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MRCPSYCH_Paper B_MENTOR & More_Dr. ART > Somatoform and dissociative disorder > Flashcards

Somatoform and dissociative disorder Flashcards

1
Q

what are somatoform disorders characterised by?

A

physical symptoms that are presumed to have a psychiatric origin

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2
Q

what are dissociative disorders characterised by?

A

Loss of integration between
memories, ID , immediate sensations
control of bodily movments

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3
Q

what were dissociative disorders referred to previously?

A

hysteria

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4
Q

True or False?

Dissociative disorders spontaneously resolve within weeks to months

A

yes
I mean
True

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5
Q

types of somatoform disorders by ICD 11

A

Bodily distress disorder
Body integrity dysphoria

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6
Q

Mnemonic for Essential features of Bodily Distress disorder on ICD-11

A

CARS

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7
Q

Essential features of Bodily Distress disorder on ICD-11

A

CARS at least 3 months
C-complaints
A-Anxiety
R-Rumination
S-Significant impairment
3 months

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8
Q

How long should bodily distress disorder on ICD-11 last?

A

at least 3 months

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9
Q

Mnemonic for Essential features of Body integrity dysphoria on ICD-11

A

WISH

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10
Q

Essential features of Body Integrity Dysphoria on ICD-11

A

WISH by early adolescence
W- Wanted amputation
I-Incongruence: (body parts not aligned with their id)
S-Suffering: emotionally and functionally
H- Hopelessness

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11
Q

how do we differentiate factitious disorder?

A

patient seek attention

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12
Q

how do we differentiate malingering?

A

patient seek external incentive

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13
Q

how do we differentiate OCD?

A

OCD is ego-dystonic

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14
Q

how do we differentiate body dysmorphic disorer?

A

patient thinks their appearance is ugly

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15
Q

how do we differentiate hypochondriasis?

A

the Main concern is the fear that their symptoms are indicative of having a serious, progressive, or fatal illness

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16
Q

ICD 11 list of dissociative disorders?

A

Dissociative Neurological disorder
Dissociative amnesia
Trance Disorder
Possession Trance Disorder
Dissociative identity Disorder
Partial Dissociative identity disorder
Depersonalization-derealization disorder
Other specified dissociative disorder

17
Q

Mnemonic for Essential features of Dissociative Neurological disorder on ICD-11

A

SUDDEN

18
Q

Mnemonic for Essential features of dissociative amnesia on ICD-11

A

FORGET

19
Q

Mnemonic for Essential features of Trance Disorder on ICD-11

A

STATE

20
Q

Mnemonic for Essential features of Possession Trance disorder on ICD-11

A

POSSES

21
Q

Mnemonic for Essential Features of Dissociative Identity Disorder on ICD-11

A

Identity

22
Q

Mnemonic for Essential features of Partial Dissociative identity Disorder on ICD-11

A

Partial

23
Q

Mnemonic for Essential features of Depersonalization-derealization on ICD-11

A

DREAM

24
Q

Essential features of Dssociative Neurological disorder on ICD-11

A

SUDDEN

S-Symptoms Lasting several hours
U-Unexpected (not consistent with other diseases)
D-Disruption
D-Dissociative symptoms
E-Exclude other dissociative diseases & substance
N-No malice

25
Q

Essential features of dissociative amnesia on ICD-11

A

FORGET

F-Forgetfulness of recent events (stressful) & information
O-Obviously impairment
R-Related to stress
G-Generalized or localized
E-Exclusion of other causes
T-Transient oe persistent

26
Q

Essential features of Trance Disorder on ICD-11

A

STATE

S-State alteration
T-Transitory
A-Absorption into Internal experiences
T-Triggered spontaneously (not by any meds, or diseases)
E-Experiences like involuntary moves, posture and repetition of speech

27
Q

Essential features of Possession Trance disorder on ICD-11

A

POSSES

P-Possession (Being controlled by an external force)
O-Outward behaviour (resembles possession)
S-Switch in identity
S-Situational context (not cultural)
E-Enfluenced by external power, spirit or deity or other entities.
S-Sudden Onset

28
Q

Essential Features of Dissociative Identity Disorder on ICD-11

A

IDENTITY

I-Identity change (two or more)
D-Disruption
E-Experienced amnesia gaps
N-Not due to substance or others
T-Trauma-related
I-Impairment
T-Transient
Y-You: the person not aware of other IDs or time lost

29
Q

Essential features of Partial Dissociative identity Disorder on ICD-11

A

PARTIAL

P-Personalities(distinct ID but not fully formed
A-Alterations: change in sense of self/mood or behaviour
R-Recall Gaps Not.
T-Triggered by stress
I-Impairment
A-Awareness some
L-Limits in all symptoms

30
Q

Essential features of Depersonalization-derealization on ICD-11

A

DREAM

D-Depersonalization or and *
R-Reality distortion *
E-Experiential distressful
A-Awareness exist (insight)
M-Malfunction

31
Q

How are symptoms described in dissociative neurological symptoms disorder?

A

Involuntary disruption or discontinuity in the standard integration of motor, sensory or cognitive function lasting several hours.

32
Q

what kind of memories are affected in dissociative amnesia (ICD 11)

A

important autobiographical memories, typically of a stressful events

33
Q

what is a trance according ICD 11?

A

A state in which a marked alteration in a personal sense of self and consciousness happens and is characterised by:
1- Narrowing awareness of immediate surrounding
2-Restriction of movements, postures and speech to the repetition of a small repertoire

34
Q

what is dissociative identity disorder according to ICD 11?

A

Disruption of identity is characterised by the presence of two or more distinct personality states involving marked discontinuities in the sense of self & agency.

35
Q

in what the distinct personalities in dissociative identity disorder are different?

A

In the pattern of experiencing, perceiving, conceiving and relating to self, the body and the environment.

36
Q

What is depersonalisation

A

Experiencing the self as strange or unreal, or feeling detached from, or as though one were an outside observer of, one’s thoughts, feelings, sensations, body, or actions.

37
Q

what is derealization?

A

Experience other persons, objects, or the world as strange or unreal( dreamlike, distant, foggy, lifeless, colourless, or visually distorted) or detached from one’s surroundings.

38
Q
A

MRCPSYCH_Paper B_MENTOR & More_Dr. ART (62 decks)

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