SOMATIC SYMPTOM AND RELATED DISORDERS

Question 1

this diagnostic class is characterized by an EMPHASIS on the distressing (positive) somatic symptoms plus abnormal thoughts, feelings and behaviors in response to them

Answer 1

SOMATIC SYMPTOM AND RELATED DISORDERS

Question 2

this disorder is characterized by multiple, current, somatic symptoms (e.g. cognitive: attention, worry and fear; behavioral: repeated check-up) that cause clinically significant distress or impairment and may or may not be medically explained

Answer 2

Somatic Symptom Disorder

Question 3

this disorder is characterized by the enduring preoccupation of having or acquiring serious illness and extensive worries about one’s health (illness becomes part of identity) but no or minimal somatic symptoms

Answer 3

Illness Anxiety Disorder (Hypochondriasis)

Question 4

this disorder is characterized by neurological symptoms (loss of function) are found but incompatible with neurological pathophysiology

Answer 4

Conversion Disorder (Functional Neurological Symptom Disorder)

Question 4

this disorder is characterized by falsification and presentation of symptoms, injury or disease to others, assuming a “sick role” and in the absence of obvious external rewards

Answer 4

Factitious Disorder

Question 5

what is the difference between somatic symptom and illness anxiety?

Answer 5

Somatic Symptom - if the somatic symptom is present, they would feel that their symptoms are too distressing that it would cause them harm or death

Illness Anxiety - minimal to no somatic symptoms and are concerned of being ill

Question 6

what are the 3 ways of testing conversion disorder?

Answer 6

1. Hoover’s Sign
2. Tremor Entrainment test
3. Closed eyes with resistance to opening

Question 7

what are the two types of factitious disorder for primary gain?

Answer 7

Munchausen syndrome - imposed on self

Munchausen syndrome by proxy - imposed on another, often a child or elderly patient

Question 7

what are the disorders present in the 9th DIAGNOSTIC CLASS, SOMATIC SYMPTOM AND RELATED DISORDERS?

Answer 7

1. Somatic Symptom Disorder
2. Illness Anxiety Disorder
3. Conversion Disorder
4. Factitious Disorder

Question 8

this way of testing conversion disorder is a motor test used to differentiate between organic and functional weakness of the lower limbs, specifically in the context of hip extension

Answer 8

hoover’s sign

Question 9

this way of testing conversion disorder is a diagnostic sign used to assess functional tremor, a type of tremor caused by psychological factors rather than neurological damage.

Answer 9

tremor entrainment test

Question 10

this disorder is characterized by (A) medical condition other than a mental disorder is present, (B) psychological or behavioral factors that interfere with the treatment of medical condition

Answer 10

PSYCHOLOGICAL FACTORS AFFECTING OTHER MEDICAL CONDITIONS

Question 11

what are the severity specifiers for PSYCHOLOGICAL FACTORS AFFECTING OTHER MEDICAL CONDITIONS?

Answer 11

Mild - increases medical risk

Moderate - aggravates underlying medical condition

Severe - results in medical hospitalization or emergency room visit

Extreme - life threatening risk

Question 12

what are the disorders under the 9th DIAGNOSTIC CLASS, SOMATIC SYMPTOM AND RELATED DISORDERS?

Answer 12

1. Somatic Symptom Disorder
2. Illness Anxiety Disorder
3. Conversion Disorder
4. Psychological Factors Affecting Other Medical Conditions
5. Factitious Disorder

Question 13

what are the specifiers for somatic symptom disorder?

Answer 13

with predominant pain – symptoms predominantly involve pain.

Persistent – more than 6 months