Flashcards in Exam 3 Somatoform, Factitious, Malingering Dis Deck (14):
Somatization Dis criteria? (4)
A) Physical complaints before 30 yo, lasting several yrs, results in treatment seeking and impaired fxn
B) Physical complaints include:
-4 pain sxs
-2 GI sxs
-1 sex sxs
-1 pseudoneuro sxs
C) Either (1) or (2):
(1) physical sxs NOT explained by GMC or drugs
(2) if GMC, complaints/impairment excessive
D) Sxs not intentional or feigned
Somatization Dis pseudoneuro sxs include?
Somatization Dis tx?
Complaints U from emotional issues
Conversion Dis criteria? (6)
A) 1+ sxs/deficit affecting voluntary motor/sensory, suggestive of GMC or neuro condition
B) Psych factors a/w sxs -> proceeded by stressor
C) Not explained by GMC/meds
D) Not intentional or feigned
E) Significant distress/impairment
F) Not limited to pain or sex dye
Conversion Dis: Physical exam findings?
La belle indifference?
lack of concern about the nature or implications of symptoms
Conversion Dis: tx?
Sxs U remit days - weeks
Supportive psych/behav therapy
Hypochondriasis criteria? (5)
A) Preoccupied w/ having serious dz based on misinterpretation of sxs
B) Preoccupation persists despite medical eval and reassurance
C) (A) is not delusional and not restricted to appearance
D) Signif distress/impairment
E) 6+ mo
Therapy and reassurance
Body Dysmorphic Dis criteria? (3)
A) Preocc w/ imagined appearance defect
B) Sign distress/impairment
C) Not from other disorder
Body Dysmorphic Dis tx?
Factitious Dis criteria? (3)
A) Intentional production or feigning of physical or psych sxs
B) Motivation to assume "sick role"
C) External incentives for behaviors are ABSENT
Factitious Dis tx?
Recognize and prevent unnecess tx
NOT mental disorder
Intentional false/exaggerated physical/psych sxs
Motivated by external incentives: