Somatoform Disorders Flashcards
To convert psychological symptoms into physical symptoms; usually a much more common problem than the disorders themselves
Somatization
Examples of Somatic Symptom Disorders (5 total)
Somatic Symptom Disorder Illness Anxiety Disorder Conversion Disorder Factitious Disorder Psych. Factors Affecting Other Medical Conditions
Disproportionate and persistent thought/anxiety about the seriousness of PRESENT symptoms; worry is disproportionate to degree of symptoms
Somatic Symptom Disorder
Tx: psychotherapy
Disproportionate and persistent thought/anxiety about HAVING or ACQUIRING a serious illness (but NO symptoms present); repeated checking of body and can be either care-avoidant or care-seeking; preoccupation >6 months
Illness Anxiety Disorder
Tx: limit-setting b/w PCP and patient
When a psychological/behavioral factor makes a PRESENT medical condition worse (poor adherence, exacerbation, etc.); examples are anxiety–> asthma, ignoring MI symptoms–> death
Psychological Factors Affecting Other Medical Conditions
Altered motor or sensory function (blindness, paralysis, or other nervous system (neurologic) symptoms) that cannot be explained by medical evaluation
Conversion Disorder
Difference between Factitious and Conversion disorder
Factitious: consciously causing an illness (to themselves or others)
Conversion: unconsciously caused an illness (to themselves)
Falsification of physical or psychological signs or symptoms, or induction of a disease/injury meaning to deceive (either self or by proxy) in the absence of obvious external rewards (to play the sick role)
Factitious Disorder
To fake an illness in order to avoid jail, obtain disability benefits, get prescribed controlled substances, etc.
Malingering
Two or more personalities with marked discontinuity in sense of self or agency; recurrent gaps in recall of everyday events (NOT just traumatic events)
Dissociative Identify Disorder (“Split Personality”)
An inability to recall important autobiographical info, usually of a traumatic or stressful nature (localized and selective amnesia); NOT attributed to substances or neurologic condition; can have fugue
Dissociative Amnesia
(Localized/Selective) amnesia is failure to recall events during a circumscribed period of time
Localized
(Localized/Selective) amnesia is when you can recall some, but not ALL of the events within a circumscribed period of time
Selective
Complete loss of memory for one’s life history and personal identity
Generalized Amnesia
Feeling detached from one’s own body, thoughts, perceptions, and actions
Depersonalization