Somatic Symptom and Related Disorders

Question 1

Somatic symptom disorder

Answer 1

One or more somatic symptoms that are significantly disrupting

Excessive throughts related to somatic symptoms

State of being symptomatic is persistent

Question 2

Somatic symptom disorder demographics

Answer 2

Around age of 30

Many more women

May have symptoms for several months then several without

Increased stress brings on

Question 3

Tx of somatic symptom and what to do as physician

Answer 3

Single ID primary caretaker

Monthly but without tests and lab work

Look at this si as emotional expression

Question 4

Illness anxiety disorder

Answer 4

Somatic symptoms are ot really present

Lots of anxiety about illness

At least 6 months but specific illness feared may change

Question 5

Illness anxiety disorder demographics

Answer 5

Men and women equal

20-30

May misinterpret their own sensations

Question 6

Illness anxiety vs

Somatic
Conversion

and what is length

Answer 6

Complain about fewer symptoms and more concerned with an illness

Conversion typically acute and involves a symptom rather than a dz

Episodes last from months to years

Question 7

Good prognostics of illness anxiety and tx

Answer 7

Higher SES, etc.

Use group psychotherpay

Make sure to regularly scheudle physicals

Question 8

Conversion disorder

Answer 8

Functional neuro smyptom disoder

One or more symptoms of altered voluntary motor or sensory function

Incompatibility bt symptom and conditions

Specify the symtom type

Question 9

Conversion disorder demographics

Answer 9

Neurologic symptoms

More women

Men may have been in accidents

Adolsecent onset and young adulthood

Question 10

CD pathology and other things seen

Answer 10

CD caused by repression of unconscious intra-psychic conflict and convert anxiety into a physcial symptom

Primary gain - patients keep conflicts out of awareness

Secondary gain - tangible advantgeaes and benefits as a result of being sick

La belle indiferrent - cavalier attitude toward serious symptoms

Question 11

CD course

Answer 11

Patients may model symptoms on those of someone important to them

Normally resolve soon

Sudden onset is better

Question 12

Factitious disorder on SELF

Answer 12

Falsification of signs or symptoms or induction of injury, assoicayed with id’
d deception

Presents himself to others as ill, impaired, or injured

Behavior evident even in absence of obvious external rewards

Question 13

Factitious disorder on another

Answer 13

Presents another individual as impaired vs. self

Question 14

Facititous disorders facotrs suggestive

Answer 14

Describes knowing well-known pepole but few visitors

Discrepancies between objective and subjective findings

Agreeable to invasive procedures

Question 15

Facitious patient charactieritics and tx

Answer 15

Young women with family support
Lots have jobs
Single systme complaints

Psychotherapy and watch for countertransferecne

Question 16

Factitituos on another pathology and tx

Answer 16

Maternal pathology arisis from childhood neglect and abandonment (contrast with self)

Psychotherapy

Question 17

Warning signs of factitious on another

Answer 17

Episodes only when child is or has been wit hthe parent

Parent notably uninvolved

Parent provides false info and not reassured by neg tests

Symptoms disappear when away from the parent

Question 18

Pseudocyesis

Answer 18

False belief of being pregant associated with objective signs and symptoms of pregnancy