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SSD
| Term | Definition |
|---|---|
| Somatization | Turning emotional stress or anxiety into physical symptoms. |
| Alexithymia | Trouble identifying or expressing emotions. |
| Somatic Symptom Disorder | Physical symptoms that cause distress and interfere with daily life. |
| Key Point | Symptoms are REAL even if tests are negative. |
| Common Symptoms | Pain, fatigue, GI problems, weakness, dizziness. |
| Doctor Shopping | Going to many doctors looking for answers. |
| Health Anxiety | Constant worry about health or illness. |
| Illness Anxiety Disorder | Fear of having a serious illness despite little or no symptoms. |
| Cyberchondria | Excessive internet searching about illnesses. |
| Body Checking | Constantly checking the body for signs of illness. |
| Conversion Disorder | Stress causes sudden neurologic symptoms without a medical cause. |
| Possible Conversion Symptoms | Paralysis, blindness, seizures, trouble walking, numbness. |
| Malingering | Faking symptoms for external rewards like money or avoiding work. |
| Factitious Disorder | Intentionally causing symptoms for attention or the “sick role.” |
| Munchausen Syndrome | Severe long-term factitious disorder with repeated hospital visits. |
| Munchausen by Proxy | Caregiver causes illness in another person for attention. Considered abuse. |
| Sick Role | Wanting attention, sympathy, or care from being ill. |
| External Gain | Reward like money, drugs, avoiding jail/work. |
| Internal/Emotional Gain | Attention, sympathy, emotional support. |
| Somatic Symptom Disorder Behavior | Frequent testing, reassurance seeking, stress worsens symptoms |
| Illness Anxiety Disorder Behavior | Googling diseases, body checking, fear of illness |
| Factitious Disorder Behavior | Fake symptoms, tampering with wounds/labs, self-harm |
| Munchausen Syndrome Behavior | Hospital hopping, fake names, repeated admissions |
| Munchausen by Proxy Behavior | Caregiver causes or fakes illness in child/dependent person |
| Acknowledge symptoms as real | Builds trust |
| Avoid arguing | Reduces anxiety and defensiveness |
| Encourage emotional expression | Helps connect stress to symptoms |
| Teach stress management | Stress worsens symptoms |
| Encourage normal routine | Promotes functioning |
| Teach relaxation techniques | Lowers anxiety |
| Stay objective/nonjudgmental | Prevents escalation |
| Document carefully | Legal protection and accurate records |
| Do not directly accuse client | May worsen behaviors |
| Protect victims first | Safety is priority in proxy cases |
| Report suspected abuse | Mandatory nursing responsibility |
| Malingering | Intentional symptoms for external gain |
| Factitious Disorder | Intentional symptoms for emotional attention |
| Munchausen Syndrome | Severe chronic factitious disorder |
| Munchausen by Proxy | Abuse of another person |
| Priority in Proxy Cases | Protect the victim |
| Best Nursing Approach | Calm, objective, nonjudgmental |
| Important Nursing Skill | Thorough documentation |