Psychiatry: Somatic Disorders Flashcards
(22 cards)
What is Somatization
Physical expressions of stress or emotions that are not consciously created for gain
Common Pain symptoms of Somatization
Headache
back Pain
Joint Pain
Common GI symptoms of Somatization
Nausea
Abdominal Pain
Bloating
Gas
What are common cardiopulmonary symptoms of Somatization
Chest Pain
Dizziness
Palpitations
What are common Neurologic Symptoms of somatization
Fainting
Muscle Weakness
Blurry Vision
How to manage Somatization
Regular visits with same physician
Reassure PT that serious disease is ruled out
Do not challenge beliefs that symptoms are medical
Psychotherapy
DSM-V Diagnostic criteria for Somatic Symptom Disorder
Somatic Symptoms that cause distress
Persistent usually >6 months
persistent thoughts about seriousness
anxiety about symptoms
excessive time and energy devoted to symptoms
What is another name for conversion disorder
functional neurologic symptom disorder
What is a conversion disorder
Sudden onset of voluntary motor or sensory neurologic symptoms usually following a stressor
What is a key feature of conversion disorders
La Belle Indifference
What is La Belle Indifference
patient shows lack of concern about symptoms
What is Illness Anxiety Disorder
Preoccupation with having undiagnosed illness
Mild or no somatic symptoms
What are common features of illness anxiety disorder
Anxiety about health
Excessive health-related behavior
What is the timeline for Illness anxiety disorder
at least 6 months
What is another name for Factitious Disorder on Self
Munchausen Syndrome
What is Factitious disorder on self
Falsified medical or psychiatric symptoms consciously out of desire for attention
What type of gain is Factitious disorder on self trying to achieve
Primary (internal) gain
What are risk factors for factitious disorder on self
Female
Unmarried
Prior or current healthcare worker
What is another name for Factitious disorder on another
Munchausen by proxy
What is factitious disorder on another
falsified medical symptoms by caregiver
What is malingering
Consciously falsified medical symptoms for secondary (external) Gain
Self-limited
ends when secondary gain is achieved
What type of gain is trying to be achieved with malingering
Secondary (External) Gain
