Somatiform Disorders Flashcards
Define
Malingering
Intentionally producing symptoms to achieve an environmental goal
(Fictitious disorder has this)
Define
Psychosomatic Illness
A general medical condition affected by stress or psychological factors
Ex) asthma attack before test
Define
Fictitious disorder
Fabricating symptoms or self-inflicted injury to assume the ‘sick role’
Ex) cutting
Define
Alexithymia
The inability to express feelings with words, so the person uses somatic conerns
Somatization Disorder
"Briquets Syndrome" Chronic symptoms without physical signs or abnormalities Frequently seek med treatment Clinical labs are negative Involves multiple organs
Hypochondriasis
Fear due to misinterpreting physical feelings
Seek med advice even with reassurance a problem doesn’t exist
6 months or longer
Pain Disorder
Pain in one or more site
Discomfort leads to impairment
Does not lead to dyspareunia
Conversion Disorder
Lack of seriousness about illness
SX not voluntary - has true illness
Deafness, blindness, paralysis, seizures, etc
La belle indifference
Body Dysmorphic Disorder
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
Interventions for Soma Disorders
Exercise, massage, journal Health teaching Case management Therapist and doctor work together Take meds and know why (anxiolytics, antidepressants, antipsychotics)
Fictitious Disorder contd
May have grandiosity
Counter transference
Fictitious Disorder (detailed)
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
Intervention for Fictitious Disorder
Supportive empathetic relationship to help patient change behavior
What are the 4 Dissociative Disorders
Depersonalization Disorder
Dissociative Amnesia
Dissociative Fatigue
Dissociative Identity Disorder
Depersonalization Disorder
Alteration / detachment of self
SX: lack of response, control of self or speech
Observing ones body
Reality testing is present
Dissociative Amnesia
Can’t remember information that is traumatic / stressful
ex) khloe k
Dissociative Fatigue
Amnesia with suitcase
Sudden unexpected travel
Fatigue state is a simple life
Can’t recall identity and past
Dissociative Identity Disorder
2+ personalities
Primary (host) not aware of other
Alternative (alters) take control and aware of others
Triggered by severe abuse
Interventions for Dissociative Identity Disorder
Milieu therapy Alert therapist or call hotline when suicidal Journal Take meds Use their own name, first person Prevent triggers
