Somatic Symptom Disorders and Malingering Flashcards
Somatic Symptom Disorder
replaces undifferentiated somatoform disorder, hypochodriasis, pain disorder
Criteria for SSD
- distressing and disrupt daily life
- excessive thoughts, feelings, behaviors (anxiety, excessive time devoted to healthcare)
- > 6mo
Illness Anxiety Disorder
- somatic sx absent or mild
- preoccupation with having or acquiring serious illnes
- high anxiety and low threshold for becoming alarmed about health
- > 6 mo
- excessive or maladaptive health behavior
Conversion Disorder
nonintentionally produced symptoms or deficits affecting voluntary motor or sensory function
Common presentation of Conversion Disorder
pseudoseizures, blindness, deafness, sensory loss, paralysis, gait issues
Approach to Conversion Disorder
“suggestion” of recovery, say has good prognosis
Factitious Disorder
symptoms intentionally produced to assume sick role, self or by proxy
Common ppl in Factitious Disorder
hospital/healthcare workers, mothers, leave early with AMA
How to Check for Self-Injected insulin
increased serum insulin/C-peptide ratio
Conditions of consider with SSD
medical: MS, SLE, porphyria, hemochromatosis
Psych: anxiety disorder, mood disorders, schizo
SSD MGMT
- freq visit, short PE, discuss fears
- Aim: prevent new symptoms, decrease admissions and ED visits
BATHE
background, affect, trouble, handle, empathy
Pharm SSD
treat concomittant psych problem
pain: Gabapentin, SNRI
fatigue: bupropion
anxiety: SSRI, TCA
Malingering
- intentional production of false physical and psychological symptoms, motivating by external incentives
- jail, opiates, disability, attorney
