somatoform

Question 1

SSRD

Answer 1

Common features- the prominence fo somatic symptoms associated with significant distress and impairment

Individuals who have disorders with prominent somatic symptoms are commonly encountered in primary care and other medical settings- less commonly encountered in psychiatric and other metnal health settings

reconceptualized rather than new diagnoses vs DSM-

Question 2

its not all in their head

Answer 2

Genetic and biological vulnerability- increased sensitivity to pain

Early traumatic experiences- violence, abuse, deprivation

Learning- attention obtained from illness, lack of more positive reinforcement

Cultural/social norms- psychological suffering< physical suffering

Cultural context- classify bodily sensation perceive illness, and seek medical attention

Question 3

somatic symptom disorder

Answer 3

one or more somatic symptoms that are distressing or result in significant disruption of daily life

excessive thoughts, feelings or behaviors related to the somatic symptoms or associated health concern- dispropotionate and persistent thoughts about the seriousness of ones symptoms, Persistently high level of anxiety about health or symptoms, excessive time and energy devoted to these symptoms or health concern

Although any one somatic symptom may not be continuously present, the syndrome is persistent- usually more than 6 month

Specify if with predominant pain, persistent

Specify current severity- mild, moderate, severe

Question 4

hypochondriasis

Answer 4

75% of former hypochondriacts are SSD
5-7%
Women, prognosis is poor

Question 5

illness anxiety disorder

Answer 5

preoccupation with having or acquiring a serious illness

somatic symptoms are not present, or if present are only mild in intensity, if a medical illness is present, the preoccupation is clearly escessive or disproportionate

There is a high level of anxiety about health, adn the individual is easily alarmed about personal health status

performs excessive health related behaviors or maladaptive avoidance, illness preoccupation has been present for at least 6 months

not better explained by another mental health disorder

the other 25%

Pew

Question 6

conversion/functional neurologic disorder

Answer 6

Faking essentially

altered voluntary motor or sensory functions

clinical findings dont compatable with symptoms and recognized neurological or medical conditions

The symptom/ deficit causes clinically significant distress or impairment

muscle weakness that disappears when tested in and unobvious ways, tromors that disappear when the pt is distracted, tubular visual field aka tnnel vision

Question 7

psychological factors affecting other medical conditionss

Answer 7

a medical symptom or condition is present, psychological or behavioral factors adversely affect the medical condition in one of the following ways

the factors have influenced the course of the medical condition

the factors interfere wiht the treatment of the condition
The factors constitute additional risk fo rhte indiviual the facors precipitate or exacerbate the condition

Not better explained by another health disorder

Psychological factors that increase the risk for suffering, death, or disability of a medical condition

Anxiety exacerbated asthma attacks, denial of need for treatment for acute chest pain, manipulation of insulin to lose weight

Adverse effect- Takotsubo cardiomyopathy, chronic occupational stress increasing risk for HTN, worsened IBS under stress

Question 8

Factitious disorder

Answer 8

Imposed on self- falsification of physcal, even in the absence of obvious external rewards, not better explained

Imposed on another- falsificationon others

reporting false emotional symptoms, can physically injure themselves

Question 9

Other

Answer 9

pseudocyesis- fake pregnnacy