Somatoform Disorders

Question 1

what is the definition of somatization d/o?

Answer 1

multiple somatic complaints in multiple organ systems over the course of several years and causes significant impairment

Question 2

who is more likely to suffer from somatization?

Answer 2

females (5:1)

Question 3

when is somatization most likely diagnosed?

Answer 3

teenage years (must be onset before the age of 30)

Question 4

how many ppl with somatization also have comorbid mental illness?

Answer 4

50%

Question 5

what is the typical hx of somatization?

Answer 5

complicated medical hx with vague complaints
report being sickly most of their lives
hungry for attention

Question 6

what is the first step when dealing with somatization?

Answer 6

r/o medical, mood, anxiety d/o

Question 7

what is the progression of somatization?

Answer 7

chronic and relapsing but rarely remitting

Question 8

what is a good approach to somatization d/o?

Answer 8

continuity of care

Question 9

what is the definition of conversion disorder?

Answer 9

deficits in motor or sensory areas that suggest other medical conditions, but that are caused by psychological factors

Question 10

how is conversion d/o different than somatization?

Answer 10

conversion sxs are not limited to pain or GU and sxs are not intentionally produced in either case

Question 11

who is more likely to have conversion d/o?

Answer 11

women (2:1)

rural, low SES, low IQ

Question 12

when is the onset of conversion d/o?

Answer 12

late childhood to early adulthood

Question 13

what are common sensory sxs with conversion d/o?

Answer 13

deafness
blindness
glove anesthesia

Question 14

what are common motor sxs with conversino d/o?

Answer 14

mutism
weakness
paralysis
seizure sxs

Question 15

what is the duration of conversion sxs?

Answer 15

usu less than 2 weeks

Question 16

what is hypochondriasis?

Answer 16

6 months or more of a general, non-delusional preoccupation with fears of having a serious illness based on the misinterpretation of bodily sxs

Question 17

when is the common onset of hypochondriasis?

Answer 17

20-30yo

Question 18

how is somatization different than hypochondriasis?

Answer 18

hypochondriasis focuses on dz, not symptoms

Question 19

what is the progression of hypochondriasis?

Answer 19

episodic

good prognosis with higher SES

Question 20

who are hypochondriacs likely to not seek out?

Answer 20

non-medical providers (psychologist)

Question 21

what is body dysmorphic disorder?

Answer 21

preoccupation with an imagined defect in appearance that causes significant stress or dysfunction

Question 22

when is the age of onset of BDD?

Answer 22

15-30 yo

W >M

Question 23

what are common comorbidities with BDD?

Answer 23

MDD (90%)

Question 24

what are common areas of concern with BDD?

Answer 24

facial areas, hair, breasts, genitals

Question 25

what is outcome when BDD gets surgery?

Answer 25

lawsuit

Question 26

what is a good txment for BDD pts?

Answer 26

SSRIs (successful in 50%)

Question 27

what is pain disorder?

Answer 27

presence of and focus on pain in one or more areas of the body that is severe

Question 28

what physiological cause can be involved with pain d/o?

Answer 28

endorphin deficiency

Question 29

what differentiates actual pain from pain d/o pain?

Answer 29

pain d/o pain does not change

actual pain fluctuates

Question 30

which pain d/o pt has better prognosis?

Answer 30

acute diagnosis vs chronic

Question 31

what therapy will not work with pain d/o?

Answer 31

pain meds (can lead to substance abuse)

Question 32

what meds would be effective for pain d/o pts?

Answer 32

antidepressants