Flashcards in Somatic Deck (16):
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
-HA doesnt go away: everyday
-only lying down in dark room; meds doesnt really help
-chest pains, back pains, abdomen
-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
Somatic sx disorder - timeline?
chronic fluctuations-sx go away but always there
Somatic sx disorder - complications?
suicide attempts (not often completed)
Somatic sx disorder -etiology?
men = women
psychological childhood abuse
recent stressful life events
familial pattern (learned)
other psych conditions personality disoderes
Somatic sx disorder - tx?
consults may not be helpful
do not schedule surgeries
presence of any sx of altered motor or Senosry fxn
between ages: 10-35yo
women to men: 2:1
Conversion disorder-possible of etiology?
lower socioeconomic status
lack of psychological sophistication (not good self-awareness)
Conversion disorder - sx motor?
abnormal movement: tremor, dystonia, gait abnormalities
abnormal limb posturing
Conversion disroder -tx?
remove the sx
AVOID direct confrontation
reassurance and relaxation
EXCLUDE physical illness THEN tx
no improvement: referral to psych for narcoanalysis, hypnosis, behavior therapy
Conversion disorder - sensory sx?
altered skin, vision, hearing
generalized limb shaking w/ apparent impairment or LOC resembling epileptic seizure
globus (lump in one's throat)
falsification of physical or psychological signs/sx; induction or injury
WITH EVIDENCE OF DECEPTIVE INTENT
NO gain is evident
Factitious disorder - types?
imposed on self
imposed on another
Factitious disorder - sx/signs/hx?
interfere w/ diagnostic instruments
tamper w/ lab specimens
inject unneeded insulin
take thyroid hormones/anticoags
avoid immediate care in order to worsen sx