N: Somatoform Disorders

Front 1

What characterizes somatoform disorders?

Does the pt usually think these sx have an organic cause?

Back 1

physical sx w/o sufficient organic cause

yes.

Front 2

Do somatoform disorders more often in men or women? How about hypochondriasis?

Back 2

women.

equally.

Front 3

What is conversion disorder?
- do pts with this dz typically appear worried?

Back 3

sudden, dramatic loss of sensory or motor function often associated with a specific stressful life event.
- no, usually appear unworried.

Front 4

How is hypochondriasis dx'ed?

In which age groups is it more common?

Back 4

exaggerated concern w/ health lasting >6m; concerns persist despite adequate evaluation; doctor shopping
- middle age / old age

Front 5

intense acute or chronic pain not explained completely by physical disease is termed what?
- typical age of onset?

Back 5

somatoform pain disorder
- usually in the 30s and 40s.

Front 6

What is Factitious disorder (formerly Munchhausen)?

What does it mean if this is "by proxy?"
- is this a form of child abuse? (must it be reported?)

Back 6

pt consciously simulates phycial or psychiatric illness to gain attn from medical personnel.
- undergoes unnecesary medical and surgical procedures
- has a grid abdomen (multiple crossed scars from repeated surgeries)

simulation of the sx in someone else (typically in a child by the parent);
- is a form of child abuse (yes)

Front 7

How doe Malingering differ from Factitious disorder?
- is this a psychiatric dz?

Back 7

malingering is the conscious simulation or exaggeration of illness for financial or other obvious gain (avoiding incarceration, insurance, etc.)
- AVOIDS tx by medical personnel
- health complaints cease when desired gain is obtained
- malingering is NOT a psychiatric dz

Front 8

Depressed pts who seem unaware of, or deny depression by experience vague unexplained physical sx are said to have what?

Back 8

masked depression

Front 9

When memory loss and mental confusion are solely the result of psychological factors, what is the dx?
- what is it commonly related to?

Back 9

dissociative disorder
- disturbing emotional experience in the pt's past

Front 10

A 20-year-old marine that cannon remember an encounter with the enemy in which his friend was killed has...

Back 10

dissociative amnesia

Front 11

A 35yo woman has been living in a town in Ohio for more than 1 year and working for the school system. she has no memory of how she got to Ohio or of her life as a secretary in FL 1 year earlier. Top of the diff?

Back 11

Dissociate fugue
- inability to remember important personal information, wandering away from home, adopting new identity

Front 12

What is the new name for multiple personality disorder? Example of this? Is this a psychotic dz?

Back 12

Dissociative identity disorder
- 30yo medical resident usually dresses conservatively. A friend shows her a recent video or herself at a party in a low-cut blouse. the resident does not remember going to the part or posing for the video.
- no.

Front 13

If a 40yo man reports to his physicain that when he is stressed out familiar objects in the enviornment often seem strange to him, while at the same time he states that he knows this is "only a feeling" and that the objects really are familiar... he might have what?

Back 13

depersonalization disorder
- persistent feelings of personal detachment and unreality about one's body, social situation, or environment.

Front 14

How are the dissociative disorders typically tx'ed?

Back 14

hypnosis and amobarbital sodium interviews and long term psychoanalytically oriented psychotherapy to recover lost/repressed memories.