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14 Cards in this Set
- Front
- Back
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somatization disorder
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-chronic syndrome of multiple somatic symptoms that cannot be explained medically
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conversion disorder
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-loss or change in bodily functioning that cant be explained by any known medical disorder
-must have associated psychological symptoms |
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pain disorder
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-pain that is not fully accounted for by any medical or neurological condition
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hypochondriasis
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-excess concern about ones health and disease despite the lack of any physical evidence to support such concerns
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body dysmorphic disorder
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-strongly held belief that the body is misshapen or defective in some way
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factitious disorder
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-physical or psychological symptoms that are intentionally produced with sole objective to assume the patient role
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malingering
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-intentionally exaggerating or creating physical or psychological symptoms for an external incentive (like avoiding millitary duty)
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how should we treat somatization disorder?
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-reduce unnecessary drugs
-inform patient of diagnosis -acknowledge the reality of the symptoms -dont give patient sick leave |
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how should we treat conversion disorder?
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-thru medical workup
-psychotherapy and coping skills training |
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how should we treat pain disorder?
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-address rehab instead of pain
-discuss both physcial and emotional aspects of pain -antidepressants -biofeedback -psychotherapy |
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how should we treat hypochondriasis?
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-group psychotherapy
-frequent physicals -reassurance about physical symptoms |
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how do we treat body dysmorphic disorder?
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-treat coexisting anxiety and depression
-serotonin specific antidepressants |
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how should we treat facititious disorder?
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-confrontation (controversial)
-focus on management and not cure |
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what is an effective mnemonic for diagnosing malingering?
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-Withold info deliberately
-Antisocial -Somatic findings change -Treatment compliance erratic -External gains |
