SOMATIC SYMPTOM DISORDER

Question 1

Pretending, Can control the symptoms, No real illness

Answer 1

MALINGERING

Question 2

Not pretending, Cannot control the symptoms, No real illness

Answer 2

SOMATOFORM

Question 3

Not pretending, Cannot control the symptoms, Possible real illness, Stress related illnesses

Answer 3

PSYCHOSOMATIC

Question 4

Common causes of PSYCHOSOMATIC (SHAM)

Answer 4

• Stomach ulcer
• Hypertension
• Asthma
• Migraine

Question 5

“Nagsasakit-sakitan” to avoid certain responsibilities

Answer 5

MALINGERING

Question 6

Real experience of symptoms but there is no real illness, there is no evidence of physical or mental health condition

Answer 6

SOMATOFORM

Question 7

Main characteristics of SOMATOFORM

Answer 7

presence of somatic symptoms

Question 8

Somatic Symptoms of SOMATOFORM

Answer 8

Real experience of symptoms and there is no physical or mental illness

Question 9

Another or new term for SOMATIZATION DISORDER

Answer 9

Somatic Symptom Disorder

Question 10

Main characteristic of SOMATIZATION DISORDER

Answer 10

Multiple somatic symptoms (many physical complains

Question 11

This symptoms starts before the age of 30, It Involves GI functions, sexual function, heart, respiratory symptoms (sabay sabay)
- Patient may have persistent thoughts
- They feel sick and they think they would die
hence experiencing anxiety
-If the person is always experiencing symptoms
then the person will experience also an anxiety
where it affects his life

Answer 11

SOMATIZATION DISORDER

Question 12

Characterized by pain that is unrelieved by pain medications (analgesics) because
this is only psychological

Answer 12

PAIN DISORDER

Question 13

most common involved part in pain disorder

Answer 13

headache

Question 14

Another term for CONVERSION DISORDER

Answer 14

Functional Neurological Disorder/
Pseudoneurological

Question 15

Sudden Unexplained neurological condition, Usually this is because of psychologicalconflict

Answer 15

CONVERSION DISORDER

Question 16

lack of concern with the sudden
deficit

Answer 16

La belle indifférence

Question 17

Another term for HYPOCHONDRIASIS

Answer 17

Illness Anxiety Disorder

Question 18

It’s not experiencing any somatic symptoms, There is a minor symptom then the patient will interpret it as a serious illness ex. May headache lang pero yung tingin ng patient may brain tumor siya.

Answer 18

HYPOCHONDRIASIS

Question 19

niisip niya meron siyang sakit pag sinabi ng doctor na wala siyang sakit hindi naniniwala ang px so lilipat siya ng ibang doctor para mag pacheck up ulit then mauulit lang ulit kasi same opinion lang naman

Answer 19

Doctor Shopping / Hospital Hopping

Question 20

Another term for BODY DISMORPHIC DISORDER

Answer 20

Anxiety Disorder, Dysmorphobia (new term)

Question 21

Preoccupation with imagined or exaggerated body defects.

Answer 21

BODY DISMORPHIC DISORDER

Question 21

NEUROBIOLOGICAL THEORY of SOMATOFORM

• Decrease level of these two neurotransmitters
  increased the pain or exaggerating something that
  causes this disorder. What are these neurotransmitters?

Answer 21

Low levels of serotonin and other endorphins

Question 21

PSYCHOLOGICAL THEORY of SOMATOFORM

• According to Sigmund Freud, what are they experiencing?

Answer 21

internalization or cannot express their emotions.

Question 21

PSYCHOLOGICAL THEORY of SOMATOFORM

Unexpressed emotions will lead to?

Answer 21

bodily signs and symptoms
- The more unexpressed emotions we have, one day these emotions will burst and may result in psychiatric disorders.
- The more unexpressed emotions the more bodily symptoms

Question 21

PSYCHOLOGICAL THEORY of SOMATOFORM

• What is the primary gain?

Answer 21

Relief of anxiety
- Ex. nagsakit- sakitan o nagkasakit yung patient kaya naiwasan niya yung source of anxiety

Question 21

PSYCHOLOGICAL THEORY of SOMATOFORM

• What is the Secondary gain?

Answer 21

attention that you will receive from your family
- Excuse ka sa lahat ng Gawain

Question 21

PSYCHOLOGICAL THEORY of SOMATOFORM

• What is the Tertiary gain?

Answer 21

Attention by primary health care providers. Gain relief of family conflict – happens in a chaotic family
- Ex. Iniisip ng family na may sakit kaya nafocus sa sakit

Question 21

PHARMACOLOGIC TREATMENTS in SOMATOFORM

Answer 21

SSRI (Used in many ways and the safest)
* Prozac
* PRaxil
* Zoloft

Question 21

NURSING DIAGNOSIS for SOMATOFORM

Answer 21

• Ineffective coping
• Anxiety
• Pain
• Body image disturbance
• Disturbed sensory perception

Question 22

INTERVENTION for SOMATOFORM. Give three

Answer 22

• Encourage to verbalize feelings of emotions
• Teach alternative ways of coping and about the
  disorder - give knowledge about The more
  unexpressed emotions the more s/sx.
• Be non-judgemental

Question 22

What is the Initial action: for patients with hypochondriasis or illness anxiety disorder

Answer 22

Thoroughly assess the patient baka kasi may real sx na like chest pain (heart attack)

Question 22

After thoroughly assessing and there are no signs and symptoms, what will you do?

Answer 22

return back to focus.
Focus of Care: Emotional expression
* Do not focus on the symptoms anymore.

Question 23

Stress related illness or develops real illness because of stress

Answer 23

PSYCHOSOMATIC

Question 24

Purposefully Faking s/sx to avoid

Answer 24

Malingering

Question 25

To gain attention

Answer 25

Factitious disorder

Question 26

Factitious disorder

Fake symptoms will appear on self.
To gain attention

Answer 26

Munchausen syndrome

Question 27

Factitious disorder

fake symptoms will appear on others
Ex. Purposefully making someone sick or inducing symptoms then curing them to become a hero

Answer 27

Munchausen syndrome by proxy