EXAM 3 Somatic D/os

Question 1

Somatic symptoms disorder

What is it
What brings it on
What becomes central focus
Comorbidities

Answer 1

Physical symptoms with no pathology to back it up

Brought on by stress

Worrying about symptoms become central focus

(Comorbidities: anxiety, depression)

Question 2

Dissociative disorders

Answer 2

Disruption of consciousness, memory, identity

Question 3

Somatic symptoms disorder RF (3)

Tx for one

Answer 3

Decreased serotonin and endophins (exercise helps)

Childhhood trauma

Depression/personality/anxiety d/o

Question 4

What we see with somatic disorders

Answer 4

Keep coming back bc nothing works

Overmedicated

Last longer than 6mo

Question 5

Somatic symptom d/o tx

Answer 5

Accepting their feeling it
Assess SI
Assess secondary gains
Limit how much they talk about illness
Let them talk about it tho
Assertive techniques for them
Daily exercise

Meds: analgesics, and depends on what is going on.

Question 6

Illness anxiety d/o (hypochondriasis)

Answer 6

Unrealistic or inaccurate interpretation of physical symptoms or sensation leads to fear of having a serious illness

Usually have anxiety/depression/obsessive-compulsive traits

Question 7

Illness anxiety what we will see

Answer 7

Overly aware of body sensations

Preoccupation with doing things that are health related

2 types: those that seek healthcare and those that avoid it

Question 8

Illness anxiety d/o tx

Answer 8

Rapport
Encourage independence
Therapy
Support groups

Question 9

Conversion disorder

Answer 9

Somatic but with only neuro symptoms

Question 10

Conversion d/o what we see

Answer 10

Paralysis
Gait disorder
Sz-like movements
Blindness
Inability to speak (aphonia)
Inability to smell

Question 11

Conversion d/o tx

And readmission and relapse %s

Answer 11

Rapport
Encourage them to verbalize feelings and identify triggers

Readmission occures 95%
Relapse 20% within 1 year

Question 12

Factitious d/o

Answer 12

Conscious intentional feigning of physcial and psychological symptoms

Inorder to receive emotional care and support “pt” role

D/o may be imposed on another person (son)

Question 13

Malingering

Answer 13

Fabricating symptoms for some gain (secondary gain)
-get out of doing something like school/work

Vs factitious disorder is for primary gain: attention

Question 14

Dissociative amnesia

Answer 14

Inability to recall important personal info

Question 15

Amnesia w/ dissociative fugue

Answer 15

Unexpected travel away from home and inability to recall some or all of ones past

Wake up in another place

Question 16

Depersonalization vs derealization

Answer 16

Depersonalization: disruption in the perception of oneself

Derealization: alteratiion in perception of external environment

Question 17

Tx for somatice symptom d/os

All of them
-somatic symptoms d/o
-Illness anxiety d/o
-conversion d/o
-factitious d/o

Answer 17

Individual and group therapy

Bahavioral therapy

Psychopharmacology

Question 18

Dissociative d/o tx

Answer 18

Therapy
-individual
-behavior

Psychoparhmacology

Hypnosis (deep sleep)