Somatic Symptom Disorders and Malingering Flashcards

1
Q

Somatic Symptom Disorder

A

replaces undifferentiated somatoform disorder, hypochodriasis, pain disorder

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2
Q

Criteria for SSD

A
  • distressing and disrupt daily life
  • excessive thoughts, feelings, behaviors (anxiety, excessive time devoted to healthcare)
  • > 6mo
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3
Q

Illness Anxiety Disorder

A
  • somatic sx absent or mild
  • preoccupation with having or acquiring serious illnes
  • high anxiety and low threshold for becoming alarmed about health
  • > 6 mo
  • excessive or maladaptive health behavior
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4
Q

Conversion Disorder

A

nonintentionally produced symptoms or deficits affecting voluntary motor or sensory function

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5
Q

Common presentation of Conversion Disorder

A

pseudoseizures, blindness, deafness, sensory loss, paralysis, gait issues

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6
Q

Approach to Conversion Disorder

A

“suggestion” of recovery, say has good prognosis

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7
Q

Factitious Disorder

A

symptoms intentionally produced to assume sick role, self or by proxy

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8
Q

Common ppl in Factitious Disorder

A

hospital/healthcare workers, mothers, leave early with AMA

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9
Q

How to Check for Self-Injected insulin

A

increased serum insulin/C-peptide ratio

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10
Q

Conditions of consider with SSD

A

medical: MS, SLE, porphyria, hemochromatosis
Psych: anxiety disorder, mood disorders, schizo

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11
Q

SSD MGMT

A
  • freq visit, short PE, discuss fears

- Aim: prevent new symptoms, decrease admissions and ED visits

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12
Q

BATHE

A

background, affect, trouble, handle, empathy

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13
Q

Pharm SSD

A

treat concomittant psych problem

pain: Gabapentin, SNRI
fatigue: bupropion
anxiety: SSRI, TCA

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14
Q

Malingering

A
  • intentional production of false physical and psychological symptoms, motivating by external incentives
  • jail, opiates, disability, attorney
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