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Block 8 Week 4 Colt > Somatoform Disorders - Carlson > Flashcards

Somatoform Disorders - Carlson Flashcards

1
Q

T/F: overworkup of somatoform disorders is common

A

true

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2
Q

what dz’s must you rule out when thinking about somatoform disorders?

A 
Multiple sclerosis
Systemic lupus erythematosus
Acute intermittent porphyria
Myasthenia gravis
A. L. S.
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3
Q

what psych issues must you rule out when working with somatoform disorders?

A

Delusional disorders
Affective disorders
Anxiety disorders

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4
Q

what is the age of onset for Dx of somatic symptom disorder?

A

before thirty

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5
Q

which gender is more likely to have a Dx of somatic symptome disorder?

A

females

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6
Q

what are the areas of findings needed to Dx somatic symptom disorders?

A

4 pain
2 gastrointestinal
1 sexual
1 pseudoneurological

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7
Q

What are the DSM5 criteria for the length of time spent on somatic symptom disorder?

A

6 months; excessive time and energy spent, disproportionate thoughts regarding symtpoms

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8
Q

What are the other names for somatic symptom disorder?

A

Briquette’s Syndrome
Hysteria
Somatization disorder

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9
Q

males with a female relative with hysteria have what psych risk factors?

A

increased risk of somatization disorder, antisocial personality disorder, substance abuse disorders

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10
Q

What two disorders are more than 2x more likely in hysteria?

A

depression

GAD

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11
Q

What specific past Hx increases the likelihood of hysteria?

A

past physical and sexual abuse

childhood illness or family member with chronic illness

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12
Q

what is the MSE like in hysteria?

A

presentation dramatic, vague, complicated, seductive, manipulative and emotional
Symptoms fluctuate with stress

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13
Q

What are the complications of somatic symptom disorder?

A

Unnecessary surgical procedures
Drug dependence
Suicide attempts
Relationship problems

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14
Q

what Tx should you be careful with when treating somatic symtpom disorder?

A

invasive procedures and addictive meds

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15
Q

what is conversion disorder?

A

Symptoms or deficits affecting voluntary motor or sensory system
Blindness, paralysis, dysphonia, seizures

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16
Q

what is conversion disorder brought on by?

A

stress

17
Q

glove anasthesia is a form of…

A

conversion disorder

18
Q

conversion disorders onset in which gender and age group?

A

10-35 in females

prevalence decreases with sociocultural dev and knowledge

19
Q

conversion disorder may evolve into…

A

somatic sx disorder in females

20
Q

conversion disorder is assc’d with what personality disorder in males?

A

antisocial personality disorder

21
Q

T/F: a brief duration with recurrence in common in conversion disroder

A

true

22
Q

What types of conversion disorder have better prognosis?

A

paralysis, aphonia, and blindness

worse with tremor and seizure

23
Q

how do you manage conversion disorder?

A 
Supportive Psychotherapy
Determine stressor(s)
Help patient problem solve
Positive expectations
R/O treatable medical conditions
24
Q

what are the criteria for illness anxiety disorder?

A

preoccupation with fears of having a serious disease; not delusional; preoccupation persists after workup and reassurance

25
Q

does illness anxiety affect only females?

A

both sexes equally

26
Q

is illness anxiety relapsing?

A

yes, and chronic

27
Q

what is the effect of SES on illness anxiety?

A

higher SES=better prognosis

28
Q

What is the clinical picture like in illness anxiety?

A

Fears having a serious illness related to a single body sensation
History of doctor shopping
Brings problem lists
Doubts physician competence

29
Q

how do you treat illness anxiety?

A 
develop trusting relationship
R/O actual illness
do brief physical at every meeting
establish stress-illness connection
consider SSRI
supportive psychotherapy
30
Q

Describe symptom scheduling for illness anxiety?

A

track primary symptom four times daily at spcecific times
track anxiety and pain
attempt to determine causal relationship between the the two
do it the first time in office

31
Q

What is factitious disorder?

A

conscious awareness of what they are doing; actively playing the sick role

32
Q

Can you have physical symptoms in factitious disorder?

A

yes

33
Q

What are the facets that makes factitious disorder an actual disorder?

A

Maladaptive (can be life threatening)
Motivation unclear to patients
Often underlying personality disorder
May respond to treatment intervention

34
Q

what is munchausen by proxy?

A

medical child abuse in which the parent fakes the illness of the kid

35
Q

what is the difference between malingering and factitious disorder?

A

malingering has a clear external incentive like drugs or avoiding jail time

36
Q

do men or women malinger more?

A

men

37
Q 
Is this factitious or malingering?
borderline personality
pursue painful tests
varied symptoms
chronic
A

factitious

Block 8 Week 4 Colt (7 decks)

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