Somatic Symptoms And Related Disorders

Question 1

Somatic Symptom Disorder

Answer 1

1+ somatic symptoms that are distressing/result in significant disruption of daily life

Pain is real and makes client miserable. Physicians cannot find cause

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

Question 2

Etiology of Somatic Symptom D/O

Answer 2

Compromised childhood

Family history of somatic disorders, especially in female members

Antisocial personality disorder, especially in male family members

Substance use disorder

Question 3

Treatment of Somatic Symptom Disorder

Answer 3

Somatic therapy
Stress management

“Gate-keeper” physicians: care over cure

Question 4

Illness Anxiety Disorder

Answer 4

Commonly known as hypochondriac

Preoccupation w having or acquiring serious illness

High anxiety related to health

Question 5

Treatment of Illness Anxiety Disorder

Answer 5

Primary goal adjustment
CBT focused on psychological stressors
Stress management

SSRIs
Anti-anxiety
Anti-depressants

Question 6

Conversion Disorder

Answer 6

1+ symptom of altered voluntary motor or sensory function

Clinical findings are incompatible w/ symptoms and neurological/ medical conditions

Question 7

Treatment of Conversion Disorder

Answer 7

Reduce secondary gain
Process trauma
Somatic therapy
Stress management

Question 8

Primary Gain vs Secondary Gain

Answer 8

Primary Gain: internal motivation for having an experience: I don’t want to clean my room so I’m sick

Secondary: external motivators- it’s rainy outside and I want a bed, go to mental health clinic and admit to disorder

Question 9

Malingering

Answer 9

Fancy therapist word for lying

Question 10

Factitious Disorder Imposed on Self

Answer 10

Falsification of physical or psychological symptoms or induction of injury or disease

Question 11

Factitious Disorder Imposed on Another

Answer 11

Falsification of symptoms or induction of injury or disease in another (typically a child)

Question 12

Etiology of Conversion Disorder

Answer 12

Traumatic or stressful event where symptoms provide escape

Family history of illness

Question 13

Etiology and Prognosis of Factitious Disorder

Answer 13

Generally chronic and Long term

• Underlying mood disorder
• Underlying personality disorder
• Childhood abuse, neglect, abandonment
• Unconscious envy of close family member or friend with chronic condition