Term
| What is the definition of somatization? |
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Definition
| The process by which a person consciously or unconsciously uses the body of bodily symptoms for psychological purposes or personal gain |
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Term
| What is the definition of secondary gain with somatoform disorders? |
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Definition
| People are making up their symptoms to gain something material |
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Term
| What is the definition of primary gain with somatoform disorders? |
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Definition
| People get some of psychic reward for manifesting physical symptoms |
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Term
| What is the definition of malingering? |
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Definition
| Patient intentionally produces symptoms for some sort of secondary gain. The patient knows what they're doing and knows why he/she is doing it. |
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Term
| What is the definition of somatization disorder? |
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Definition
A chronic syndrome in which the patient, usually a woman, has multiple physical complaints associated with frequent medical help seeking
Mechanism and motivation are unconscious |
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Term
| What types of people normally have somatization disorder? |
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Definition
Women: 20:1
Familial pattern |
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Term
| What are the clinical features of somatization disorder? |
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Definition
Psychological distress
Interpersonal problems
Alcohol or substance abuse coexists
Depression, anxiety, personality disorders are present
Dramatic presentations |
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Term
| What is on the differential diagnosis for somatization disorder? |
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Definition
Medical disorders
Facticious disorder (they're conscious about what they're doing)
Other psychiatric disorders |
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Term
| What's the course and prognosis for somatization disorder? |
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Definition
Chronic
Incurable
Main goal is to decrease the amount of medical procedures done on the person to reduce iatrogenic issues |
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Term
| What is the definition of conversion disorder? |
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Definition
| A disorder characterized by neurological symptoms that cannot be expained by a known neurologic or medical disorder. Psychological factos must be associated with the initiation or exacerbation of the symptoms |
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Term
| What is the epidemiology of conversion disorder? |
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Definition
Women: 5:1
Most often sets in during adolescence or young adulthood |
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Term
| What disorders are associated with conversion disorder? |
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Definition
Major depression
Anxiety disorders
Schizophrenia
Personality disorders |
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Term
| What populations most commonly have conversion disorder? |
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Definition
Rural
Low education
Lower socioeconomic groups
Medically unsophisticated |
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Term
| What are the symptoms of conversion disorder? |
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Definition
Some sort of imaginary problem with sensory, motor, or special senses
They're commonly not medically accurate when presented |
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Term
| What's on the differential diagnosis for conversion disorder/ |
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Definition
Medical/neurologic disease
Other somatoform disorders
Factitious disorder or malingering |
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Term
| What's the course and prognosis of conversion disorder? |
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Definition
90% of cases the symptoms resolve soon
25% have a recurrence
In some cases, the symptoms stay for a long time |
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Term
| What is the definition of pain disorder? |
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Definition
| A chronic somatoform disorder in which pain in one or more anotomical site is the focus. The pain must be severe enough to impair function. Psychological functions must have a role in the onset, exacerbation, or maintenance of the pain. |
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Term
| What other issues do people with pain disorder often have? |
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Definition
| Substance abuse, often opiods |
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Term
| What is the definition of hypochondraisis? |
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Definition
| A disorder in which the patient's inaccurate interpretation of physicla symptoms or sensations leads to preoccupation and fear that he/she has a serious illness, even though they in fact do not. |
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Term
| What is the prevalence of hypochondraisis? |
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Definition
4-6% in general medical patients
Even among men and women
20's-40's is age of onset |
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Term
| What should raise your suspicions that a person has hypochondraisis? |
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Definition
Specific diseases are feared
They get many medical opinions
Whining about care |
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Term
| What is on the differential diagnosis for hypochondraisis? |
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Definition
Medical illnesses
Other somatoform disorders
Factitious disorder/malingering |
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Term
| If hypochondraisis develops in an elderly person, what should you think? |
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Definition
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Term
| What is the course and prognosis for hypochondraisis? |
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Definition
Episodic
1/3 - 1/2 of people have things improve |
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Term
| What is the definition of body dysmorphic disorder? |
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Definition
The patient becomes preoccupied with a bodily defect that is either imagined entirely, or greatly exaggerated distortion of a true, but minor, defect
Rare |
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Term
| How do you manage somatoform disorders? |
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Definition
You can't cure people...only care for them
-Minimize psychotic drugs
-Manage their care with one doctor
-Minimize diagnostic tests |
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Term
| What is the definition of factitious disorder/ |
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Definition
| A disorder in which the patient intentionally produces signs of illness and misrepresents his or her history to assume the patient role. The patient is aware that the behavior is intentional, but the motivation for the behavior is unconscious, and not easily controlled. |
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Term
| What types of patients typically have factitious disorder? |
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Definition
More women than men
Frequently from a medical background |
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Term
| How do you manage someone with factitious disorder? |
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Definition
1. Recognize that they have it!
Verify that they have a PMH of this
Minimize procedures
Long term psychotherapy... |
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