Somatoform Disorders Flashcards Preview

Term IV: Behavioral Science > Somatoform Disorders > Flashcards

Flashcards in Somatoform Disorders Deck (16):
1

Illness Anxiety Disorder- more commonly known as?

Hypochondriasis

2

How do you distinguish between somatoform disorders?

Symptoms of the disorder and the motivation

3

T or F. Motivation behind somatoform disorders are always conscious.

False - can be unconscious as well

4

Presentation of psychological distress by means of symptoms that resemble a physical disease

Somatization

5

What hemisphere of the brain is associated with language abnormalities?

right hemisphere

6

Somatization (somatic symptom) disorder:

Pain symptoms must be present at at least how many different body sites? How many GI symptoms? How many sexual or reproductive problems? Pseudoneurologic symptom?

4, 2, 1, 1

7

Conversion disorder

- loss of sensory or motor activity often preceded by a conflict
- not intentional (unconscious)
- no findings in medical work up
- emphasis on "mind-body" connection

8

Management of conversion disorder?

Hypnosis to relax defenses
Amobarbital interviews

9

Behavioral Approach to Conversion

- praise and reward adaptive behavior
- ignore sick role behavior

10

Hypochondriasis/Illness Anxiety Disorder

Preoccupation w/ having a serious disease due to misinterpretation of bodily sensations, cannot be reassured, not delusional

11

Mgmt of hypochondriasis

Listen in non-confrontational way, follow up regularly, do not cut short own medical judgment, do not try to rescue patient, limit prescriptions, don't bring up a previously mentioned symptom if they don't

12

Mgmt of body dysmorphic disorder

SSRI (similar to treating OCD)
Behavioral therapy

13

Factitious Disorder

Symptoms intentionally created for purpose of assuming "sick role" and attention and reduction of responsibility that accompanies it

Occurs by proxy, usually in kids

14

Mgmt of factitious disorder

Supportive, nonaccusatory, empathic confrontation

Long-term psychotherapy

15

Malingering

Individuals feign illness for reasons other than the sick role

Secondary gain, often financial involved

16

Mgmt of malingering

Evaluation, allow patients to give up symptoms w/ dignity