Somatic Symptom Disorders; Feeding & Eating Disorders; Elimination Disorders Flashcards

1
Q

Somatic Symptom Disorder

A

One or more current somatic symptoms that are distressing or result in significant disruption to daily life

Excessive thoughts, feelings or behaviors related to the somatic symptoms or associated health concerns:

  • disproportionate or persistent thoughts about the seriousness of one’s symptoms
  • persistently high level of anxiety about health or symptoms
  • excessive time and energy devoted to these symptoms or health concerns

State of being symptomatic is persistent (typically more than 6 months)

Somatic symptoms without an evident medical explanation are not sufficient to make a diagnosis
- suffering is authentic, whether or not it is medically explained

Experience of physical symptoms: pain, shortness of breath, weakness, etc.

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2
Q

Illness Anxiety Disorder

A

Preoccupation with having or acquiring a serious illness

Somatic symptoms do not have to be present; mild if at all

Performs excessive health related behaviors

Preoccupation is present at least 6 months

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3
Q

Conversion Disorder

A

Experience of severe neurologic impairments with no medical explanation

Clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions

Specified symptoms include:
- paralysis, weakness, blindness, swallowing impairment, tremors, etc.

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4
Q

Factitious Disorder

A

Falsification of medical or psychological signs and symptoms in oneself or others

Associated with identified deception

Presents self or others as impaired, ill, or injured

Deceptive behavior is evident with or without obvious external reward

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5
Q

Pica

A

Persistent eating of nonnutritive, nonfood substances (paper, soap, hair, paint, gym, pebbles, clay, etc) over a period of at least one month

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6
Q

Rumination Disorder

A

Repeated regurgitation of food over period of at least one month

May be re-chewed, re-swallowed, or spit out

Does not occur during other psychological disturbances or medical disorders

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7
Q

Avoidant/Restrictive Food Intake Disorder

A

Eating or feeding disturbance as manifested by persistent failure to meet appropriate nutritional and/or energy needs

Marked interference with psychosocial functioning

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8
Q

Anorexia Nervosa

A

Restriction of energy intake relative to requirements, leading to a significantly low body weight (less than minimally expected)

Intense fear of gaining weight

Disturbance in way in which one’s weight or shape is experienced

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9
Q

Bulimia Nervosa

A

Recurrent episodes of binge eating (can experience a sense of loss of control)

Recurrent inappropriate compensatory behaviors in order to prevent weight gain:

  • self-induced vomiting
  • misuse of laxatives
  • fasting
  • excessive exercise

Occur at least once a week for 3 months

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10
Q

Enuresis

A

Repeated voiding of urine into bed or clothes, whether involuntary or intentional

At least twice a week for at least 3 consecutive months

Chronological age is at least 5 years

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11
Q

Encopresis

A

Repeated passage of feces into inappropriate places, whether voluntary or involuntary

At least one such event occurs each month for at least 3 months

Chronological age is at least 4

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12
Q

Somatization

A

Unconscious process by which psychological distress is expressed as physical symptoms

Often occur as reactions to stressful situations

May lead to over utilization of medical care

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13
Q

Malingering

A

NOT CONSIDERED A MENTAL ILLNESS

Intentionally falsifying or grossly exaggerating physical or psychological problems

Motivation is external, such as avoiding work/military, obtaining reward (financial resources, medications), avoiding legal action, etc

Can be considered an adaptive response i.e. seeking unattainable but necessary resources

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