Somatoform & Dissociative Disorders
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| 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
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| Intentionally producing symptoms to achieve environmental goal (conscious) different from somatoform disorder | malingering
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| Fabrication of symptoms or self-inflicted injury to assume the sick role, different from somatoform disorder | factitious disorder
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| caregiver injures victim to get attention/sympathy for self (severe factitious disorder) | Munchausen syndrome by proxy
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| Evidence of general medical condition that may be affected by stress or psychological factors | Psychosomatic Illness
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| 5 Somatoform disorders | somatization, conversion, hypochondriasis, pain, body dysmorphic disorder
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| Belief that 1 has serious disease inspite of negative medical findings, hx of dr. shopping, duration of disturbance is @ least 6mths | Hypochondriasis
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| 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
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| 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
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| preoccupation with an imagined defective body part | body dysmporphic disorder
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| 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
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| loss or change in body function as result of psychological, symptoms may resolve in few wks, most common somatoform disorder | Conversion disorder
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| Symptoms affect voluntary motor or sensory function such as, involuntary movement, abnormal gait, anesthesia, blindness, deafness, paralysis, seizures | conversion disorder
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| lack of emotional concern about symptoms (conversion disorder) | La bell indifference
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| Treatment of Somatoform Disorders: | Non-addictive pain meds, anticonvulsants (neuropathic pain) & antidepressants
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| Promotion of self-care activitites, health teaching, case mgmt, psychobiological interventions are basic level interventions for ? | somatoform disorders
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| 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
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| disturbances in consciousness, memory, identity & perception, actual cause is unknown | dissociative disorders
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| commonly associated with mood disorders & substance abuse | dissociative disorders
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| Dissociative disorders include: (4) | Dissociative amnesia, dissociative fugue, dissociative identity disorder, depersonalization disorder
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| unconscious defense mechanism to protect against overwhelming anxiety | dissociation
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| 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
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| 3 types of dissociative amnesia | localized, selective, generalized
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| (dissociative amnesia) unable to recall info about their entire life | generalized dissociative amnesia
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| (dissociative amnesia) unable to recall events from a certain period | localized dissociative amnesia
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| (dissociative amnesia) unable to recall portions of events from a certain period | selective dissocitive amnesia
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| Localized, Generalized, Selective are 3 types of : | dissociative amnesia
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| 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
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| 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)
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| True/False: Excessive switching between alters is result of something similiar to past trauma triggering it | TRUE
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| Temporary sense of unreality, parts of body feel unreal, sense of detachment from environment, AWARE of perceptual distortions, response to acute stress | Depersonalization disorder
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| Brain tumors, epilepsy, drugs, conflicts with ego, stress are causes of | depersonalization disorder
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| 4 common treatments for dissociative disorder | truth serum, pyschotherapy, hypnosis, no specific meds
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