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In Somatization Disorder, a medical reason can't be found for Physical symptoms. These complaints actually express |
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Definition
an emotional state, usually of distress |
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In Somatization Disorder, the medical idea of First ___ ___ ______, means |
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First do no harm means ensure there isn't a true medical problem |
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In Somatization Disorder, symptoms can often be linked to past |
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trauma - including child abuse and child sexual abuse |
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In Somatization Disorder, clients are doctor _________ |
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It is important for clients who suffer Somatization Disorder to get a medical _______ |
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Definition
"gatekeeper" (managing physician) instead of hopping around from doctor to doctor |
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Clients who suffer Somatization Disorder are reluctant to recieve |
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Definition
phsychological help for their problems |
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Often co-morbid disorders with Somatization Disorder are the following |
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Anxiety and depression disorders and some personality disorders |
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A specifier for Somatization Disorder is |
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Two assessment tools for Somatization Disorder are |
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Definition
1) Prime MD 2) A History and Severity of Traumatic Events and Twelve Theme Assessment of Post-Traumatic Symptoms (HSTE- 12) |
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Duration for Somatization Disorder must be at least |
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Definition
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Generally Somatization Disorder starts before age |
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Definition
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An easy way to tell if it is Somatization Disorder is that there must be four broad types of physical symptoms |
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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) |
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Term
The clinician should review what to help diagnose Somatization Disorder |
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Definition
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Term
In working with someone suspected of having Somatization Disorder, the clinician should identify current and past |
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Definition
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The clinician should check for use of what to help diagnose Somatization Disorder |
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Definition
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It is helpful for the clinician to speak with whom to help diagnose Somatization Disorder |
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Definition
other informants in client's life |
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Term
What four treatments are especially useful for Somatization Disorder |
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Definition
Psycheducation Cognitive Behavioral Relaxation training Group w/emphasis on Socialization & coping |
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Term
Undifferentiated Somatization disorder differs from Somatization disorder because it may only have |
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Definition
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The duration for Undifferentiated Somatization is at least |
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Definition
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All Somatization Disorders cannot have a real medical, pharmocological or substance abuse basis and must not be |
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Definition
feigned or delibrately induced for attention or gain |
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Term
Three Somatization Disorders besides Somatization Disorder and Undifferentiated Somatization disorder are |
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Definition
Conversion disorder, Body Dysmorphic Disorder, Hypochondriasis |
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Term
Conversion disorder is essentially an unexplained loss or disortion in |
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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) |
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Term
Conversion disorder symptom appears or becomes worse in relation to |
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Definition
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The symptom that might be classified as Conversion disorder can not be better explained by what four possible causes |
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Definition
malingering feigning actual medical condition substance abuse |
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The Conversion disorder symptom cannot be either _____ or ______ |
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Definition
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What are the four specifiers for Conversion disorder |
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Definition
with Motor deficits with Sensory deficits with Seizures or Convulsions With Mixed Presentation |
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To diagnose Conversion disorder, assess and rule out |
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Definition
true medical conditions, medications, and substance abuse, feigning and malingering |
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Term
In assessing Conversion disorder, ask about current |
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Definition
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One sign that a client suffers from Conversion disorder rather than an actual neurological deficit is that they are emotionally detached or apathetic about |
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Definition
the actual deficit or symptom |
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Term
Three treatments for Conversion disorder with limited findings are |
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Definition
Stress management Hypnosis Physical or Physiotherapy |
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Term
A key helpful issue in Conversion disorder is |
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Definition
Suggestibility - they "suggested" themselves into and may respond to suggestion out of it; may be why hypnosis can help |
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Term
When treating Conversion disorder, it is important to address _________ or ______ that may be prompting the disorder |
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Definition
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Why is Physical or Physiotherapy therapy useful for Conversion disorder if the symptom is really psychological rather than physical in nature |
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Definition
Suggestability - treats the dysfunction as real, with the idea that a "real" physical therapy will "cure" it |
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Term
Body Dysmorphic Disorder is what |
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Definition
an imagined or delusional defect in appearance |
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A valid assessment tool for any of the somatoform disorders including Body Dysmorphic Disorder is |
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Definition
Prime MD - measures several categories of physical and emotional symptoms in clients – mood, anxiety, alcohol use, eating behavior, and somatoform disorders. |
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Symptoms of Body Dysmorphic Disorder include |
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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 |
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Treatment options for Body Dysmorphic Disorder include |
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Definition
Cognitive Behavioral therapy (CBT) Relaxation training Exposure and Response Prevention Reflective therapy (exploring body image over developmental periods) Group CBT |
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Term
Hypochondriasis is what category of disorder |
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Definition
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The primary criteria for diagnosing Hypochondriasis is |
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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 |
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Duration for Hypochondriasis symptoms is at least |
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Definition
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Clients that have a strong disease conviction for a single disease they don't actually have is called |
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Definition
Monosymptomatic hypochondrisis |
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What is the recommended assessment method for identifying Hypochondriasis |
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Definition
Motivational Interviewing |
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Why is MI the recommended assessment method for identifying Hypochondriasis |
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Definition
Because the client is resistive to non-medical professionals and does not want to see a counselor |
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What are the 5 treatment methods for Hypochondriasis |
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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 |
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What is a specifier for Hypochondriasis |
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