Exam 3 Somatoform, Factitious, Malingering Dis

Question 1

Somatization Dis criteria? (4)

Answer 1

A) Physical complaints before 30 yo, lasting several yrs, results in treatment seeking and impaired fxn

B) Physical complaints include:

• 4 pain sxs
• 2 GI sxs
• 1 sex sxs
• 1 pseudoneuro sxs

C) Either (1) or (2):

(1) physical sxs NOT explained by GMC or drugs
(2) if GMC, complaints/impairment excessive

D) Sxs not intentional or feigned

Question 2

Somatization Dis pseudoneuro sxs include?

Answer 2

impaired coord
paralysis
weakness
dysphagia
halluc
memory
visual

Question 3

Somatization Dis tx?

Answer 3

Complaints U from emotional issues
Psych therapy
Regular visits

Question 4

Conversion Dis criteria? (6)

Answer 4

A) 1+ sxs/deficit affecting voluntary motor/sensory, suggestive of GMC or neuro condition

B) Psych factors a/w sxs -> proceeded by stressor

C) Not explained by GMC/meds

D) Not intentional or feigned

E) Significant distress/impairment

F) Not limited to pain or sex dye

Question 5

Conversion Dis: Physical exam findings?

Neuro eaxm?

La belle indifference?

Answer 5

Inconsistent

Normal

lack of concern about the nature or implications of symptoms

Question 6

Conversion Dis: tx?

Answer 6

Sxs U remit days - weeks
Supportive psych/behav therapy
Anxiolytics

Question 7

Hypochondriasis criteria? (5)

Answer 7

A) Preoccupied w/ having serious dz based on misinterpretation of sxs

B) Preoccupation persists despite medical eval and reassurance

C) (A) is not delusional and not restricted to appearance

D) Signif distress/impairment

E) 6+ mo

Question 8

Hypochondriasis tx?

Answer 8

Therapy and reassurance

Question 9

Body Dysmorphic Dis criteria? (3)

Answer 9

A) Preocc w/ imagined appearance defect

B) Sign distress/impairment

C) Not from other disorder

Question 10

Body Dysmorphic Dis tx?

Answer 10

Behav mod

Antidepress

Question 11

Factitious Dis criteria? (3)

Answer 11

A) Intentional production or feigning of physical or psych sxs

B) Motivation to assume “sick role”

C) External incentives for behaviors are ABSENT

Question 12

Factitious Dis tx?

Answer 12

None

Recognize and prevent unnecess tx

Question 13

Malingering is?

Answer 13

NOT mental disorder
Intentional false/exaggerated physical/psych sxs
Motivated by external incentives:
-Avoid work
-Financial compensation
-Evade prosecution
-Obtain drugs

Question 14

Malingering a/w what disorder?

Answer 14

Antisocial PD