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PSYC Test 2

Somatoform & Dissociative Disorders

QuestionAnswer
Symptoms are not under individuals voluntary control, difficulty communicating emotional needs, physical symptoms for no reason, cause severe impainrment in social & occupational functioning Somatoform disorders
Intentionally producing symptoms to achieve environmental goal (conscious) different from somatoform disorder malingering
Fabrication of symptoms or self-inflicted injury to assume the sick role, different from somatoform disorder factitious disorder
caregiver injures victim to get attention/sympathy for self (severe factitious disorder) Munchausen syndrome by proxy
Evidence of general medical condition that may be affected by stress or psychological factors Psychosomatic Illness
5 Somatoform disorders somatization, conversion, hypochondriasis, pain, body dysmorphic disorder
Belief that 1 has serious disease inspite of negative medical findings, hx of dr. shopping, duration of disturbance is @ least 6mths Hypochondriasis
Expression of psychological stress through physical symptoms, pain in multiple areas, physical symptoms cant be explained medically, onset before age 30, common w/anxiety, depression & sucide somatization
severe prolonged pain that impairs social/occupational functioning, serious risk of suicide due to chronic pain, diagnostic testing rulse out organic cause, usual sites of pain: head, face, lower back, pelvis Pain disorder
preoccupation with an imagined defective body part body dysmporphic disorder
usually concerned with face, skin ,genitalia, thigh, hips, hair, exaggerated belief that body is deformed or defective, usually have normal appearance w/minor defects Body dysmorphic disorder
loss or change in body function as result of psychological, symptoms may resolve in few wks, most common somatoform disorder Conversion disorder
Symptoms affect voluntary motor or sensory function such as, involuntary movement, abnormal gait, anesthesia, blindness, deafness, paralysis, seizures conversion disorder
lack of emotional concern about symptoms (conversion disorder) La bell indifference
Treatment of Somatoform Disorders: Non-addictive pain meds, anticonvulsants (neuropathic pain) & antidepressants
Promotion of self-care activitites, health teaching, case mgmt, psychobiological interventions are basic level interventions for ? somatoform disorders
True/False: With somatoform disorders goals are usually only partially met, which should be a postive finding because they are often reluctant to change TRUE
disturbances in consciousness, memory, identity & perception, actual cause is unknown dissociative disorders
commonly associated with mood disorders & substance abuse dissociative disorders
Dissociative disorders include: (4) Dissociative amnesia, dissociative fugue, dissociative identity disorder, depersonalization disorder
unconscious defense mechanism to protect against overwhelming anxiety dissociation
inability to recall important personal info, begins ABRUPTLY, related to traumatic event, client is aware of memory loss & is alert before & after incident dissociative amnesia
3 types of dissociative amnesia localized, selective, generalized
(dissociative amnesia) unable to recall info about their entire life generalized dissociative amnesia
(dissociative amnesia) unable to recall events from a certain period localized dissociative amnesia
(dissociative amnesia) unable to recall portions of events from a certain period selective dissocitive amnesia
Localized, Generalized, Selective are 3 types of : dissociative amnesia
Sudden expected travel away from home, inability to recall personal identity, often related to trauma, increases in times of stress, may co-occur with PTSD Dissociative Fugue
2 or more distinct personalities are present, unable to consistently recall personal info, may or may not be aware of alters, each personality has its own memories, behavior patterns Dissociative Identity Disorder (DID)
True/False: Excessive switching between alters is result of something similiar to past trauma triggering it TRUE
Temporary sense of unreality, parts of body feel unreal, sense of detachment from environment, AWARE of perceptual distortions, response to acute stress Depersonalization disorder
Brain tumors, epilepsy, drugs, conflicts with ego, stress are causes of depersonalization disorder
4 common treatments for dissociative disorder truth serum, pyschotherapy, hypnosis, no specific meds
Created by: dbrust