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18 Cards in this Set
- Front
- Back
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Brief Illness Anxiety Disorder and Brief somatic symptoms disorder |
duration < 6 months |
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Pseudocyesis |
false belief of pregnancy with objective signs and subjective symptoms |
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Somatic Symptom Disorder |
-One or more somatic symptoms that are distressing or disruptive
-Excessive thoughts or feelings related to symptoms
-Symptomatic persistent > 6 months |
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Somatic Symptom Disorder Specifiers |
-Predominant pain -Multiple distressing somatic symptoms -Suffering is authentic even if not explained |
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Somatic Symptom Disorder Risk Factors |
Neuroticism Comorbid anxiety and depression
More common in less educated, lower SES
Recent stressful life event |
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Illness Anxiety Disorder |
Preoccupation with having or acquiring a serious illness
Somatic symptoms either mild or absent
High level of anxiety about personal health Excessive health-related behaviors (specific illness may change over time) |
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Illness Anxiety Disorder Risk Factors |
Childhood abuse Serious childhood illness
66% will have comorbid major mental disorder (anxiety, mood, PD) |
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Hypochondriasis |
Patient is not reassured by negative tests
TX: SSRI Cognitive Behavioral therapy Regular structured visits with one provider |
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Conversion Disorder |
One or more symptoms of altered voluntary motor or sensory function
clinical findings are incompatible with medical condition
causes significant distress or impairment |
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Conversion Disorder Specifiers |
Weakness or paralysis Abnormal movement swallowing, with speech seizure sensory loss special sensory symptom
Acute <6 months, Chronic >6 months |
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Conversion Disorder "Hoover's sign" |
Weakness of hip extension returns to normal with contralateral hip flexion against resistance |
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Conversion Disorder Walking |
Marked weakness in plantar flexion but able to walk on tip toes |
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Conversion Disorder "seizure" |
Resistance to opening eyes or normal EEG |
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Conversion Disorder Risk Factors |
Psychiatrically unsophisticated (adolescents, young adults, rural residents) Histrionic PD Panic Disorder Mood Disorders |
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Factitious Disorder |
Falsification of physical or psychological symptom or induction of injury
Deceptive behavior seen in absence of obvious reward
Caused by proxy --- child abuse, elder abuse |
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Factitious Disorder Diagnosis |
Requires demonstration of actions to misrepresent, stimulate or cause symptoms
People don't think they are ill - know they are deceiving |
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Somatic Preoccupation |
Used when patient doesn't strictly meet criteria
Sub-threshold presentation of somatic symptom disorder |
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Malingering |
Conscious simulation or exaggeration of illness for obvious gain (money, avoid work, avoid prison)
Tend to avoid doctors/tests/treatment |
