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Somatization Disorders for NCMHCE
key information and treatment
45
Psychology
Post-Graduate
08/26/2012

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Term
In Somatization Disorder, a medical reason can't be found for Physical symptoms. These complaints actually express
Definition
an emotional state, usually of distress
Term
In Somatization Disorder, the medical idea of First ___ ___ ______, means
Definition
First do no harm means ensure there isn't a true medical problem
Term
In Somatization Disorder, symptoms can often be linked to past
Definition
trauma - including child abuse and child sexual abuse
Term
In Somatization Disorder, clients are doctor _________
Definition
shoppers
Term
It is important for clients who suffer Somatization Disorder to get a medical _______
Definition
"gatekeeper" (managing physician) instead of hopping around from doctor to doctor
Term
Clients who suffer Somatization Disorder are reluctant to recieve
Definition
phsychological help for their problems
Term
Often co-morbid disorders with Somatization Disorder are the following
Definition
Anxiety and depression disorders and some personality disorders
Term
A specifier for Somatization Disorder is
Definition
NOS
Term
Two assessment tools for Somatization Disorder are
Definition
1) Prime MD
2) A History and Severity of Traumatic Events and Twelve Theme Assessment of Post-Traumatic Symptoms (HSTE- 12)
Term
Duration for Somatization Disorder must be at least
Definition
2 years
Term
Generally Somatization Disorder starts before age
Definition
30
Term
An easy way to tell if it is Somatization Disorder is that there must be four broad types of physical symptoms
Definition
Gastrointestinal
Sexual
Pain
A pseudoneurological symptom
(such as fainting or blindnessimpaired coordination or balance, paralysis, localized weakness, difficulty swallowing, lump in throat, loss of touch or pain sensation, double vision, blindness, deafness, seizures, urinary retention)
Term
The clinician should review what to help diagnose Somatization Disorder
Definition
Medical records
Term
In working with someone suspected of having Somatization Disorder, the clinician should identify current and past
Definition
trauma and stressors
Term
The clinician should check for use of what to help diagnose Somatization Disorder
Definition
substance abuse
Term
It is helpful for the clinician to speak with whom to help diagnose Somatization Disorder
Definition
other informants in client's life
Term
What four treatments are especially useful for Somatization Disorder
Definition
Psycheducation
Cognitive Behavioral
Relaxation training
Group w/emphasis on Socialization & coping
Term
Undifferentiated Somatization disorder differs from Somatization disorder because it may only have
Definition
one symptom
Term
The duration for Undifferentiated Somatization is at least
Definition
6 months
Term
All Somatization Disorders cannot have a real medical, pharmocological or substance abuse basis and must not be
Definition
feigned or delibrately induced for attention or gain
Term
Three Somatization Disorders besides Somatization Disorder and Undifferentiated Somatization disorder are
Definition
Conversion disorder, Body Dysmorphic Disorder, Hypochondriasis
Term
Conversion disorder is essentially an unexplained loss or disortion in
Definition
motor or sensory function
(Conversion disorder is where patients suffer apparently neurological symptoms, such as numbness, blindness, paralysis, or fits, but without a neurological cause)
Term
Conversion disorder symptom appears or becomes worse in relation to
Definition
conflicts or stressors
Term
The symptom that might be classified as Conversion disorder can not be better explained by what four possible causes
Definition
malingering
feigning
actual medical condition
substance abuse
Term
The Conversion disorder symptom cannot be either _____ or ______
Definition
pain
sexual dysfunction
Term
What are the four specifiers for Conversion disorder
Definition
with Motor deficits
with Sensory deficits
with Seizures or Convulsions
With Mixed Presentation
Term
To diagnose Conversion disorder, assess and rule out
Definition
true medical conditions, medications, and substance abuse, feigning and malingering
Term
In assessing Conversion disorder, ask about current
Definition
stressors and conflicts
Term
One sign that a client suffers from Conversion disorder rather than an actual neurological deficit is that they are emotionally detached or apathetic about
Definition
the actual deficit or symptom
Term
Three treatments for Conversion disorder with limited findings are
Definition
Stress management
Hypnosis
Physical or Physiotherapy
Term
A key helpful issue in Conversion disorder is
Definition
Suggestibility - they "suggested" themselves into and may respond to suggestion out of it; may be why hypnosis can help
Term
When treating Conversion disorder, it is important to address _________ or ______ that may be prompting the disorder
Definition
stressors or conflicts
Term
Why is Physical or Physiotherapy therapy useful for Conversion disorder if the symptom is really psychological rather than physical in nature
Definition
Suggestability - treats the dysfunction as real, with the idea that a "real" physical therapy will "cure" it
Term
Body Dysmorphic Disorder is what
Definition
an imagined or delusional defect in appearance
Term
A valid assessment tool for any of the somatoform disorders including Body Dysmorphic Disorder is
Definition
Prime MD - measures several categories of physical and emotional symptoms in clients – mood, anxiety, alcohol use, eating behavior, and somatoform disorders.
Term
Symptoms of Body Dysmorphic Disorder include
Definition
*Constant and excessive use of mirrors
*Avoidance of mirrors
*Lots of time spent grooming
*Lots of grooming rituals
*Attempts to hide parts of body
*Constantly seeking reassurance about looks, while discounting feedback
*Anxiety or depression about one’s appearance
Term
Treatment options for Body Dysmorphic Disorder include
Definition
Cognitive Behavioral therapy (CBT)
Relaxation training
Exposure and Response Prevention
Reflective therapy (exploring body image over developmental periods)
Group CBT
Term
Hypochondriasis is what category of disorder
Definition
Somatoform
Term
The primary criteria for diagnosing Hypochondriasis is
Definition
Preoccupation with fear of having or belief that one has a serious illness, based on misinterpretation of bodily Symptoms or functions despite medical evaluations to the contrary
Term
Duration for Hypochondriasis symptoms is at least
Definition
6 months
Term
Clients that have a strong disease conviction for a single disease they don't actually have is called
Definition
Monosymptomatic hypochondrisis
Term
What is the recommended assessment method for identifying Hypochondriasis
Definition
Motivational Interviewing
Term
Why is MI the recommended assessment method for identifying Hypochondriasis
Definition
Because the client is resistive to non-medical professionals and does not want to see a counselor
Term
What are the 5 treatment methods for Hypochondriasis
Definition
1. Explanatory therapy (illness beliefs, explaining role of selective perceptions in development of fears
2. Cognitive interventions (innocuous symptoms introduced through body focus)
3. Stress management
4. Exposure and response prevention (ERP)
5. Group CBT
Term
What is a specifier for Hypochondriasis
Definition
with Poor Insight
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