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Clin med Psych > Somatoform / eating disorders > Flashcards

Somatoform / eating disorders Flashcards

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1
Q

What are somatization disorders

A

psychiatric disorders characterized by the presence of physical complaints

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2
Q

What is another name for somatic symptom disorder

A

Hypochondriasis

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3
Q

When is the average age of onset for somatic symptom disorder

A

20-30

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4
Q

Which patients have a higher prevalence of somatic symptom disorder

A

patients with functional disorders
-IBD
-Fibromyalgia
-Chronic fatigue syndrome

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5
Q

What are the 3 major DSM 5 criteria categories

A

Presence of 1+ physical symptom that cause significant distress

Symptoms present for 6+ months

Excessive focus on complaints
-Persistent anxiety about health must be present

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6
Q

What is severe somatic symptoms disorder

A

2-3 excessive focus indicators and multiple complaints

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7
Q

What are common symptoms of somatic symptom disorder

A

Neuropsychiatric
cardiopulmonary
GI
GU
MSK
Sensory
Endocrine

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8
Q

What is the prognosis of somatic symptom disorder

A

Can be episodic or chronic

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9
Q

Which patients do better with somatic symptom disorder

A

Sudden symptom onset
no preexisting disorders
anxiety / depression that responds to treatment
higher SES

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10
Q

What is conversion disorder

A

Characterized by medically unexplained neurologic motor symptoms
AKA: Functional neurologic symptom disorder (doesn’t include pain)

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11
Q

When does conversion disorder present

A

onset in later childhood - early adult hood

Females>Males

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12
Q

What patients are at higher risk for developing conversion disorder

A

Patient with low SES
Patients from rural areas
Patients with low education level

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13
Q

What are the specifiers of conversion disorder

A

Symptomtype
Acuity
Precipitating factors

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14
Q

What is the prognosis of conversion disorder

A

Primarily episodic
often spontaneous resolution of symptoms

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15
Q

What is illness anxiety disorder

A

Excessive worry over having or getting an illness

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16
Q

What are some associated symptoms of illness anxiety disorder

A

If symptoms present - they’re benign

focused more on the anxiety piece

17
Q

What is factitious disorder

A

Munchausens

Intentional production of symptoms / illness

may appear medically explainable

18
Q

Is Factitious disorder motivated by secondary gain

A

No that would be malingering

19
Q

Is factitious disorder only self induced

A

No, can also be munchausens by proxy

20
Q

When is factitious disorder present and which gender is more effected

A

Often present in early adulthood - middle age
males > females

Healthcare workers are at higher risk

21
Q

How do you treat somatization disorders

A

Diagnosis of exclusion
-Rule out other medical / psych issues

Undertake a limited work-up

schedule regular visits for reoccurrence

avoid surgery / procedures / meds

22
Q

What are 3 types of eating disorders

A

Anorexia nervosa
Bulimia nervosa
binge -eating disorder

23
Q

Which gender is more effected by anorexia nervosa

A

Females

24
Q

What is the major DSM 5 criteria for anorexia nervosa

A

Voluntary caloric restriction to reduce or avoid gaining weight

Symptoms present for 3+ months

25
Q

What are some medical symptoms of starvation

A

Jaundice
Lanugo
Elevated LFTs
Muscle atrophy (inc. cardiac)
Decreased bone density

26
Q

What is the BMI for someone with severe Anorexia

A

Less than 15

27
Q

What is MANTRA therapy with anorexia nervosa

A

Maudsley Anorexia Nervosa Tx for Adults
-12 months and family based

28
Q

Which patients get inpatient treatment with anorexia

A

Severe disease (20% below normal weight)
Hypotension / hypothermia
failure of outpatient treatment

29
Q

What is the prognosis of anorexia

A

25-40% will achieve remission

30
Q

What is referring syndrome

A

If you feed the patient too quickly / too soon can cause severe electrolyte imbalances

31
Q

What is different between bulimia and anorexia

A

More common
20% of college girls will show symptoms
develops later than anorexia
more likely to be normal weight

32
Q

What are high risk groups for bulimia nervosa

A

High achievers
Parental neglect
h/o depression
SUD

33
Q

What are the DSM 5 criteria for bulimia

A

Recurrent episodes of bunge eating
recurrent inappropriate compensatory behaviors

34
Q

What is severe bulimia nervosa

A

8-13 episodes a week

35
Q

What are the subtypes of bulimia

A

Purging
non-purging (common with higher BMI)

36
Q

What is the most common eating disorder

A

Binge eating disorder

37
Q

What are some DSM-5 criteria for binge eating disorder

A

Recurrent episodes of bunge eating
three or more of the following during binge episodes

Distress during binge eating
binge eating at least 1x/wk for 3+ months

38
Q

What are some medications that can be used to treat eating disorders

A

Fluoxetine
Vyvanse
SSRIs

Clin med Psych (10 decks)

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