Somatoform Disorders Flashcards
Illness Anxiety Disorder- more commonly known as?
Hypochondriasis
How do you distinguish between somatoform disorders?
Symptoms of the disorder and the motivation
T or F. Motivation behind somatoform disorders are always conscious.
False - can be unconscious as well
Presentation of psychological distress by means of symptoms that resemble a physical disease
Somatization
What hemisphere of the brain is associated with language abnormalities?
right hemisphere
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
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
Management of conversion disorder?
Hypnosis to relax defenses
Amobarbital interviews
Behavioral Approach to Conversion
- praise and reward adaptive behavior
- ignore sick role behavior
Hypochondriasis/Illness Anxiety Disorder
Preoccupation w/ having a serious disease due to misinterpretation of bodily sensations, cannot be reassured, not delusional
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
Mgmt of body dysmorphic disorder
SSRI (similar to treating OCD)
Behavioral therapy
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
Mgmt of factitious disorder
Supportive, nonaccusatory, empathic confrontation
Long-term psychotherapy
Malingering
Individuals feign illness for reasons other than the sick role
Secondary gain, often financial involved
