Somatic Symptom Disorders Flashcards
DSM-5 diagnoses for somatic symptom disorders
Somatic symptom disorder, illness anxiety disorder, conversion disorder, factitious disorder
Characteristics of somatic symptom disorder
Multiple and current somatic symptoms that are distressing or result in significant disruption of daily life, can be specific or non specific, seek medical attention but are unresponsive to medical interventions, closely associated with anxiety disorder and major depression
Characteristics of anxiety illness disorder
Seeking medical reassurance about health status, intrusive thoughts about illness and death, symptoms usually catastrophised, distress is largely caused by the meaning, significance or cause of the symptoms, preoccupation with having or acquiring a serious undiagnosed illness especially when somatic symptoms are either not present or only mild
Characteristics of factitious disorder
Intentionally deceptive, falsification of medical or psychological symptoms in themselves or others, without an evident external compensatory reason
Characteristics of conversion disorder
Paralysis, impaired balance, localized motor function weakness, sensory symptoms, do not appear to cause these symptoms intentionally, doesn’t cause personal distress
What is malingering?
Person falsifies symptoms of physical or psychological illness or injury in themselves, the person has presented themselves auto others as ill, impaired of injured and all of this with expectation of an external reward
What is the difference between malingering and factitious disorder?
In factitious disorder the falsification of the symptoms doesn’t include the expectation of an external reward, which is the case in malingering
Psychodynamic understanding of somatic symptoms disorder
Distressing memories, inner conflicts, anxiety etc. are repressed in conscious and expressed as somatic symptoms
What does the cognitive model of illness anxiety disorder hold?
Illustrate how physical symptoms or bodily sensations evoke negative automatic thoughts about illness. These thoughts then trigger feelings of anxiety, which in turn trigger a range of behavioral, cognitive and mood reactions that reinforce biased beliefs and illness anxiety symptoms.
