Somatic Symptom Disorders + Pharm

Question 1

What disorders other than somatic, often involve a patient anxiously seeking care

Answer 1

stress/trauma disorders
OC disorders (plastic surg)

Question 2

somatic symptom disorder vs fastidius disorder

Answer 2

fastidious = pt KNOWINGLY creastes physical or psych symptoms in order to assume “sick role”

Somatic = pt UNCONCIOUSLY creates physical symptoms

Question 3

what other condition is common for pts that have somatic symptom disorder to have

Answer 3

depression

Question 4

persistant thoughts and anxiety about symptoms that have lasted for months to years + these symptoms need to be addressed urgently + inability to express feelings in words/are unaware of emotional and stressful issues

Answer 4

somatic symptom disorder

Question 5

acute stressor triggers sudden loss of sensory or motor function–pt is aware and indifferent about it

Answer 5

conversion disorder

Question 6

what is alexithymia

Answer 6

inability to express feelings in words

MANY PEOPLE WITH “UNFOUNDED” SOMATIC COMPLAINS ARE UNABLE TO EXPRESS EMOTIONAL HURT, FEAR, ANGER, ETC

Question 7

preoccupation and fear of having a serious illness

Answer 7

illness anxiety disorder (hypochonriasis)

Question 8

pateint that engages in willful deception to get admitted to the hospital has ____ disorder

Answer 8

fastidious

Question 9

a person imposes a pretend illness onto another person (usually a child or elderly person)

Answer 9

Munchausen by proxy

Question 10

What is malingering

Answer 10

pt fakes illness to attain a specific reward/gain

insurance money, time off from work, discharge from jail

Question 11

sudden amnesia often related to traumatic event

Answer 11

dissociative amnesia

Question 12

sudden unexpected travel with inability to recall ones past (or even their identity)

Answer 12

dissociative fugue

Question 13

detachment of estrangement from one’s own body, thoughts, perceptions, and actions

Answer 13

depersonalization disorder

Question 14

assuming one of several identities or alters WHEN STRESSED

Answer 14

dissociative identity disorder

Question 15

difference between delusions and obessions

Answer 15

delusions: unshakable, false beliefs and obsessions are intrusive thoughts that are perceived as unwanted

Question 16

characterized by preoccupation with imagined defects of face and body

Answer 16

body dysmorphic disorder

Question 17

drug regimen for treatment of somatoform disorders

Answer 17

low dose SSRI in morning or TCA in the evening that is titrated upwards every 4 weeks

Question 18

ADE assc with St John’s wort

Answer 18

*SEX-P*
photosensitivity 
ED
Xerostomia 
difficultly sleeping

Question 19

how to treat pain in somatic symptom disorder?

Answer 19

TCA or SSRI at lower doses than needed for depression provide analgesic effect

**DOC = desipramine (TCA) bc it has lower incidence if side effects

Doxepin (TCA) if have sleep problems bc of pain