Somataform, Adjustment, Gender disorders (Hill)

Question 1

Loss of sensory or motor function (paralysis, blindness, mutism) often following an acute stressor; pt aware of but sometimes indifferent toward symptoms (la belle indifference); F > M, adolescents and young adults; Pseudoseizures (stress seizure)

Answer 1

Conversion disorder (Functional neurologic symptom disorder)

Question 2

Tx for Conversion disorder?

Answer 2

• Counseling
• PT
• Tx related stress & other conditions –> SSRIs and Benzos
• Transcranial magnetic stimulation

Question 3

Name the disorder:

• Voluntary control of symptoms (to gain attn for being “sick”)
• Undergoes multiple med and surg procedures
• Munchausen’s
• Self-injected feces or saliva
• bizarre or unusual symptoms

Answer 3

Factitious disorder imposed on self

Question 4

Name the disorder:
-Munchausen by proxy –> production of intentional symptoms in another individual (usually a child) for the purpose of having the other person assume the sick role

Answer 4

Factitious disorder imposed on another

Question 5

These disorders occur within 3 months of a serious life stressor and lasting less than 6 months (can persist over 6 months in presence of chronic stressor). Can be with:

• Depressed mood
• anxiety
• mixed anxiety and depressed mood
• disturbance of conduct
• mixed disturbance of emotions and conduct

Answer 5

Adjustment disorders

Question 6

Really important part of the suicide assessment?

Answer 6

DOCUMENT

Question 7

Med approved by FDA for suicide prevention in people with schizophrenia?

Answer 7

Clozapine