Somatoform / eating disorders Flashcards
(38 cards)
What are somatization disorders
psychiatric disorders characterized by the presence of physical complaints
What is another name for somatic symptom disorder
Hypochondriasis
When is the average age of onset for somatic symptom disorder
20-30
Which patients have a higher prevalence of somatic symptom disorder
patients with functional disorders
-IBD
-Fibromyalgia
-Chronic fatigue syndrome
What are the 3 major DSM 5 criteria categories
Presence of 1+ physical symptom that cause significant distress
Symptoms present for 6+ months
Excessive focus on complaints
-Persistent anxiety about health must be present
What is severe somatic symptoms disorder
2-3 excessive focus indicators and multiple complaints
What are common symptoms of somatic symptom disorder
Neuropsychiatric
cardiopulmonary
GI
GU
MSK
Sensory
Endocrine
What is the prognosis of somatic symptom disorder
Can be episodic or chronic
Which patients do better with somatic symptom disorder
Sudden symptom onset
no preexisting disorders
anxiety / depression that responds to treatment
higher SES
What is conversion disorder
Characterized by medically unexplained neurologic motor symptoms
AKA: Functional neurologic symptom disorder (doesn’t include pain)
When does conversion disorder present
onset in later childhood - early adult hood
Females>Males
What patients are at higher risk for developing conversion disorder
Patient with low SES
Patients from rural areas
Patients with low education level
What are the specifiers of conversion disorder
Symptomtype
Acuity
Precipitating factors
What is the prognosis of conversion disorder
Primarily episodic
often spontaneous resolution of symptoms
What is illness anxiety disorder
Excessive worry over having or getting an illness
What are some associated symptoms of illness anxiety disorder
If symptoms present - they’re benign
focused more on the anxiety piece
What is factitious disorder
Munchausens
Intentional production of symptoms / illness
may appear medically explainable
Is Factitious disorder motivated by secondary gain
No that would be malingering
Is factitious disorder only self induced
No, can also be munchausens by proxy
When is factitious disorder present and which gender is more effected
Often present in early adulthood - middle age
males > females
Healthcare workers are at higher risk
How do you treat somatization disorders
Diagnosis of exclusion
-Rule out other medical / psych issues
Undertake a limited work-up
schedule regular visits for reoccurrence
avoid surgery / procedures / meds
What are 3 types of eating disorders
Anorexia nervosa
Bulimia nervosa
binge -eating disorder
Which gender is more effected by anorexia nervosa
Females
What is the major DSM 5 criteria for anorexia nervosa
Voluntary caloric restriction to reduce or avoid gaining weight
Symptoms present for 3+ months
