Somatoform/Factitious Disorders Flashcards Preview

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Flashcards in Somatoform/Factitious Disorders Deck (17)
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General Characteristics of somatoform disorder?

#Young women
#Physical symptoms with no medical explanation
#adversely affect level of functioning

1

Treatment of somatoform disorder?

Psychotherapy

2

Diagnostic criteria for somatization disorder?

At least these symptoms:
#4 pain
#2 gastrointestinal
#1 sexual
#1 pseudo-neurological

3

Conversion disorder?

#Voluntary motor or sensory disruption that appears medical

#"La belle indifference" – patient is unconcerned about impairment

4

Treatment for some somatization disorder?

Individual psychotherapy

5

Fictitious disorder aka?

Treatment?

Münchausen syndrome

None effective (if by proxy, call child protective services)

6

Adjustment disorder? Treatment? Symptoms must remit within

Maladaptive reaction to identifiable stressor

Psychotherapy

six months of removal of the stressor

7

patient is suspicious, mistrustful and questions loyalty – Personality disorder?

Paranoid

8

Patient is solitary, no close friends, no desire for close relationships

Schizoid

9

Brief psychotic episode with magical thinking, eccentric behavior, ideas of reference. Personality disorder?

Schizotypal

10

Patient must be center of attention, with inappropriate sexual behavior and dramatic. Personality disorder?

Histrionic

11

Patient does not conform to social rules, no remorse, aggressive towards others. Personality disorder? (however, must be?)

Antisocial; over 18

12

Patient with unstable relationships, suicidal episodes, feelings of emptiness and inappropriate anger. Personality disorder?

Borderline

13

Unable to be involved with people, views self as socially inept, reluctant to take risks. Personality disorder?

Avoidant

14

Patient unable to assume responsibility or express disagreement. Fear of being alone. Personality disorder?

Dependent

15

Treatment of personality disorders

#Psychotherapy
#Anxiolytics if needed

16

Personality disorders with positive psychotic symptoms?

Borderline and schizotypal