Somatic Disorders, Vertrees Flashcards Preview

Year 2 Psych exam I > Somatic Disorders, Vertrees > Flashcards

Flashcards in Somatic Disorders, Vertrees Deck (33):
1

What is a somatic Sx anre related disorders

physical sx that defy medical investigation

2

what are the somatic Sx and related disorders

somatic Sx disorder
illness anxiety disorder
conversion disorder

3

somatic sx disorder

one+ somatic Sx that is distressing or disruptive
excessibe thoughts, feelings or behaviors related to it:
persistent thoughts about seriousness
persistent high anxiety about health
excessive time and E devoted to Sx

4

definition of persistence in relation to Sx

at least 6 mo

5

causes of somatic Sx disorder

health concerns
not reassured for long
utlizie excessive amounts of care
preoccupation with Sx starts early and often spans many years

6

illness anxiety disorder

preoccupation with having serious disease
no somatic Sx
easily alarmed
not reassured
avoid or excessive health related behaciors

7

duration of illness anxiety disroder

6+ mo

8

management somatic Sx and illness anxiety disorder

may remit
legitimize suffering
protect form iatrogenic harm
reinforce patient physician relationship
best managed in primary care setting

9

conversion disorder/Dx

illness of voluntary motor or sensory Sx
not intentionally produced (unconscious)
incompaticle with recognized conditions

10

precipitant for conversion disorder attack

emotion

11

ratio M:f conversion disorder

F:M 5:1

12

la belle indifference

conversion disorder

13

management of conversion disorder

spontaneous remission common for acute presentation
suggestion/hypnosis and benzos (short term)
behavior modification for persistent presentations

14

types of factitious disorder

imposed on self
imposed on another (Munchausens by proxy)

15

what are factitious disorders

conscious production of signs, Sx, diseases
want to be patient!! "primary gain"

16

what is secondary gain

seek medical care for tangible life benefits ($$)

17

effort vs motivation consciousness in factitious disorders

conscious effort
unconscious motivation

18

physical and psychological Sx factitious disorder

socially conforming young females in higher socioeconomic class
intelligen and educated
assoc with personality disorder likely

19

munchausans factitious disorder

triad: fabrication of disease, shifting complaints, intense frequenting different hospitals
men, lower socioeconomics
socially maladjusted
avg age 30

20

munchausans by proxy

mother or daughter
usually imposed on child or elderly

21

common Sx of factitious disorder

intestinal bleeding
hematuria
fever
diarrhea
hypoglycemia
cancer
non epileptic seizures
irone deficiency anemia
renal stones

22

mangement factitious disorder

confrontation
emphasize degree of emotional distress
emphasize behavior must reflect difficulty in communicating needs
prognosis poor

23

malingering

intentional production of illness
motivated by money, avoidance military, avoidance criminal prosecution, obtaining drugs, obtain shelter

24

presentation malingering

male
medicolegal presentation
disparity between disability/objective findings
lack of cooperation with eval/Tx
assoc with antisocial personality disorder

25

management for malingering

not known

26

management for malingering

not known

27

mechanism and motivation consciousness for somatic Sx, illness anxiety and conversions

unconscious mechanism
unconscious motivation

28

consciousness for mech and motivation factitious

mechanism conscious
motivation unconscious

29

consciousness for mech and motivation malingering

both conscious

30

rec Tx for factitious

supportive therapy

31

conversion more common in M or F

F

32

in M conversion more common

in combat veterans

33

plans for conversion Tx

relaxation, do nothing