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Somatic Sym Disorder

Somatic Symptom and Related Disorders

Somatic Symptom Disorders in this lecture ? -Somatic Symptom Disorder -Illness Anxiety Disorder -Conversion disorder -Psychological Factors affecting other medical conditions
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
Something that is closely linked when something has a Somatoform Disorder ? * have another mental issue (anxiety, depression, etc.)
Have to rule out before making a Dx of a Somatoform Disorder? * must rule out occult physical illness, other psychiatric disorders, and substance abuse
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)
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
Disorder when a person has a preoccupation with having or acquiring a serious illness ? * Illness Anxiety Disorder (have over 6 mths)
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
Disorder where there is 1 or more symptoms of altered voluntary motor or sensory function? * Conversion disorder (Functional Neurological Symptom Disorder)
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.)
How to manage Conversion Disorder ? *treat the underlying psych issue * establish a good pt./Dr Trust relationship
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
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)
Main reason behind people with a Factitious Disorder ? * receive a PRIMARY gain in the form of attention
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
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
Management of Malingering ? * Do not confront them, to maintain their trust * Document everything to prevent repercussions from them for you denying their requests
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
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...
Created by: thamrick800