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Abnormal Psych > Somatoform & Dissociative Disorders > Flashcards

Somatoform & Dissociative Disorders Flashcards

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1
Q

Hypochodriases & Symptoms

A
  • obsession with fear of contracting potential disease
  • misinterpret bodily signs, don’t believe medical evaluation
  • dysfunctional assumptions
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2
Q

Symptoms of Hypochodriases

A
  • preoccupied with bodily function, vague sensations
  • attribute symptoms to disease
  • intrusive thoughts
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3
Q

Tx of Hypochodriases

A

Cognitive Behavioral Tx: modifying misinterpretations of bolidy sensations. Stop checking body.

Meds: SSRI’s

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4
Q

Somatization disorder

A

many different physical ailments with no medical problems or organic basis

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5
Q

Symptoms of Somatization Disorder

A
  1. 4 pains in different sites/functions
  2. Gastrointestinal symptoms (nausea)
  3. 1 Sexual Symptom
  4. 1 Pseudoneurological Symptom (sensory/motor impairments)
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6
Q

Tx of Somatization Disorder

A

Cognitive Behavioral Tx:

  • only 1 physician who is aware of pt’s disorder.
  • Coping and adjustment.
  • Discouraging inappropriate preoccupations.
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7
Q

Pain Disorder

A

Persistent & severe pain that isn’t feigned

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8
Q

Pain Disorder Symptoms

A
  1. Focus on pain
  2. pain causes impairment
  3. psychological factors play role in pain
  4. not faking
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9
Q

Tx of Pain Disorder

A

Cognitive Behavioral Tx: relaxation training, support, validation of pain, cognitive restructuring

Meds: SSRI’s

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10
Q

Conversion Disorder

A
  • symptoms affect sensory or motor functions like pt has neurological condition
  • caused by emotional conflicts
  • primary gain: avoidance
  • secondary gain: external circumstance that reinforces p. gain
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11
Q

Symptoms of Conversion Disorder

A
  1. motor/ sensory function impaired, which suggest neurological disorder
  2. preceded by conflicts or stressors
  3. not faking
  4. not a general medical condition
  5. causes impairment
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12
Q

Tx of Conversion Disorder

A

Behavioral Tx: positive reinforcement to move affected area. Eliminate 2nd gains.

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13
Q

Body Dysmorphic Disorder

A
  • preoccupation with percieved or imagined flaw in appearance
  • belief of disfigurement
  • often looking in mirror and asking others for reassurance
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14
Q

Symptoms of Body Dysmorphic Disorder

A
  • preoccupied with imagined defect or excessive about small defect
  • preoccupation causes impairment
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15
Q

Bio causes for BDD

A
  • high neuroticism
  • high anxiety, maybe OCD
  • childhood neglect, abuse
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16
Q

Tx of BDD

A
  • like OCD Tx
  • SSRI’s
  • Cognitive Behavioral Tx: exposure response prevention. Identify & change distortion during anxiety-provoking situations. Prevent checking.
17
Q

Depersonalization Disorder

A
  • one’s sense of self & reality is persistently lost
  • moments of floating, unreal
  • behaving mechanically
18
Q

Symptoms of Depersonalization Disorder

A
  • recurrent feelings of detachment from mind and body
  • reality testing intact
19
Q

Dissociative amnesia

A
  • fail to recall stored personal info
  • occurs after a traumatic event
  • affects episodic and autobigraphical memory
20
Q

Dissociative Fugue

A
  • amnesia with confusion of identity
  • caused by need to supress large amount of stress with no escape
21
Q

Symptoms of Dissociative Fugue

A
  1. sudden, unexpected disturbance with inability to recal one’s past
  2. confusion about identity or taking on new identity
  3. impairs functioning
22
Q

Dissociative Identity Disorder

A
  • multiple personality
  • 2 or more identitiesthat alternate and control behavior
  • failure to inegrate full personality
  1. Host Identity: real name, original identity
  2. Alter Identities: where inhibitions are displayed
23
Q

symptoms of DID

A
  • 2 or more identities
  • recurrent control by alternate identities
  • inability to recall personal info
24
Q

Post Traumatic Theory (DID)

A

Child’s way of coping with powerlessness during abuse. Escape by becoming someone else. Reinforced and helps to alleviate pain.

25
Q

Socio-Cognitive Theory (DID)

A

Suggestible person learns to take on multiple identities bc clinicians reinforce them.

26
Q

Tx of Dissociative Disorders

A
  1. hypnosis for memory recall
  2. integrating all personalities

Abnormal Psych (11 decks)

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