somatic symptoms and related disorders

Question 1

define somatic symptoms and related disorders

Answer 1

Physical symptoms without a physiological basis

Question 2

In general, somatic symptoms are are _____ and reflect …

Answer 2

chronic.

reflect a way for affected individuals to deal with psychosocial stressors.

Question 3

5 types of somatic/related disorders

Answer 3

Somatic Symptom Disorder
Conversion Disorder
Illness Anxiety Disorder
Psychological Factors Affecting Other Medical Conditions
Factitious Disorder

Question 4

somatic symptom disorder. what is it?

Answer 4

Somatic symptoms plus abnormal thoughts, feelings and behaviors r/t the symptoms. Occurs in multiple organ systems (chronic pain, GI symptoms, HA, etc.)

Question 5

somatic symptom disorder must be present for what time period?

Answer 5

at least 6 months.

Question 6

men or women get somatic symptom d/o and conversion d/o more often ?

Answer 6

women

Question 7

what is conversion disorder? what is the main difference between that and somatic symp d/o

Answer 7

a physical sensation that has incompatibility between the symptom and recognized neurological or medical conditions
key difference between this and somatic symp: conversion mimics a neurological disease - could be a neuro symptoms (paralysis, numbness, tingling, paralysis, etc.)

Question 8

somatic disorder tends to come with other ____ d/o

Answer 8

pysch disorders- i.e. anxiety, depression, etc.

Question 9

ricky bobby from talledega nights, thinking he was paralyzed and that he couldnt feel his leg etc following the accident. - this is an example of what?

Answer 9

conversion disorder

Question 10

what is illness anxiety disorder ?

Answer 10

Preoccupation with having or acquiring a serious illness.
somatic symptoms are not present or very mild. performs excessive health-related behaviors
(aka hypochondriac)

Question 11

how long must it last for Dx of illness anxiety disorder

Answer 11

6 months or more

Question 12

what is “PSYCHOLOGICAL FACTORS AFFECTING OTHER MEDICAL CONDITIONS” ?

Answer 12

a diagnosis: pt has a medical Dx but have behavioral/pysch factors in their life that makes this medical condition worse
BUT if there are two distinct disorders- you Dx them separately. (i.e. tobacco use, COPD)

Question 13

“presence of one or more clinically significant psychological or behavioral factors that adversely affect a medical condition by increasing the risk for suffering, death, disability”

Answer 13

psychological factors affecting other medical conditions

Question 14

Delores has been unable to move her right arm for 2 months. She has had many tests but the doctors can find no medical cause. The symptoms started on the one year anniversary of her husband’s death. Delores is most likely suffering from:

Answer 14

conversion disorder

Question 15

Mark often checks his skin for “abnormal” moles or lesions. He gets worried everytime he is the mall that he will “catch something” from someone else. He worries when he has a headache that he has meningitis. He makes many doctor’s appointments for reassurance that he does not have something serious. Mark’s most likely diagnosis is…

Answer 15

illness anxiety disorder

Question 16

what is factitious disorder?

Answer 16

faking physical or pysch symptoms in absence of obvious external rewards (disability payments, etc.)
- can be self-imposed or imposed on another

Question 17

what is “malingering”?

Answer 17

it is the same definition as factitious disorder but when there IS personal gain present.

Question 18

txt of somatic symptom and related disorders: Help …… often not…

Answer 18

day to day functioning; often not curable

Question 19

txt of somatic symptoms and related disorders: pharmacotherapy and cognitive-behavior therapy

Answer 19

Pharmacotherapy for comorbid or underlying anxiety/depressive disorders

Cognitive-behavioral therapy : identify incorrect beliefs about bodily functioning and symptoms

Question 20

3 types of dissociative disorders

Answer 20

Dissociative Amnesia
Depersonalization/Derealization Disorder
Dissociative Identity Disorder

Question 21

what is dissociative amnesia ?

Answer 21

Partial or total loss of personal information, sometimes due to traumatic event. Forget details but remember how to do the necessities of life. Symptoms cause clinically sig. distress

Question 22

what is dissociative fugue?

Answer 22

Apparently purposeful travel or bewildered wandering that is associated with amnesia for identity or other autobiographical information
(can occur with dissociative amnesia)

Question 23

5 types of dissociative amnesia

Answer 23

1. Localized amnesia:
2. Selective amnesia:
3. Generalized amnesia:
4. Systematized amnesia:
5. Continuous amnesia:

Question 24

what is localized amnesia

Answer 24

Failure to recall events during a circumscribed period of time

Question 25

what is selective amnesia

Answer 25

Can recall some but not all events during a circumscribed period of time; typically can’t recall the disturbing particulars that take place during a specific period of time

Question 26

generalized amnesia

Answer 26

Complete loss of memory for one’s life history (rare)

Question 27

systematized amnesia

Answer 27

Memory loss specific to a particular category of information (all memories relating to one’s family; childhood sexual abuse)

Question 28

continous amnesia

Answer 28

Forgets each new event as it occurs, up to the present

Question 29

Mark had a car accident, but he has no memory of the accident or the next day and a half, even though he was not injured in the accident. Mark is most likely suffering from what type of amnesia?

Answer 29

localized

Question 30

dissociative amnesia is very common WITH what pysch disorder? (but uncommon on its own )

Answer 30

PTSD

Question 31

depersonalization/derealization disorder

Answer 31

The presence of persistent or recurrent experiences of depersonalization, derealization, or both

• reality testing remains intact
• causes clinically significant distress

Question 32

___% of adults may experience brief episodes of stress-related depersonalization

Answer 32

50%

Question 33

what is the most common of the dissociative disorders?

Answer 33

depersonalization/derealization disorder

Question 34

define depersonalization

Answer 34

Depersonalization: experiences of unreality, detachment, or being an outside observer with respect to one’s thoughts, feelings, sensations, body or actions

Question 35

define derealization

Answer 35

Derealization: experiences of unreality or detachment with respect to surroundings (seem unreal, dreamlike, foggy, etc)

Question 36

dissociative identity disorder

Answer 36

2 or more distinct personality states accompanied by related alterations in affect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning.

• gaps in recall
• clinically sig. distress or impairment

Question 37

what is the biggest diagnostic controversy in pysch?

Answer 37

dissociative identity disorder- many people don’t believe in it

Question 38

dissociative identity disorder is associated with what experiences?

Answer 38

Associated with overwhelming experiences, traumatic events, and/or abuse in childhood

Question 39

where is dissociative identity disorder mostly located?

Answer 39

US and Canada

Question 40

Teresa was driving to her mother-in-law’s house when she suddenly found herself at a diner in another state. She did not remember driving there, and the man across from her was calling her “Loretta.” Teresa most likely is suffering from…

Answer 40

Dissociative Amnesia, with Dissociative Fugue

Question 41

txt for dissociative disorders: dissociative amnesia and fugue

Answer 41

Dissociative amnesia and fugue tend to remit spontaneously

Question 42

txt for dissociative disorders: depersonalization/derealization?

Answer 42

Depersonalization/derealization disorder remits, but slowly; therapy is helpful; often occur with depression & anxiety

Question 43

txt for dissociative disorder: DID

Answer 43

DID – difficult to have lasting success in treatment; goal to integrate all personalities