Somatic Symptom and Related Disorders

Question 1

The essential feature of _____________________ is the presence of one or more somatic symptoms that cause distress or a significant disruption in daily life accompanied by excessive thoughts, feelings, or behaviors related to the symptoms, as manifested by at least one of the following:

• Persistent and disproportionate thoughts about the seriousness of the symptoms
• Persistently high level of anxiety about one’s health or symptoms
• Excessive time and energy devoted to health concerns or symptoms

Answer 1

Somatic Symptom Disorder.

Question 2

Somatic Symptom Disorder is persistent (usually more than _____________ in duration), although any one symptom may not be continuously present; the ___________________ specifier is applied when pain is the primary symptom.

Answer 2

• 6 months
• Predominant pain

Question 3

_______________________ is characterized by:

• A preoccupation with having a serious illness
• An absence of somatic symptoms or the presence of mild somatic symptoms
• A high level of anxiety about one’s health
• Performance of excessive health-related behaviors or avoidance of doctors, hospitals, etc.

Answer 3

Illness Anxiety Disorder.

Question 4

For Illness Anxiety Disorder, the preoccupation has been present for at least _____________, although the specific illness of concern may change over time.

Answer 4

6 months.

Question 5

____________________ (also known as Functional Neurological Symptom Disorder) requires the presence of symptoms that involve disturbances in voluntary motor or sensory functioning and suggest a serious neurological or other medical condition (e.g., paralysis, seizures, blindness, loss of pain sensation) with evidence of an incompatibility between the symptom and recognized neurological or medical conditions.

Answer 5

Conversion Disorder.

Question 6

Specifiers for Conversion Disorder are provided for:

• _______________ type (e.g., with weakness or paralysis, with abnormal movement, with anesthesia or sensory loss)
• Course
• Presence or absence of a __________________

Answer 6

• Symptom
• Psychological stressor

Question 7

The DSM-5 distinguishes between two types of Factitious Disorder:

• Factitious Disorder _________________________
• Factitious Disorder _________________________

Answer 7

• Imposed on Self
• Imposed on Another

Question 8

Individuals with _______________________:

• Falsify physical or psychological symptoms that are associated with their deception
• Present themselves to others as being ill or impaired
• Engage in deceptive behavior even in the absence of an obvious external reward for doing so

Answer 8

Factitious Disorder Imposed on Self.

Question 9

Individuals with ________________________:

• Falsify physical or psychological symptoms in another person
• Present that person to others as being ill or impaired
• Engage in the deceptive behavior even in the absence of an external reward

Answer 9

Factitious Disorder Imposed on Another.

Question 10

For both types of Factitious Disorder falsification of symptoms can involve:

• Feigning
• _______________
• Simulation
• _______________ (e.g., by ingestion of a substance or self-injury)

Answer 10

• Exaggeration
• Induction

Question 11

The presence of a clearly identifiable _______________ distinguishes Malingering from Factitious Disorder.

Answer 11

Secondary gain.

Question 12

Although no specific treatment has been identified as consistently effective for Factitious Disorder, many experts agree that establishing a ________________ and providing _______________ and _____________________ is the best way to manage its symptoms.

Answer 12

• Good therapeutic relationship
• Supportive therapy
• Consistency of care