Axis I Disorders Flashcards
3 types of dissociative disorders?
Dissociative identity disorder, depersonalization disorder, dissociative fugue
What increases the risk of developing dissociative identity disorder (multiple personality disorder)?
History of sexual abuse
What is a persistent feeling of detachment from oneself or environment?
Depersonalization disorder
An abrupt change in geographic location with inability to recall past, confusion about personal identity, or assumption of new identity?
Dissociative fugue–assoc with traumatic circumstances
Pt consciously fakes/claims to have a disorder to attain a specific secondary gain (avoid work, obtaining drugs)?
Malingering
Pt consciously creates physical/psychological sxs in order to assume sick role and get primary gain (medical attention)?
Factitious disorder
Who avoids medical personnel?
Malingering (not factitious)
Example of factitious disorder?
Munchausen’s
What is Munchausen’s?
Chronic factitious disorder with predominantly physical sxs (multiple hospital visits)
Unconsciously driven physical sxs with no identifiable cause?
Somatoform disorder
What is a variety of complaints in multiple systems over a period of years?
Somatization disorder
What organ systems are involved in somatization disorder?
4 pain, 2 GI, 1 sexual, 1 pseudoneurologic
What age does somatization disorder occur?
<30 years old
What is conversion disorder?
Motor/sensory sxs (paralysis, seizures, blindness, mutism) often following an acute stressor
Do pts with conversion disorder aware of their sxs?
Yes, but indifferent
