Somatoform Disorders Flashcards
what is the definition of somatization d/o?
multiple somatic complaints in multiple organ systems over the course of several years and causes significant impairment
who is more likely to suffer from somatization?
females (5:1)
when is somatization most likely diagnosed?
teenage years (must be onset before the age of 30)
how many ppl with somatization also have comorbid mental illness?
50%
what is the typical hx of somatization?
complicated medical hx with vague complaints
report being sickly most of their lives
hungry for attention
what is the first step when dealing with somatization?
r/o medical, mood, anxiety d/o
what is the progression of somatization?
chronic and relapsing but rarely remitting
what is a good approach to somatization d/o?
continuity of care
what is the definition of conversion disorder?
deficits in motor or sensory areas that suggest other medical conditions, but that are caused by psychological factors
how is conversion d/o different than somatization?
conversion sxs are not limited to pain or GU and sxs are not intentionally produced in either case
who is more likely to have conversion d/o?
women (2:1)
rural, low SES, low IQ
when is the onset of conversion d/o?
late childhood to early adulthood
what are common sensory sxs with conversion d/o?
deafness
blindness
glove anesthesia
what are common motor sxs with conversino d/o?
mutism
weakness
paralysis
seizure sxs
what is the duration of conversion sxs?
usu less than 2 weeks
what is hypochondriasis?
6 months or more of a general, non-delusional preoccupation with fears of having a serious illness based on the misinterpretation of bodily sxs
when is the common onset of hypochondriasis?
20-30yo
how is somatization different than hypochondriasis?
hypochondriasis focuses on dz, not symptoms
what is the progression of hypochondriasis?
episodic
good prognosis with higher SES
who are hypochondriacs likely to not seek out?
non-medical providers (psychologist)
what is body dysmorphic disorder?
preoccupation with an imagined defect in appearance that causes significant stress or dysfunction
when is the age of onset of BDD?
15-30 yo
W >M
what are common comorbidities with BDD?
MDD (90%)
what are common areas of concern with BDD?
facial areas, hair, breasts, genitals
what is outcome when BDD gets surgery?
lawsuit
what is a good txment for BDD pts?
SSRIs (successful in 50%)
what is pain disorder?
presence of and focus on pain in one or more areas of the body that is severe
what physiological cause can be involved with pain d/o?
endorphin deficiency
what differentiates actual pain from pain d/o pain?
pain d/o pain does not change
actual pain fluctuates
which pain d/o pt has better prognosis?
acute diagnosis vs chronic
what therapy will not work with pain d/o?
pain meds (can lead to substance abuse)
what meds would be effective for pain d/o pts?
antidepressants
