somatic symptoms

Question 1

Symptoms for somatic symptoms and related disorders

Answer 1

not produced voluntarily

Question 2

somatic symptoms and related disorders are characterized by physical symptoms that are ________ with a neurological or general medical condition

Answer 2

incompatible

Question 3

• Large diagnostic
  overlap
• “Somatoform” is confusing
• Focused on lack of medical explanation
• Caused significant stigma

Answer 3

DSM IV TR

Question 4

• Improve diagnostic accuracy
• More user‐friendly in primary care settings
• Focus on distressing somatic symptoms
• Abnormal thoughts, feelings, & behaviors associated with sxs

Answer 4

DSM 5

Question 5

somatizers have a ______ threshold for reporting sx.

Answer 5

lower

Question 6

mind body connection

Answer 6

somatization

Question 7

somatization puts people at risk for _____ morbidity

Answer 7

iatrogenic (bad)

Question 8

doe patients resist being seen by psychiatrists?

Answer 8

yas

Question 9

somatic sx is a dx of

Answer 9

exclusion

Question 10

there is a 1-20 misdiagnosis rate for Somatic sx?

Answer 10

yas

Question 11

75% of pts with Major Depression or Panic Disorder presented _________with somatic sx

Answer 11

exclusively

Question 12

50% of primary care pts who eventually receive psychiatric diagnosis presented _______ with somatic sx

Answer 12

exclusively

Question 13

lack of medically explained symptoms does equal a psychiatric dx.

Answer 13

FALSEEEEEEE

IT DOES NOT

Question 14

somatic sx has a presence of symptoms medically explained or not

Answer 14

YASSSSSSS

Question 15

One or more distressing somatic symptoms that cause major daily life disruptions_______

Answer 15

major daily life disruptions

Question 16

state of being symptomatic is persistent

Answer 16

more than 6 months

Question 17

SSD key criteria

Answer 17

excessive thoughts, feelings or behaviors

Question 18

excess worry regarding mild or absent symptoms

Answer 18

illness anxiety disorder

Question 19

ilness preocupation present for more than

Answer 19

6 months

Question 20

Requires clear evidence of incompatibility with neurological disease

Answer 20

conversion disorder

Question 21

CD criteria requires one or more sx of

Answer 21

altered voluntary or sensory function

Question 22

CD criteria:

Acute

persistent

Answer 22

Acute is < 6 months

persistent > 6 months

Question 23

are symptoms intentional in conversion disorder?

Answer 23

Nope, not intentional

Question 24

previously dx of a medical condition; factors adversely affect the medical condition

Answer 24

PFAOMC

Question 25

PFAOMC examples

Answer 25

- Long term work stress and hypertension - Anxiety and asthma - Depression and CAD - Alcohol use d/o and liver disease -Smoking and COPD Obesity and Diabetes cluster B

Question 26

Body dysmorphic disorder

Answer 26

preoccupation that are not observable or appear slight to others

Question 27

BDD frequently responds to

Answer 27

high dose SSRI's and CBT

Question 28

only disorder in this fucked up lecture that has medications for tx.

Answer 28

Body dysmorphic disorder

Question 29

Brief SSD or IAD timeline

Answer 29

6 months duration

Question 30

what is VERY IMPORTANT

Answer 30

for the timeline of somatic and illness anxiety