Somatoform disorder - Muzaffar

Question 1

define somatoform disorders

Answer 1

• heterogenous group characterized by symptoms suggestive of physical illness
• not explained by a general medical condition or disproportionate to symptoms expected from general medical conditions

Question 2

Recurring multiple physical complaints before age 30 leading to impairment in social, occupational ares of functioning

Answer 2

Somatiziation disorder

Question 3

what is the key diagnosis for Somatization disorder for DMS4

Answer 3

not intentionally produced or feigned

Question 4

what criteria needs to be met for Somatization disorder DSM4

Answer 4

4 pain symptoms
2 GI
1 sexual other than pain
1 pseudo neurologic symptom

Question 5

which gender it impacted by Somatization disorder themost

Answer 5

females

Question 6

what is the treatment for Somatization disorder

Answer 6

supportive with regular app. with 1 physician

treat comorbid psychiatric disorders

Question 7

what is the DSM -V criteria for Somatiziation disorder? associated with?

Answer 7

• 1 or more somatic symptom that are distressing or result in disruption of daily life
• associated with persistent thoughts, high level of anxiety and excessive time and energy devoted about these symptoms
• specified with predominant pain,
• persistent greater than 6months

Question 8

one or more symptoms affecting voluntary motor or sensory symptoms that are not feigned or intentionally produced

Answer 8

conversion disorder

Question 9

what gender is more likely to get conversion disorder

Answer 9

females

Question 10

what is the treatment for conversion disorder

Answer 10

psychotherapy

treating comorbid psychiatric condition

Question 11

how does DSM V classify conversion disorder

Answer 11

functional neurolgoical disorder

Question 12

Preoccupied with fears of serious illness
misinterpretation of bodily symptoms
not delusional intensity
functional, social and occupational impairment

Answer 12

Hypochondirasis

Question 13

what can cause hypochondirasis

Answer 13

• raised in family with excessive concern about illness or little parental warmth except when children are ill
• distorted reasoning, fear and vigilance

Question 14

how do you treat hypochondriasis

Answer 14

avoid unnecessary tests

sympathetic and educational approach is ideal

Question 15

Falsification of physical or psychological sign and symptoms, or induction of injury or illness associated with identified deception

• motivation of behavior is assumption of sick role
• external incentives are absent, patient may encourage invasive diagnostic procedures

Answer 15

factitous disorder

Question 16

treatment of factitious disorder

Answer 16

focus therapy is dynamic issues

treating comorbid depression

Question 17

intentional production of false or grossly exaggerated symptoms for external incentives

• lack of cooperation
• marked discrepancy in presentation
• presence of antisocial personality disorder

Answer 17

malingering