somatic symptom d/o

Question 1

define malingering

Answer 1

conscious feigning of sx to avoid jail, court or obtain housing compensation

Question 2

DSM5 criteria for somatic symptom disorder

Answer 2

1 or more somatic sx that are distressing
excessive thoughts, feelings or behaviors realted to the sx

lasts at least 6 mo

Question 3

duration of somatic symptom disorder to meet criteria

Answer 3

at least 6 mo

Question 4

Tx of somatic symptom d/o

Answer 4

pt should see PCP regularly w/ scheduled visits and minimize unnecessary w/u and treatments

address psych issues slowly bc pt will likely resist

chronic and debilitating course

Question 5

conversion d/o

Answer 5

convert psychological distress to neuro sx and are surprisingly calm and unconcerned

ex: blindness, paralysis, paresthesia

Question 6

tx for conversion disorder

Answer 6

primary tx is education about the illness
CBT w/ or w/o PT can be used if education is not effective

poor prognosis

Question 7

illness anxiety disorder DSM5

Answer 7

preoccupation w/ having illness
no or mild somatic complaints
high anxiety about health
excessive health-related beahviors
persists for 6 mo

Question 8

duration criteria for illness anxiety disorder

Answer 8

at least 6 months

Question 9

tx for illness anxiety d/o

Answer 9

regularly scheduled visits to one PCP

CBT is the most useful

Question 10

what is the only somatic symptom d/o that doesn’t have higher freq in women?

Answer 10

illness anxiety disorder (equal in men and women)

Question 11

better prognostic factors for illness anxiety disorder

Answer 11

fewer somatic sx, shorter duration of illness, absence of childhood physical punishment

Question 12

define somatic symptom d/o

Answer 12

pts believe they are ill and do not intentionally produce or feign sx

Question 13

define factitious d/o

Answer 13

pts intentionally produce sx of a psychological or physical illness bc of desire to assume the sick role not for external rewards