Somatiform Disorders

Question 1

Define

Malingering

Answer 1

Intentionally producing symptoms to achieve an environmental goal
(Fictitious disorder has this)

Question 1

Define

Psychosomatic Illness

Answer 1

A general medical condition affected by stress or psychological factors
Ex) asthma attack before test

Question 2

Define

Fictitious disorder

Answer 2

Fabricating symptoms or self-inflicted injury to assume the ‘sick role’
Ex) cutting

Question 3

Define

Alexithymia

Answer 3

The inability to express feelings with words, so the person uses somatic conerns

Question 4

Somatization Disorder

Answer 4

"Briquets Syndrome"
Chronic symptoms without physical signs or abnormalities
Frequently seek med treatment
Clinical labs are negative
Involves multiple organs

Question 5

Hypochondriasis

Answer 5

Fear due to misinterpreting physical feelings
Seek med advice even with reassurance a problem doesn’t exist
6 months or longer

Question 6

Pain Disorder

Answer 6

Pain in one or more site
Discomfort leads to impairment
Does not lead to dyspareunia

Question 7

Conversion Disorder

Answer 7

Lack of seriousness about illness
SX not voluntary - has true illness
Deafness, blindness, paralysis, seizures, etc
La belle indifference

Question 8

Body Dysmorphic Disorder

Answer 8

Obsession of defective body part
Starts during adolescence
Can be due to trauma to body part at young age
Major dep/OCD/social phobia
ex) woman at ESH

Question 9

Interventions for Soma Disorders

Answer 9

Exercise, massage, journal
Health teaching
Case management
Therapist and doctor work together
Take meds and know why (anxiolytics, antidepressants, antipsychotics)

Question 10

Fictitious Disorder contd

Answer 10

May have grandiosity

Counter transference

Question 11

Fictitious Disorder (detailed)

Answer 11

Intentionally produce symptoms to produce the sick roll
Secondary gain(prison, economic)
Malingering
Munchausen-deception to gain sympathy 
Expensive and life threat procedures
May have personality d/o

Question 12

Intervention for Fictitious Disorder

Answer 12

Supportive empathetic relationship to help patient change behavior

Question 13

What are the 4 Dissociative Disorders

Answer 13

Depersonalization Disorder
Dissociative Amnesia
Dissociative Fatigue
Dissociative Identity Disorder

Question 14

Depersonalization Disorder

Answer 14

Alteration / detachment of self
SX: lack of response, control of self or speech
Observing ones body
Reality testing is present

Question 15

Dissociative Amnesia

Answer 15

Can’t remember information that is traumatic / stressful

ex) khloe k

Question 16

Dissociative Fatigue

Answer 16

Amnesia with suitcase
Sudden unexpected travel
Fatigue state is a simple life
Can’t recall identity and past

Question 17

Dissociative Identity Disorder

Answer 17

2+ personalities
Primary (host) not aware of other
Alternative (alters) take control and aware of others
Triggered by severe abuse

Question 18

Interventions for Dissociative Identity Disorder

Answer 18

Milieu therapy
Alert therapist or call hotline when suicidal
Journal
Take meds
Use their own name, first person
Prevent triggers