Somatic Symptoms Disorders Flashcards
Somatic symptom disorder
When the patient thinks they have a bunch of symptoms.
Illness anxiety disorder
Patient has anxiety about having or acquiring a serious illness. Different from somatization disorder because they don’t have serious somatic symptoms.
Conversion disorder
Physical symptoms suggesting neurological problems (sensory impairment or paresthesia or paralysis).
Rapid onset, sudden termination, sudden reappearance.
Most common in women and men in combat
Malingering
Intentional production of physical or physiological signs or symptoms WITH external incentives (avoiding work, pain meds ect)
Factitious disorder (Munchausen’s)
Intentional production of physical or psychological signs and symptoms WITHOUT external incentives
How do you deal with factitious disorders?
CCLING Confidence Common Legitimizing Nonprogressive Gradual
EGO syntonic
Patients do NOT view thoughts and behavior as unacceptable
EGO dystonic
Patient distressed by their symptoms
How do you treat personality disorders?
Can only treat symptoms, so it depends on the symptoms
How to treat cognitive perceptual organization?
Atypical antipsychotics
Possible role for SSRIs
How to treat impulsivity/aggresion
Antipsychotics Beta blockers lithium Carbamazepine Phenytoin
How to treat mood instability
Mood stabalizer
Consider SSRI or antidepressant
Atypical antipsychotic
How to treat anxiety/inhibition
SSRI or related antidepressant
Benzodiazepine for short term
Schizoid personality disorder
Indifference to others, dimished range of emotional experience and depression
Socially isolated
Schizotypal personality disorder
Peculiar patterns of behavior
Perceptual and cognitive disturbance
Unusual speech
How to deal with schizoids and schizotypals
Minimize conflict, give’em privacy, be low key, shizotypals may need reality testing and antipsychotics
Paranoid personality disorder
Suspicious over others motives
Overly reactive to minor slights or insults
Antisocial personality disorder
Irresponsible and antisocial beggining prior to age of 15
These people are absolute D bags and don’t care about other peoples right. But they can be charming
Narcissistic personality disorder
Pattern of grandiosity
These people think they’re the shit, so there assholes to everyone
EGO SYNTONIC
Borderline personality disorder
Instability in mood, intense unstable relationships, rapid mood changes
EGO DYSTONIC
BPD has a high rate of
Suicide and self harm
Histrionic personality disorder
Attention seeking, self centered, demanding, vain, bitches
Avoidant personality disorder
Social discomfort, social isolation, very sensitive to criticism
Dependent personality disorder
Pattern of dependent and submissive behavior
Need for advice and support
Anxious and helpless when alone
