Somatic System disorder

Question 1

Class of psych disorders that are “medically unexplained”

Answer 1

somatic symptom disorders
they cause functional impairment, multiple office visits and medications. symptoms viewed as medical and will not seek psychiatric care

Question 2

When to suspect Somatic symptom disorder

Answer 2

multiple times seen, atypical response to therapy

Question 3

Freud found that ____ might be associated with “hysteria” (somatic symptom disorder)

Answer 3

trauma, often sexual abose. idea that an experience could be pathologic

Question 4

what specialties are affected by somatic syndromes

Answer 4

ALL

GI, gyn, rheum, CV, pull, ID<3 with Lyme, etc

Question 5

Name the somatic symptom disorder
1+ somatic symptoms that are distressing and disrupting daily life
excessive thoughts, feelings, behaviors that are related to somatic sx
might not be continuous but persistence >6month

Answer 5

Somatic symptom disorder
often start in early 20s, females>males
often history of sexual abuse

Question 6

Name the somatic symptom disorder
preoccupation with having or acquiring a serious illness
easily alarmed about health
>6 mo but specific illness might change overtime
not explained by another mental disorder
could be care seeking or care avoidant

Answer 6

Illness Anxiety Disorder

not about the symptoms but what the symptoms mean (something catastrophic and bad)

Question 7

course of illness anxiety disorder. Ddx

Answer 7

present early/middle adulthood. chronic relapsing.

ddx: OCD, GAD, MDD, Panic disorder

Question 8

Name that psych disorder
1+ of altered voluntary motor and sensory
incompatibility of sx and recognized neuro deficits
sx caus signficant distress
weakness, paralysis, abnormal movement, swallowing, speech, attacks +seizures, anesthesia, sensory loss etc.
no timing-> acute and persistent. could be with or without stressor

Answer 8

Conversion disorder

Question 9

What did freud say about conversion disorder and its relationship to trauma

Answer 9

emotional response to trauma is converted over to somatic symptoms when that emotional expression is disallowed

Question 10

What are qualities of a favorable prognosis of conversion disorder

Answer 10

acute onset, clear stressor, good premorbid function, absence of comorbidity

Question 11

Other things on the ddx for conversion disorder

Answer 11

psychosomatic, factitious, malingering
could be comorbid with many other psych disorders (MDD, GAD, other psychotic, personality disorders, SUD, PTSD, epilepsy, MS, etc)

Question 12

Name the psych disorder
A medical sx other than mental disorder is present
psych/behavioral affect medical condition by: course or recovery, interfere with treatment, cause risks, influence underlying pathophys

Answer 12

Psychological factors affecting other medical conditions

examples: anxiety exacerbating asthma, not taking insulin to lose weight

Question 13

Name the psych disorder

consciously generated sx, without obvious rewards. identified deception

Answer 13

Factitious disorder imposed on self

Question 14

Name the psych disorder
Conscious generation of sx onto another. individual presents victim to others as ill impaired or injured. no obvious external rewards

Answer 14

Factitious disorder imposed by another (for the perpetrator, not victim)

Question 15

What are the 3 stages of factitious disorder

Answer 15

1) report sx that are not present
2) false evidence of sx
3) intentional production of sx (injection, use of meds, exacerbation of wounds, thermometer manipulation, urinary tract manipulation, phlebotomy, bruising)
will usually not acknowledge the behavior

Question 16

Name the psych disorder

Feigning of illness for personal gain.

Answer 16

Malingering THIS IS NOT A SOMATIC SYMPTOM DISORDER