somatic symptom disorders (ch 17)

Question 1

mental disorder characterized by physical
symptoms that suggest physical illness or
injury – symptoms that cannot be explained
fully by a general medical condition, direct
effect of a substance, or attributable to
another mental disorder

Answer 1

somatoform disorder

Question 2

DSM 5 somatic system disorder (SOME ATTIC)

Answer 2

Symptoms
One or more
Medically unexplained
Excessive
Anxiety
Thinking about
Time consuming
Impairing
Chronic

Question 3

S+S illness anxiety disorder (hypochondriac)

Answer 3

• preoccupation with fears of having serious disease
• obsessive preoccupation persists despite medical evaluation and reassurance
• not a delusion

Question 4

DSM 5 conversion disorder (CAN’T)

Answer 4

Clinically unexplained
Abnormality
Nervous system
Trigger (sometimes)

• 1+ deficits affecting motor/sensory function
• deficits preceded by trigger/stressor
• not intentionally produced
• impacts functioning, but not concerned about it

Question 5

faking illness:

• pretending to be sick
• usually done to avoid responsibility

Answer 5

malingering

Question 6

faking illness:

• inflict injury or illness or aggravate existing condition
• fulfills an emotional need

Answer 6

factitious disorder

Question 7

reinforcement: direct benefit from illness that results in decreased anxiety

Answer 7

primary gain

Question 8

reinforcement: advantage of fulfilling sick role

Answer 8

secondary gain

Question 9

Tx for all somatic disorders

Answer 9

• acknowledge symptoms
• encourage expression of feelings
• treat comorbid diagnoses
• focus pt attention away from self
• anxiety reducing techniques

Question 10

assessment for emotional resilience in pts with somatic disorders

Answer 10

self compassion scale short form

Question 11

assessment tool used for illness anxiety disorder

Answer 11

UCLA loneliness scale

Question 12

lack of emotional concern about dramatic symptoms in conversion disorder

Answer 12

la belle indifference