Somatoform Disorders Flashcards
1
Q
comorbidities in covid patients
A
- anxiety
- depression
- delirium
- possible neuropsychiatric sequelae
2
Q
what is somatic symptom disorder
A
- > 1 somatic symptoms causing significant disruption of daily life
- excessive thoughts, feelings, or behaviors related to the somatic symptoms
“debilitating worry about one’s somatic symptoms”
3
Q
what is illness anxiety disorder
A
- hypochondriasis
- somatic symptoms not present or only mild
4
Q
what is functional neurological symptom disorder
A
- symptom of deficits that affect voluntary motor or sensory functions
- psychological factors (stress) causing illness
5
Q
symptoms in functional neurological symptoms disorder
A
- paralysis, blindness, mutism!!
- anesthesia and paresthesia
- deafness, tunnel vision
- motor symptoms
- seizures
6
Q
prognosis for functional neurological symptom disorder
A
- good prognosis: acute onset, clear stressors, short interval between symptom onset and treatment, above average intelligence
- poor prognosis: tremors and seizures
7
Q
what is factitious disorder
A
- pts stimulate, induce, or aggravate illness to receive medical attention
- motivation: receive care
8
Q
diagnosis and clinical features of factitious disorder
A
- predominantly psychological signs: depression, hallucination, dissociative and conversion disorder
- physical signs and symptoms: hospital addicts and professional patients
- by proxy: imposed on another
9
Q
triggers for suspicion of factitious disorder
A
- unusual, dramatic presentation of symptoms defying medical/psych understanding
- do not respond to usual treatment
- new symptoms when other symptoms resolve
- extensive medical history
- few visitors
10
Q
what is pain disorder
A
- pain in one or more body sites and severe enough for medical attention
- acute pain ore favorable diagnosis
- comorbid: anxiety or depression
11
Q
treatment for pain disorder
A
- focus on rehabilitation
- give antidepressants (ssri/tca) more than analgesics
- psychotherapy
