Unit 6 Somatic Symptom Disorders Chapter 17 Flashcards
What is Somatic Symptom?
Somatic symptom disorder is characterized by a focus on somatic (physical) symptoms, such as pain or fatigue, to the point of excessive concern, preoccupation, and fear. Patients’ suffering is authentic, and they typically experience a high level of functional impairment.
What is the different type of Somatic disorders?
- Somatic Symptom Disorder
- Illness Anxiety Disorder
- Conversion Disorder
- Factitious Disorder
Somatic Symptom Disorder explained
Focus on physical (somatic) symptoms to the point of excessive concern,
preoccupation and fear. (Ex: Pain, Fatigue, Chest Pain, swelling, back
pain, Shortness of breath, insomnia, abdominal pain)
- High level of functional impairment
- High levels of help seeking, but rarely alleviates the concerns.
- Unable to make a clear diagnosis explaining symptoms – No evidence to
cause of symptoms - Patient may become frustrated
-INVOLUNTARY SYMPTOMS
Your patient reports having a headache and suspects that he might have a brain tumor. Which of the following somatic disorders is this patient suffering from?
A. Somatic Symptom Disorder
B. Illness Anxiety Disorder
C.Conversion Disorder
D.Factitious Disorder
B. Illness Anxiety Disorder
Similar to hypochondriasis
* Extreme worry and fear about the possibility of having a disease
Illness Anxiety Disorder Explained
Similar to hypochondriasis
* Extreme worry and fear about the possibility of having a disease
* Actual symptoms are mild or absent
* Obsessive over thoughts of having a disease and the thoughts can
become intrusive and distressing to the individual.
- Some seek care and some avoid care
- Social media – increased fears and anxiety
-most common in doctors , nurses, and health care professionals
-INVOLUNTARY SYMPTOMS
Which of the following disorders is related to illness anxiety disorder?
A.ASD
B.CDD
C.ADHD
D.hypochondriasis
Similar to hypochondriasis
Hypochondria is a type of anxiety disorder. It is also known as health anxiety, or illness anxiety disorder, or hypochondriasis. It is normal for people to worry about their health now and again.
Your psychiatric patient has been attending therapy due to his wife’s cheating pattern. He shares that he seen her texting other guys to hook up and began to have blurry vision and weakness in his hands. Which of the following somatic disorders is this patient suffering from?
A. Somatic Symptom Disorder
B. Illness Anxiety Disorder
C.Conversion Disorder
D.Factitious Disorder
C.Conversion Disorder
anxiety or stress that is extreme that transitions in to neurological symptoms
Conversion Disorder explained
Patient presents with neurological symptoms in the absence of a
neurological diagnosis (cause)
- Deficits in voluntary motor or sensory function – paralysis, blindness, movement disorder, gait disorder, numbness,
paresthesia, loss of vision or hearing - Emotional conflicts or stressors are transferred to physical symptoms.
- Many patient’s show a lack of emotional concern (labelle indifference)
- Always must rule out physical causes
-INVOLUNTARY SYMPTOMS
Interentions for both Conversion disorder and Somatic Disorder
Therapeutic relationship is extremely important – Be empathetic
- Encourage the patient to express their feelings and emotions.
- Aide the patient in making connections between their physical symptoms
and the emotional symptoms they are experiencing - Teaching:
- Effective coping skills – relaxation techniques, assertiveness training, cognitive reframing
- Unclear the effectiveness of medications. Some benefits to short-term
Benzo use. Some SNRIs have been utilized with positive outcomes, but
more research is needed
You are interviewing a client who has past history of lying about suicidal ideation to receive treatment from the hospital and interact with health professionals.Which of the following somatic disorders is this patient suffering from?
A. Somatic Symptom Disorder
B. Illness Anxiety Disorder
C.Conversion Disorder
D.Factitious Disorder
D.Factitious Disorder
Factitious Disorder Explained
Consciously pretend to be ill to get emotional needs met and attain
the status of patient. (secondary gain)
LIES
* Dramatically fabricate symptoms – Risk of serious injury
-drinking plenty of alcohol before calling 911 so they can be taken to the hospital to show excessive vomitting to get sympathy from HCP_
ATTENTION SEEKING
- The problem is compulsive, and the individual will conceal the
nature of the illness through deception. - Symptoms must be investigated
- Hx – Munchausen Syndrome
VOLUNTARY
You are interviewing a client who has past history of lying about their child has excessive hemorrhage to receive treatment from the hospital and interact with health professionals and get attention from social media.Which of the following somatic disorders is this patient suffering from?
A. Somatic Symptom Disorder
B. Illness Anxiety Disorder
C.Conversion Disorder
D.Factitious Disorder imposed on Another
D.Factitious Disorder imposed on Another
THIS IS ABUSE AND MUST BE REPORTED
Factitious Disorder imposed on Another explained
- Caregiver deliberately falsifies illness in a vulnerable dependent.
- Secondary gain – attention and excitement to perpetuate the relationship
with healthcare providers. - Caregiver is frequently a healthcare worker or someone with extensive
knowledge of the healthcare system. - Can result in harmful medical procedures
- This is a form of abuse – suspicion must be reported.
- Hx – Munchausen syndrome by proxy
Symptoms are
Deliberately
imposed on
another
What is Malingering
- Related to Factitious Disorder
- Conscious act of fabricating an illness or exaggerating symptoms
- Secondary gain – compensation, obtaining prescription
medications, evading military service or receiving a reduced prison
sentence.
-Symptoms
are
Voluntary
