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Behavioral Medicine > Somatoform Disorders > Flashcards

Somatoform Disorders Flashcards

1
Q

T/F: Somatic symptom disorders are NOT characterized by physical symptoms for which no underlying medical workup can identify a cause

A

False

They are

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2
Q

What may you expect to see a patient with somatic symptom disorders to continually do?

A

Seek Medical Help
Have multiple visits
Seek invasive procedures

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3
Q

What percentage of primary care patients will exhibit medically unexplained symptoms?

A

30%

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4
Q

For the diagnosis of somatic symptom disorder, how long must symptoms be present?

A

6 months

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5
Q

T/F: Somatic symptoms disorder can affect multiple organ systems?

A

True

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6
Q

What is unique about the symptoms patient with somatic symptoms disorders present with?

A

They often can not be measured……

GI Upset
Malaise
Blurry Vision

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7
Q

Do patients with somatic symptom disorder typically live normal lives?

A

Not always, they often become preoccupied with there symptoms to the point in interferes with their ADLs

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8
Q

How prevalent is somatic symptoms disorder?

Is it more common in men or women?

A

5-7%

More common in women

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9
Q

T/F: Somatic symptom disorder patients are unlikely to have co-morbid conditions like depression or anxiety

A

False

They are likely to have those co-morbid conditions

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10
Q

In patients with illness anxiety disorder, would you expect a negative work up to reassure the patient?

A

No, they are often not reassured by a negative work up

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11
Q

T/F: A patient with illness anxiety disorder will likely down play their diagnosis

A

False

They often feel their diagnosis is worse than it actually is

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12
Q

In a patient with illness anxiety disorder which is worse…..

The Sx or The Anxiety

A

The anxiety is often far worse for the patient than the actual symptoms

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13
Q

To be diagnosed with illness anxiety disorder symptoms most be present for ___ months

A

6 months

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14
Q

T/F: Patients with illness anxiety disorder are hypervigilant about their health and monitor their bodies frequently

A

True

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15
Q

In ________ disorder patients often have one or more symptoms of voluntary motor or sensory loss that is not consist with any known diagnosis

There is often a psychological component to the disorder however is not needed for diagnosis criteria

A

Conversion Disorder (Functional Neurological Symptom Disorder)

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16
Q

If a patient with conversion disorder presents with complaints of pain, how does this change their diagnosis?

A

They now get diagnosed with somatic symptom disorder

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17
Q

In ________ (acute/chronic) conversion disorder symptoms last less than 6 months

A

Acute

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18
Q

In ________ (acute/chronic) conversion disorder symptoms last more than 6 months

A

Chronic

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19
Q

What percentage of patients admitted to a neurology service have conversion disorder?

A

20-25%

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20
Q

T/F: in conversion disorder symptoms are typically permenant

A

False

Symptoms are typically transient

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21
Q

What treatment method has the best outcome for patients with conversion disorder?

A

Clearing of any stressors that may be precipitating the symptoms

22
Q

The following are all complaints of patients with ________ disorder

Paralysis
Abnormal movements (twitching)
Aphonia
Blindness
Deafness
Pseudoseizures
Loss of sensation/anesthesia over part of body
A

Conversion Disorder

23
Q

Although medication is not needed to treat conversion disorder…..

What medication class has been shown to have improvement in conversion disorder (previously hypochondrosis)?

A

SSRIs

24
Q

________ disorder is described as a patient intentional producing or feigning physical or psychological symptoms without clear external evidence as to why.

Some of these patients will go as far as make hospitalization a way of life.

A

Factitious Disorder

25
Q

T/F: Patients with factious disorder often present with symptoms that are NOT textbook

A

False

They often present with textbook symptoms

26
Q

What are two good ‘precautions’ to take when interviewing and examining patients with factitious disorder?

A

Obtain PMHx/Records

Speak with previous providers

27
Q

What consult should be obtained if you suspect factitious disorder?

A

Psychology

28
Q

__________ is described as purposely producing symptoms or illnesses for specific gains such as missing work, compensation, obtaining medication, etc….

A

Malingering

29
Q

T/F: Malingering is considered a mental illness

A

False

It is not

30
Q

Dissociative disorders are classified by disturbances or alterations in what three things?

A

Identity (Dissociative identity disorder - multiple personality)
Memory (Dissociative amnesia)
Consciousness (Depersonalization disorder)

31
Q

T/F: Daydreaming is considered a normal dissociation

A

True

32
Q

Is dissociative identity disorder often the result of a medical condition or substance?

A

No

33
Q

How many personality states may a person with dissociative identity disorder exhibit?

A

Two or more

34
Q

Is dissociative identity disorder more common in men or women?

A

Women

35
Q

T/F: in severe cases of dissociative identity disorder patients often have a history of physical or sexual abuse

A

True

36
Q

In dissociative identity disorder……

What often triggers transitions between personalities?

A

Stress

37
Q

What percent of patients with dissociative identity disorder have underlying psychological disorders?

A

70%

38
Q

What is the ‘mainstay’ of dissociative identity disorder management?

A

Psychotherapy

39
Q

Dissociative _______ is described as the inability to recall important autobiographical information including their own name

A

Dissociative Amnesia

40
Q

What percent of dissociative amnesia cases last less then one week?

A

About 79%

41
Q

What are TWO common triggers of dissociative amnesia?

A

Stress

Trauma

42
Q

T/F: Patients with dissociative amnesia will often exhibit sudden unexpected travel

A

True

43
Q

In a patient with dissociative amnesia, what things need to be ruled out?

A

Brain Tumors
Epilepsy
Dementia

(Can NOT be due to a substance abuse)

44
Q

How is dissociative amnesia managed?

A

It tends to resolve spontaneously however psychiatric admission may be needed

Once the overwhelming condition resolves the symptoms symptoms also resolve

Therapy should be considered once memory returns.

45
Q

____________ disorder is characterized by feeling detached from one’s self or surroundings feeling like they are a “outside observer” of their life.

A

Depersonalization/Derealization Disorder

46
Q

__________ (Depersonalization/Derealization) Disorder is characterized by a strong sense that the patient is ‘cut off’ from their own thoughts, emotions, and identity

A

Depersonalization Disorder

47
Q

__________ (Depersonalization/Derealization) Disorder is characterized by a sense of detachment, unreality, and altered relation to the outside world”

A

Derealization Disorder

48
Q

T/F: Depersonalization/Derealization disorder is less common in people who have experienced trauma or life-threatening conditions

A

False

It is more common in people who have experienced those

49
Q

What may exacerbate episodes of Depersonalization/Derealization Disorder?

A

Stress

50
Q

What CNS disturbances may accompany a patient with Depersonalization/Derealization Disorder?

A

Seizure
Tumors
Stroke

51
Q

What medication class can be used to treat anxiety in patients with Depersonalization/Derealization Disorder?

A

Anxiolytics

52
Q

Although there is no standard treatment in Depersonalization/Derealization Disorder……

What medication class has been shown to improve symptoms?

A

SSRIs

Behavioral Medicine (16 decks)

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