Somatic Symptom Disorder/ Illness Anxiety Disorder/Factitious Disorder/Malingering (V65.2)

Question 1

Somatic Symptom Disorder: Criterion A: “?” or more somatic symptoms that are distressing or result in significant disruption of daily life.

Answer 1

1

Question 2

Somatic Symptom Disorder: Criterion B: Excessive thoughts/feelings/behaviors related to the somatic symptoms or associated health concerns as manifested by at least “?” of 3 symptoms.

Answer 2

one

1. Disproportionate and persistent thoughts about the seriousness of one’s symptoms
2. Persistently high level of anxiety about health or symptoms
3. Excessive time and energy devoted to these symptoms

Question 3

Somatic Symptom Disorder: Criterion C: Although any one somatic symptom may bot be continuously present, the state of being symptomatic is persistent, typically more than “?” months.

Answer 3

6

Question 4

Illness Anxiety Disorder: Criterion A: Preoccupation with having or acquiring a “?”

Answer 4

serious illness

Question 5

Illness Anxiety Disorder: Criterion B: “?” are not present or are only mild in intensity.

Answer 5

somatic symptoms

Question 6

Illness Anxiety Disorder: Criterion C: There is a high level of “?” about health, and the individual is easily “?” about personal health status.

Answer 6

anxiety, alarmed

Question 7

Illness Anxiety Disorder: Criterion D: The individual performs excessive “?” behaviors, or maladaptive “?”.

Answer 7

health-related, avoidance (avoids medical appointments)

Question 8

Illness Anxiety Disorder: Criterion E: Illness preoccupation has been present for at least “?” months, but the specific illness that is feared may change over that period of time.

Answer 8

6

Question 9

Factitious Disorder: Criterion A: “?” of physical or psychological signs or symptoms, or “?” of injury or disease, associated with identified deception.

Answer 9

falsification, induction

Question 10

Factitious Disorder: Criterion B: The individual presents him/herself to others as “?3”.

Answer 10

ill, impaired, or injured

Question 11

Factitious Disorder: Criterion C: The deceptive behavior is evident even in the absence of obvious “?”.

Answer 11

external rewards

Question 12

Factitious Disorder: Criterion D: The behavior is not better explained by another “?”

Answer 12

medical disorder

Question 13

Malingering (p726): The essential feature of malingering is the “?” of false/grossly exaggerated physical/psychological symptoms, motivated by “?”.

Answer 13

intentional production, external incentives

Question 14

Malingering should be strongly suspected if any combination of 4 is noted.

Answer 14

1. medicolegal context of presentation
2. Marked discrepancy between the claimed stress/disability and the objective findings and observations
3. Lack of copperation during the diagnostice evaluation and in complying with the prescribed treatment regimen.
4. The presence of antisocial personality disorder.

Question 15

Malingering differs from factitious disorder in that the motivation for the symptom production in malingering is an “?”, whereas in factitious disorder “?same” are absent.

Answer 15

external incentive

Question 16

Malingering diagnosis is indicated if the individual aims to obtain an “/”.
Factitious disorder is indicated if the individual aim is to assume the “?”.

Answer 16

incentive (e.g. money)

Sick role