somatiform disorders Flashcards
primary gain
internal, psychic motivations. patient unaware.
secondary gain
need housing, drugs, etc. malingering.
where are these more common?
women. (although equal in hypochondriasis) tend to start in early adulthood and worsen with stress.
are there comorbidities?
yes. 50% have comorbidities, such as anxiety and depression.
somatization disorder/somatic symptom disorder
there must be 4 or more symptoms: 2 GI, 1 sexual, 1 neurological, none that are adequately explained by medial history, lab tests, etc.
this is largely unconscious and the patient is unaware.
when is the onset of somatization?
before 30
are the symptoms chronic?
yes. chronic and rarely remiss
conversion disorder
sudden and dramatic loss of one or more voluntary motor and or sensory functions suggesting neurological etiology.
this must be preceded by psychological stress or conflict. the presenting symptom will have a symbolic representation with the stressor and serves as to decrease anxiety associated with it.. la belle indifference
la belle indifference
common, where the patient seems unconcerned or uninterested in the symptoms.
what is the course of conversion disorder?
usually self-limiting and only lasts about a month.
who is more likely to get a conversion disorder
psychiatrically unsophisticated and those with depression or histrionic personality
common motor symptoms of conversion
shifting paralysis, pseudoseizures, globus hystericus.
common sensory symptoms of conversion disorders
parethesis, anesthesis, vision and hearing problems.
common mistakes seen in conversion disorder
wrong dermatomes, blindness yet still has optokinetic effects, during seizure can sneeze or react to pain, pain radiates down instead of up, seizure head movements are vertical (not horizontal).
hypchondriasis
fear or idea of having a serious medical condition based on misinterpretation of physical symptoms.
