Somatic Symptom and Related Disorders
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| Somatic Symptom Disorders in this lecture ? | -Somatic Symptom Disorder
-Illness Anxiety Disorder
-Conversion disorder
-Psychological Factors affecting other medical conditions
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| What exactly is a Somatoform Disorder ? | * Physical or somatic complaints unexplained by a medical condition
*Sx are NOT intentionally produced
-somatic issues = any issue with the body, from vomiting to feeling pain somewhere
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| Something that is closely linked when something has a Somatoform Disorder ? | * have another mental issue (anxiety, depression, etc.)
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| Have to rule out before making a Dx of a Somatoform Disorder? | * must rule out occult physical illness, other psychiatric disorders, and substance abuse
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| Disorder that 1 or more somatic symptoms that are distressing or result in significant disruption of daily life and have Excessive thoughts, feelings, or behaviors related to the somatic symptoms or associated health concerns ? | * Somatic Symptom Disorder (have over 6 mths)
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| Main issue with Somatic Symptom Disorder ? | * the somatic symptom causes are exaggerated and cause fear and distress that leads to dysfunction
* also the ppl make frequent Dr visits and feel as if they never recieve adequate treatment
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| Disorder when a person has a preoccupation with having or acquiring a serious illness ? | * Illness Anxiety Disorder (have over 6 mths)
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| Basics of Illness Anxiety Disorder ? | * NO somatic symptoms or VERY minimal ones
*Performs excessive health care behaviors (Ex. checks body for lumps all the time)
* or can exhibit Avoidance of something they believe will cause the illness
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| Disorder where there is 1 or more symptoms of altered voluntary motor or sensory function? | * Conversion disorder
(Functional Neurological Symptom Disorder)
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| Basics of Conversion Disorder ? | * neurological deficits out of the blue that are incompatible with the neuro exam
---(Ex. swallowing issues, talking, sensation, weird movements, tremors, etc.)
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| How to manage Conversion Disorder ? | *treat the underlying psych issue
* establish a good pt./Dr Trust relationship
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| Disorder when there is a REAL medical condition present, and a psychological issue interferes with making the condition worse ? | * Psychological Factors Affecting a Medical Condition
---Ex. patient with a medical issue won't drive to the clinic to receive necessary treatment b/c they fear/get anxious about driving in snow
* you have to document the possible noncompliance
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| Willingly and knowingly falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception? | * Factitious Disorder (Munchausen Syndrome)
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| Main reason behind people with a Factitious Disorder ? | * receive a PRIMARY gain in the form of attention
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| Clinical Presentation and Management of Factitious Disorder ? | * high prevalence in the medical field
* someone with recurrent, unexplained symptoms (Ex. hypoglycemia from insulin over injecting)
* no injury, but an underlying psych issue
* usually Dr shop/jump when issue is brought up by Dr
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| A disorder in which signs and symptoms of physical and mental disorders are intentionally/knowingly produced to receive SECONDARY gains? | * Malingering
--- SECONDARY gains are pills, disability checks, $ from lawsuits
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| Management of Malingering ? | * Do not confront them, to maintain their trust
* Document everything to prevent repercussions from them for you denying their requests
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| Groups to look at if Suspicious symptoms or complaints and there IS NO CONSCIOUS attempt to deceive? | * Look at one of the Somatoform Disorders--- they are unconsciously doing it
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| Groups to look at if Suspicious symptoms or complaints and there IS CONSCIOUS attempt to deceive? | * Factisious Disorder --if primary goals are their wanted outcome (attention for their psych issue)
* Malingering - if they have a secondary goal of getting pills, lawsuit $, etc...
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