularly scheudle physicals

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8
Q

Conversion disorder

A

Functional neuro smyptom disoder

One or more symptoms of altered voluntary motor or sensory function

Incompatibility bt symptom and conditions

Specify the symtom type

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9
Q

Conversion disorder demographics

A

Neurologic symptoms

More women

Men may have been in accidents

Adolsecent onset and young adulthood

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10
Q

CD pathology and other things seen

A

CD caused by repression of unconscious intra-psychic conflict and convert anxiety into a physcial symptom

Primary gain - patients keep conflicts out of awareness

Secondary gain - tangible advantgeaes and benefits as a result of being sick

La belle indiferrent - cavalier attitude toward serious symptoms

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11
Q

CD course

A

Patients may model symptoms on those of someone important to them

Normally resolve soon

Sudden onset is better

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12
Q

Factitious disorder on SELF

A

Falsification of signs or symptoms or induction of injury, assoicayed with id’
d deception

Presents himself to others as ill, impaired, or injured

Behavior evident even in absence of obvious external rewards

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13
Q

Factitious disorder on another

A

Presents another individual as impaired vs. self

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14
Q

Facititous disorders facotrs suggestive

A

Describes knowing well-known pepole but few visitors

Discrepancies between objective and subjective findings

Agreeable to invasive procedures

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15
Q

Facitious patient charactieritics and tx

A

Young women with family support
Lots have jobs
Single systme complaints

Psychotherapy and watch for countertransferecne

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16
Q

Factitituos on another pathology and tx

A

Maternal pathology arisis from childhood neglect and abandonment (contrast with self)

Psychotherapy

17
Q

Warning signs of factitious on another

A

Episodes only when child is or has been wit hthe parent

Parent notably uninvolved

Parent provides false info and not reassured by neg tests

Symptoms disappear when away from the parent

18
Q

Pseudocyesis

A

False belief of being pregant associated with objective signs and symptoms of pregnancy