somatic symptoms Flashcards
exam 1
Symptoms for somatic symptoms and related disorders
not produced voluntarily
somatic symptoms and related disorders are characterized by physical symptoms that are ________ with a neurological or general medical condition
incompatible
- Large diagnostic
overlap - “Somatoform” is confusing
- Focused on lack of medical explanation
- Caused significant stigma
DSM IV TR
- Improve diagnostic accuracy
- More user‐friendly in primary care settings
- Focus on distressing somatic symptoms
- Abnormal thoughts, feelings, & behaviors associated with sxs
DSM 5
somatizers have a ______ threshold for reporting sx.
lower
mind body connection
somatization
somatization puts people at risk for _____ morbidity
iatrogenic (bad)
doe patients resist being seen by psychiatrists?
yas
somatic sx is a dx of
exclusion
there is a 1-20 misdiagnosis rate for Somatic sx?
yas
75% of pts with Major Depression or Panic Disorder presented _________with somatic sx
exclusively
50% of primary care pts who eventually receive psychiatric diagnosis presented _______ with somatic sx
exclusively
lack of medically explained symptoms does equal a psychiatric dx.
FALSEEEEEEE
IT DOES NOT
somatic sx has a presence of symptoms medically explained or not
YASSSSSSS
One or more distressing somatic symptoms that cause major daily life disruptions_______
major daily life disruptions
state of being symptomatic is persistent
more than 6 months
SSD key criteria
excessive thoughts, feelings or behaviors
excess worry regarding mild or absent symptoms
illness anxiety disorder
ilness preocupation present for more than
6 months
Requires clear evidence of incompatibility with neurological disease
conversion disorder
CD criteria requires one or more sx of
altered voluntary or sensory function
CD criteria:
Acute
persistent
Acute is < 6 months
persistent > 6 months
are symptoms intentional in conversion disorder?
Nope, not intentional
previously dx of a medical condition; factors adversely affect the medical condition
PFAOMC
PFAOMC examples
- Long term work stress and hypertension
- Anxiety and asthma
- Depression and CAD
- Alcohol use d/o and liver disease
-Smoking and COPD
Obesity and Diabetes
cluster B
Body dysmorphic disorder
preoccupation that are not observable or appear slight to others
BDD frequently responds to
high dose SSRI’s and CBT
only disorder in this fucked up lecture that has medications for tx.
Body dysmorphic disorder
Brief SSD or IAD timeline
6 months duration
what is VERY IMPORTANT
for the timeline of somatic and illness anxiety
