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Mental Health Nursing
somatoform/dissociative disorders
11
Medical
Undergraduate 2
02/23/2009

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Cards

Term
Somatization
Definition
the expression of psychological stress through physical symptoms of which no clear etiology exists.
Term
Somatization Disorder
Definition
history of many physical complaints beginning before age 30, occuring over a period of years, resulting in seeking treatment, and impaired social, occupational, or other functioning are the clinical symptoms. Client is often rembling and vague.
Term
Hypochondriasis
Definition
Nondelusional preoccupation with having a serious disease or the fear of having a serious disease for over 6 mos., causing impaired social or occupational functioning. Client has more anxiety about symptoms and shows obsessive attention to detail.
Term
Conversion disorder
Definition
Characterized by the presence of one or more symptoms suggestive of a neurological disorder that can't be explained by a known neurological, medical or cultural-bound symptom. clients may sometimes display indifference to their condition, an attitude called La Belle Indifference.
Term
Doctor Shopping
Definition
Clients with somatoform disorder engage in this common practice.
Term
Cognitive restructuring
Definition
Helps clients correct their misconceptions about their illnesses through logical questioning and reasoning.
Term
Psychopharmacology
Definition
Monitor benzodiazepines closely as clients may use them unreliably. Antidepressants (SSRIs) are showing great promise.
Term
Dissociative Disorders
Definition
Involve a disruption of the usually integrated mental functions of consciousness, memory, and identity or perception of environment. Clients feel detached and disconnected.
Term
Depersonalization Disorder
Definition
a persistent alteration in perception of th eself to the extent that the sense of one's own reality is temporarily lost. Client may feel mechanical, dreamy, or detached from the body.
Term
Dissociative Identity Disorder (DID)
Definition
Formerly multiple personality disorder. Presence of two or more distinct alternative or subpersonality states that take control of behavior.
Term
Assessments of Dissociative Disorder
Definition
1. Identity and Memory--gaps in memory, use of third person, blackouts.
2. Client history--differing memories of childhood, incidents of finding strange clothing in closets.
3. Mood
4. Use of alcohol and other drugs\
5. Impact on client and family
6. Suicide risk
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