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Flashcards in Somatic Disorders Deck (18):
1

Define "somatoform disorders"

-physical conditions unexplained by an underlying disease or mental disorder
-unconscious production of symptoms
(i.e. not facticious/ malingering)

2

Old term for somatoform disorder

hysteria

3

MC population seen in somatoform disorders

women by age 25

4

Typical constellation of somatization disorder

-pain
-GI
-sexual
-pseudoneuro

5

Clue to somatization disorder

"exhaustively detailed self written history or timeline"

6

Functional imaging finding in somatization disorder

changes in cortical/limbic networks

7

Best way to approach somatization disorder

-regular scheduled followup
-present DSM IV diagnosis
-CBT

8

Define conversion disorder

-neurologic symptoms usually following some stressor (stressor not required for dx)

9

Typical conversion d/o complaints

-motor
-sensory
-seizure like activity

10

MC population seen in conversion d/o

women

11

Treatment approach to conversion disorder

-present diagnosis
-**make it clear that patient is not manufacturing his or her symptoms
-CBT
-SSRI

12

Define pain disorder

-pain disproportionate to any underlying injury or illness

(may be diffuse in nature, wont respond to typical treatments)

13

MC complaint in pain disorder

-headache

14

Biologic cause of pain disorder

-emotional dysregulation via modulation of limbic-cortical networks involving the amygdala and anterior cingulate gyrus

15

Treatment of pain disorder

-TCAs/SSRIs
-psychotherapy
-massage may be helpful

16

Define facticious disorder

-recurrent intentional falsification of symptoms without clear secondary gain

17

MC population seen in facticious disorder

-MC in women, more severe in men

18

Treatment for FD

-unclear
-dx may cause threats of litigation/ flight
-must seek out dx because there is real risk of injury or death!