Question | Answer |
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... |