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SW Mental Health Approaches > Somatoform Disorder > Flashcards

Somatoform Disorder Flashcards

1
Q
  1. What are somatoform disorders?
A

Somatoform disorders: generally involve a cluster of illnesses that comprise physical symptoms but do not seem to be caused by a medical condition

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2
Q
  1. What are the types of somatoform disorders?
A
  1. Somatization disorder
  2. Conversion disorder
  3. Pain disorder
  4. Hypochondriasis
  5. Body dysmorphic disorder
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3
Q
  1. Define what is meant by malingering
A

Malingering: conscious and intentional maintaining of the sick role for some material or financial gain; symptoms intentionally produced to avoid some task, legal action or obtain disability status

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4
Q
  1. What is factitious disorder?
A

Factitious disorder – the person maintains the sick role for secondary gain

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5
Q
  1. Explain the somatization disorder
A

Somatization disorder: Represents a polysymptomatic disorder characterized by recurrent, multiple bodily or physical somatic complaints

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6
Q
  1. What are the symptoms of the somatization disorder?
A

Symptoms (involve all of the following at some time):

  1. Pain (4 or more) – symptoms related to different sites or functions
  2. Gastrointestinal (2 or more) – such as nausea, bloating, vomiting, diarrhea, intolerance to certain foods
  3. Sexual (at least 1) – indifference to sex, difficulties with erection or ejaculation, irregular menses, excessive menstrual bleeding, vomiting throughout pregnancy
  4. Pseudo neurological (at least 1) – history suggesting a neurological condition such as poor balance or poor coordination, paralysis or localized weakness, difficulty swallowing or feeling a lump in the throat, loss of voice, urinary retention, hallucinations, loss of touch or pain sensation, double vision, blindness, deafness or seizures or other dissociative symptoms
  5. Must also meet 1 of the following:
    - Appropriate physical or laboratory exam determines symptoms cannot be fully explained by a general medical condition or by the use of substances
    - When there is a related general medical condition, the impairment exceeds what would be expected
    - The individual must not be consciously feigning or intentionally producing symptoms as in factitious or malingering disorders
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7
Q
  1. Explain the conversion disorder
A

Conversion disorders : The person experiences a loss or change in physical functioning that suggests the presence of a physical disorder but cannot be explained on the basis of any known physiologic mechanism

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8
Q
  1. List symptoms of the conversion disorder
A

Symptoms

  1. One or more symptoms affecting voluntary motor or sensory function
  2. Onset (or exacerbation) can be associated with psychological factors or other social stresses
  3. A general medical condition, medication, or effects of a substance or culturally sanctioned behaviors cannot explain symptoms
  4. Symptoms are not limited to pain or sexual dysfunction
  5. Symptoms do not occur during somatization disorder and no other medical disorder better explains them
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9
Q
  1. What are some of the symptoms of the conversion disorder that are not serious enough?
A

Symptoms are not serious enough to produce at least 1 of the following:

  1. Distress that is clinically important
  2. Distress that warrants medical evaluation
  3. Distress that impairs functioning
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10
Q
  1. Symptoms (or deficits) of conversion disorder can be specified from among the following 4 types:
A

Symptoms (or deficits) that can be specified from among the following 4 types:

  1. Motor symptoms or deficits
  2. Sensory symptoms or deficits
  3. Seizure-like symptoms or convulsions
  4. Mixed presentation
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11
Q
  1. What is the pain disorder?
A

Pain disorder: Seen as a condition in which pain itself is the primary clinical focus and the pain is maintained by psychological factors

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12
Q
  1. List symptoms of pain disorder
A

Symptoms:

  1. Pain occurs in more than 1 site and is the presenting problem
  2. Causes distress in important areas of functioning in the person’s life
  3. Intrapersonal factors are considered important in onset, severity, and exacerbation of pain
  4. Symptoms are not consciously made-up
  5. The pain is not explained by another disorder
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13
Q
  1. What is meant by hypochondriasis?
A

Hypochondriasis: Seen as a misperception of bodily symptoms that lasts for at least 6 months where the person is preoccupied with fears of having a serious or life-threatening illness

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14
Q
  1. List the symptoms of hypochondriasis
A

Symptoms:

  1. Bodily symptoms are misinterpreted and become a preoccupation for the person
  2. This preoccupation persists despite reassurance
  3. These ideas are not delusional
  4. Causes distress in important areas of functioning in the person’s life
  5. Lasts for at least 6 months, and
  6. Cannot be better explained by other disorders
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15
Q
  1. What is Body Dysmorphic disorder?
A

Body Dysmorphic disorder: The person is preoccupied with some imagined bodily defect

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16
Q
  1. What are some symptoms of Body Dysmorphic disorder?
A

Symptoms:

  1. The person is preoccupied with an imagined defect in appearance or concerned about a slight physical irregularity
  2. Causes distress in important areas of functioning in the person’s life
  3. The preoccupation is not better explained by another disorder
17
Q
  1. List a few symptoms of Somatoform Disorder symptoms
A

Undifferentiated Somatoform Disorder Symptoms:

  1. Physical complaints cannot be explained by any general medical condition or symptoms grossly exceed what could be expected
  2. Causes distress in important areas of functioning in the person’s life
  3. Lasts longer than 6 months
18
Q
  1. What is the Somatoform Disorder Not Otherwise Specified (NOS) and list some of the symptoms
A

Somatoform Disorder Not Otherwise Specified (NOS) - seen as a wide ranging category and primarily addresses clusters of symptoms that include:

  1. Pseudocyesis – or false pregnancy
  2. Transient hypochondriac states – symptoms of hypochondriasis last less than 6 months
  3. Environmental illness – sensitivity to many compounds found in the environment
19
Q
  1. Explain what is meant by malingering?
A

Malingering:

  1. The person deliberately and consciously pretends to be suffering from “something” that does not exist in order to arouse sympathy, avoid criminal prosecution or military duty, obtain drugs, or receive financial rewards.
  2. The “illness” may provide temporary escape from harsh situations; like being incarcerated
20
Q
  1. Explain what is meant by factitious disorder
A

Factitious disorder

  1. The person shows physical and psychological symptoms that are intentionally produced and completely under the person’s voluntary control (such as malingering)…

but

  1. There is no obvious reason for voluntarily producing the symptoms except, possibly, to take on the sick role.

SW Mental Health Approaches (15 decks)

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