Somatic Symptom and Related Disorders; Nonadherence to Medical Treatment (Pearls)

Question 1

Patient consciously reports false symptoms or induces symptoms, with the goal of playing the “sick” role.

This describes what disorder?

Answer 1

Factitious disorder

Question 2

When someone imposes the Factitious disorder imposed on themself it is classified as?

Answer 2

Munchausen syndrome

Question 3

When someone imposes the Factitious disorder on someone else it is termed?

Answer 3

Munchausen syndrome by proxy

Question 4

What is the Tx for for Factitious syndrome?

Answer 4

1. Conjoint confrontation by the PCP and the Psychiatrist

of course if its Munchausen syndrome by proxy the child must be removed.

Question 5

obsession with the idea of having a serious but undiagnosed medical condition

This describes a patient with what disorder?

Answer 5

Illness anxiety disorder (Hypochondriasis)

Question 6

How long does someone need to preoccupied with the idea that they have a serious illness to be diagnosed with illness anxiety disorder?

Answer 6

at least 6 months (everything is fucking 6 months)

Question 7

Tx for illness anxiety disorder?

Answer 7

Group/insight-oriented therapy

Regular appts with a provider for reassurance

Question 8

What kinds of medications can you use to treat illness anxiety disorder?

Answer 8

Yep SSRI if they have underlying anxiety or major depressive disorder

Question 9

Preoccupation with having a serious illness.

This describes what?

Answer 9

Somatic symptom disorder

Question 10

With somatic symptom disorder does it lead to significant disruption in the patients life?

Answer 10

Yes

Question 11

How long does someone need to have the somatic symptoms last to be diagnosed?

Answer 11

persistent for more than 6 months