Somatoform Flashcards
1
Q
Somatic Symptom Disorder
+
specifications
A
- A: 1 or more somatic sx –> disruption of daily life
- B: Excessive thoughts, feelings, behaviors related to somatic symptoms
- disprop/persistent thoughts
- high level of anxiety
- excessitve time/energy spent - C: duration: 6 months
Specifications:
- predominant pain
- persistent (>6 months)
- mild: 1 of criterion B
- mod: 2 or more criterion B
- severe: 2 or more crit B + multiple somatic complaints
2
Q
Illness Anxiety Disorder
A
- A: Preoccupation of having a serious illness
- B: Somatic sx are not present or mild. Preoccupation is disprop/excess.
- ## C: high level of anxiety or easily alarmed
3
Q
Functional Neurological Symptom Disorder
AKA Conversion Disorder
A
A: One or more symptoms of motor/sensory function
B: Clinical findings show evidence of incompatibility between the symptoms and recognized neurological/medical conditions
C: symptoms or deficits is not better explained by another medical/mental disorder
D: significant distress/impairment in social, occupational, any function
4
Q
Specifications for:
Functional Neurological Symptom Disorder
AKA Conversion Disorder
A
- If psychological stressor or not (do not need)
- Duration: Acute: <6 mo. Persistent: >6 mo.
- Symptom type:
- w/ weakness or paralyis
- w/ abnormal movement (tremor, dystonia, myoclonus, gait)
- w/ swallowing sx
- w/ speech sx (dysphonia, slurred speech)
- w/ attacks or seizures
- ——
- w/ special sensory sx (visual, olfactory or hearing disturbance)
- w/ mixed sx
5
Q
PNES
Psychogenic Non-Epileptic Seizures
A
- tend to be in low IQ
“Rule of 2’s”
- 2 episodes/week (PNES)
- 2 EEGs w/o epileptiform activities
- 2 antiepileptic drugs do not help
6
Q
Treatment for
PNES
Psychogenic Non-Epileptic Seizures
A
- combination of individual / family therapy
- CBT, family therapy, interpersonal/psychodynamic therapy
- Response plan* - that does not reinforce episodes
- ex: That was a bad one… are you ready to go to school?
