Somatic Symptoms Disorders

Question 1

Somatic symptom disorder

Answer 1

When the patient thinks they have a bunch of symptoms.

Question 2

Illness anxiety disorder

Answer 2

Patient has anxiety about having or acquiring a serious illness. Different from somatization disorder because they don’t have serious somatic symptoms.

Question 3

Conversion disorder

Answer 3

Physical symptoms suggesting neurological problems (sensory impairment or paresthesia or paralysis).
Rapid onset, sudden termination, sudden reappearance.
Most common in women and men in combat

Question 4

Malingering

Answer 4

Intentional production of physical or physiological signs or symptoms WITH external incentives (avoiding work, pain meds ect)

Question 5

Factitious disorder (Munchausen’s)

Answer 5

Intentional production of physical or psychological signs and symptoms WITHOUT external incentives

Question 6

How do you deal with factitious disorders?

Answer 6

CCLING
Confidence
Common
Legitimizing
Nonprogressive
Gradual

Question 7

EGO syntonic

Answer 7

Patients do NOT view thoughts and behavior as unacceptable

Question 8

EGO dystonic

Answer 8

Patient distressed by their symptoms

Question 9

How do you treat personality disorders?

Answer 9

Can only treat symptoms, so it depends on the symptoms

Question 10

How to treat cognitive perceptual organization?

Answer 10

Atypical antipsychotics

Possible role for SSRIs

Question 11

How to treat impulsivity/aggresion

Answer 11

Antipsychotics
Beta blockers
lithium
Carbamazepine
Phenytoin

Question 12

How to treat mood instability

Answer 12

Mood stabalizer
Consider SSRI or antidepressant
Atypical antipsychotic

Question 13

How to treat anxiety/inhibition

Answer 13

SSRI or related antidepressant

Benzodiazepine for short term

Question 14

Schizoid personality disorder

Answer 14

Indifference to others, dimished range of emotional experience and depression
Socially isolated

Question 15

Schizotypal personality disorder

Answer 15

Peculiar patterns of behavior
Perceptual and cognitive disturbance
Unusual speech

Question 16

How to deal with schizoids and schizotypals

Answer 16

Minimize conflict, give’em privacy, be low key, shizotypals may need reality testing and antipsychotics

Question 17

Paranoid personality disorder

Answer 17

Suspicious over others motives

Overly reactive to minor slights or insults

Question 18

Antisocial personality disorder

Answer 18

Irresponsible and antisocial beggining prior to age of 15

These people are absolute D bags and don’t care about other peoples right. But they can be charming

Question 19

Narcissistic personality disorder

Answer 19

Pattern of grandiosity
These people think they’re the shit, so there assholes to everyone
EGO SYNTONIC

Question 20

Borderline personality disorder

Answer 20

Instability in mood, intense unstable relationships, rapid mood changes
EGO DYSTONIC

Question 21

BPD has a high rate of

Answer 21

Suicide and self harm

Question 22

Histrionic personality disorder

Answer 22

Attention seeking, self centered, demanding, vain, bitches

Question 23

Avoidant personality disorder

Answer 23

Social discomfort, social isolation, very sensitive to criticism

Question 24

Dependent personality disorder

Answer 24

Pattern of dependent and submissive behavior
Need for advice and support
Anxious and helpless when alone

Question 25

Obsessive compulsive personality disorder

Answer 25

Perfectionism and inflexibility
Super high standards
Intolerant of others emotionality and imperfection