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Flashcards in Somatic Deck (16):
0

Somatic sx disorder-sx?

MULTIPLE physical complaints, at least one:
-disproportionate/persistent through about seriousness
-high anxiety about health/sx
-excessive time/energy DEVOTED to these sx/health concerns
-cormobid depressed mood
-significant QOL impairment
-persistent thoughts about seriousness of sx

1

-HA doesnt go away: everyday
-only lying down in dark room; meds doesnt really help
-chest pains, back pains, abdomen
-N&V
-numbness and tinglineness in arms
-not able to find cx
-unable to work 5 yrs b/c of sx: sx destroyed her life
-covinced she is dying
-depressed mood and depressed affect

somatic sx disorder

2

Somatic sx disorder - timeline?

chronic fluctuations-sx go away but always there
6 mo

3

Somatic sx disorder - complications?

repeated surgeries
drug dependence
suicide attempts (not often completed)
martial separation

4

Somatic sx disorder -etiology?

men = women
temperament
anxiety/depression
lower education
psychological childhood abuse
recent stressful life events
familial pattern (learned)
other psych conditions personality disoderes

5

Somatic sx disorder - tx?

empathic
supportive
functional
consults may not be helpful
do not schedule surgeries

6

Conversion disorder?

presence of any sx of altered motor or Senosry fxn

7

Conversion disorder-timeline?

between ages: 10-35yo
women to men: 2:1

8

Conversion disorder-possible of etiology?

lower socioeconomic status
lower education
lack of psychological sophistication (not good self-awareness)
rural setting

9

Conversion disorder - sx motor?

weakness
paralysis
abnormal movement: tremor, dystonia, gait abnormalities
abnormal limb posturing

10

Conversion disroder -tx?

remove the sx
AVOID direct confrontation
reassurance and relaxation
+/- CBT
EXCLUDE physical illness THEN tx
no improvement: referral to psych for narcoanalysis, hypnosis, behavior therapy

11

Conversion disorder - sensory sx?

altered skin, vision, hearing
generalized limb shaking w/ apparent impairment or LOC resembling epileptic seizure
syncopal/comatose episodes
dysphonia/aphonia (whisper)
dysarthria
globus (lump in one's throat)
diplopia

12

Factitious disorder?

falsification of physical or psychological signs/sx; induction or injury
WITH EVIDENCE OF DECEPTIVE INTENT
NO gain is evident

13

Factitious disorder - types?

imposed on self
imposed on another

14

Factitious disorder - sx/signs/hx?

exaggerate sx
interfere w/ diagnostic instruments
fake fevers
tamper w/ lab specimens
self-catheter
self-cut
self-infect
inject unneeded insulin
take thyroid hormones/anticoags
avoid immediate care in order to worsen sx

15

Factitious disorder - tx?

psych referral
team approach