Somatoform and dissociative disorder Flashcards
what are somatoform disorders characterised by?
physical symptoms that are presumed to have a psychiatric origin
what are dissociative disorders characterised by?
Loss of integration between
memories, ID , immediate sensations
control of bodily movments
what were dissociative disorders referred to previously?
hysteria
True or False?
Dissociative disorders spontaneously resolve within weeks to months
yes
I mean
True
types of somatoform disorders by ICD 11
Bodily distress disorder
Body integrity dysphoria
Mnemonic for Essential features of Bodily Distress disorder on ICD-11
CARS
Essential features of Bodily Distress disorder on ICD-11
CARS at least 3 months
C-complaints
A-Anxiety
R-Rumination
S-Significant impairment
3 months
How long should bodily distress disorder on ICD-11 last?
at least 3 months
Mnemonic for Essential features of Body integrity dysphoria on ICD-11
WISH
Essential features of Body Integrity Dysphoria on ICD-11
WISH by early adolescence
W- Wanted amputation
I-Incongruence: (body parts not aligned with their id)
S-Suffering: emotionally and functionally
H- Hopelessness
how do we differentiate factitious disorder?
patient seek attention
how do we differentiate malingering?
patient seek external incentive
how do we differentiate OCD?
OCD is ego-dystonic
how do we differentiate body dysmorphic disorer?
patient thinks their appearance is ugly
how do we differentiate hypochondriasis?
the Main concern is the fear that their symptoms are indicative of having a serious, progressive, or fatal illness
ICD 11 list of dissociative disorders?
Dissociative Neurological disorder
Dissociative amnesia
Trance Disorder
Possession Trance Disorder
Dissociative identity Disorder
Partial Dissociative identity disorder
Depersonalization-derealization disorder
Other specified dissociative disorder
Mnemonic for Essential features of Dissociative Neurological disorder on ICD-11
SUDDEN
Mnemonic for Essential features of dissociative amnesia on ICD-11
FORGET
Mnemonic for Essential features of Trance Disorder on ICD-11
STATE
Mnemonic for Essential features of Possession Trance disorder on ICD-11
POSSES
Mnemonic for Essential Features of Dissociative Identity Disorder on ICD-11
Identity
Mnemonic for Essential features of Partial Dissociative identity Disorder on ICD-11
Partial
Mnemonic for Essential features of Depersonalization-derealization on ICD-11
DREAM
Essential features of Dssociative Neurological disorder on ICD-11
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
Essential features of dissociative amnesia on ICD-11
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
Essential features of Trance Disorder on ICD-11
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
Essential features of Possession Trance disorder on ICD-11
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
Essential Features of Dissociative Identity Disorder on ICD-11
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
Essential features of Partial Dissociative identity Disorder on ICD-11
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
Essential features of Depersonalization-derealization on ICD-11
DREAM
D-Depersonalization or and *
R-Reality distortion *
E-Experiential distressful
A-Awareness exist (insight)
M-Malfunction
How are symptoms described in dissociative neurological symptoms disorder?
Involuntary disruption or discontinuity in the standard integration of motor, sensory or cognitive function lasting several hours.
what kind of memories are affected in dissociative amnesia (ICD 11)
important autobiographical memories, typically of a stressful events
what is a trance according ICD 11?
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
what is dissociative identity disorder according to ICD 11?
Disruption of identity is characterised by the presence of two or more distinct personality states involving marked discontinuities in the sense of self & agency.
in what the distinct personalities in dissociative identity disorder are different?
In the pattern of experiencing, perceiving, conceiving and relating to self, the body and the environment.
What is depersonalisation
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.
what is derealization?
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.
