Somatic Symptom/Dissociate Disorders Flashcards

1
Q

Somatic Symptom Disorder Diagnostic Criteria

A
  • 1+ distressing/disruptive somatic symptom
  • One indicator of excessive thought/feelings/behaviors
    1. Excessive time/energy devoted
    2. High levels of anxiety
    3. Disproportionate thoughts about the seriousness of the symptom
  • Persistent symptomatology (usually 6+ months)
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2
Q

Illness Anxiety Disorder (IAD) Diagnostic Criteria

A
  • Preoccupation with having/acquiring a serious illness
  • Somatic symptoms are not present or MILD
  • Patient performs excessive health-related behaviors-returning to ER for diagnostic tests repeatedly
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3
Q

SSD & IAD Etiology

(4)

A
  1. Genetic predisposition
  2. Personality trait of negativity
  3. Early life/family experiences (sexual, emotional abuse)
  4. Delayed development of emotional intelligence
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4
Q

Treatment of SSD & IAD

A
  1. Address delayed development of emotional intelligence
  2. CBT
  3. Anti-anxiety/antidepressants in extreme cases to assist with CBT
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5
Q

Conversion Disorder Diagnostic Criteria

A

Altered voluntary motor or sensory function
Examples: weakness or paralysis, difficulty swallowing etc
Incompatibility of the symptom with neurological disease
Psychological phenomenon

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6
Q

Conversion Disorder Onset & Course

A

Typically sudden, after a major psychological stressor
Pt is often unconcerned with the symptoms (la belle indifference)
Usually short duration without recurrence

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7
Q

Conversion Disorder Etiology

A

UNKNOWN

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8
Q

Treatment of Conversion Disorder

A
  1. Psychotherapy (CBT)
  2. Hypnosis
    Medications are NOT approved for this
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9
Q

Factitious Disorder Definition

A

Primary gain is attention and being in the sick role
Typically worked in healthcare
Munchausen Syndrome (imposed on oneself)
Munchausen Syndrome by proxy (imposed on another)

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10
Q

Factitious Disorder Treatment

A

No specific treatment

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11
Q

Malingering Definition

A

Individuals fake/induces physical or psychological symptoms for “external” rewards
* Classified under “other conditions that may be a focus of clinical attention”

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12
Q

Dissociative Disorders Common features

A
  1. Splitting off from conscious awareness an aspect of self (memory)
  2. Unconscious coping strategy for stress
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13
Q

Dissociative Amnesia Diagnostic Criteria

3 types

A
  1. Localized: total loss of personal memory during a circumscribed period of time
  2. Selective: Some limited recall of personal memories during circumscribed period of time
  3. Generalized: loss of personal memory of entire life up to and including triggering event
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14
Q

What is a fugue?

A

Purposeful travel or bewildered wandering associated with amnesia for identity or other autobiographical information

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15
Q

Typical features of a fugue

A
  1. Sudden onset
  2. Brief (hours to days)
  3. Unobstrusive lifestyle
  4. Spontaneous termination of amnesea
  5. Rarely recurs
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16
Q

What is anterograde memory loss?

A

Difficulty learning new information in addition to past memory loss

17
Q

Retrograde memory

A

Patient learns new information well but has past memory loss

18
Q

Dissociative Identity Disorder Diagnostic Criteria

A
  • Disruption of individual identity characterized by 2+ personality states (Primary, an alter)
  • Inability to recall personal information
  • Used as a coping mechanism d/t childhood psychological trauma etc.
19
Q

Treatment of Dissociative Identity Disorder

A
  1. Psychotherapy
    No medications have been proven to be effective
20
Q

Depersonalization Diagnostic Criteria

A

Experiences of unreality, detachment or being an outside observer of one’s thoughts, feelings, sensations, body or actions