Podcast
Questions and Answers
What is the primary focus of initial management for somatic symptom disorder?
What is the primary focus of initial management for somatic symptom disorder?
- Encouraging patients to research their symptoms online and self-treat.
- Prescribing a variety of medications to control physical symptoms.
- Establishing a consistent relationship with a single physician and reducing unnecessary medical procedures. (correct)
- Referring the patient to multiple specialists for comprehensive testing.
Which of the following is a key characteristic that distinguishes obsessive-compulsive disorder (OCD) from obsessive-compulsive personality disorder?
Which of the following is a key characteristic that distinguishes obsessive-compulsive disorder (OCD) from obsessive-compulsive personality disorder?
- The presence of intrusive thoughts.
- The lack of functional impairment.
- Egodystonic behavior. (correct)
- The performance of repetitive behaviors.
What is the first-line pharmacological treatment for obsessive-compulsive disorder (OCD)?
What is the first-line pharmacological treatment for obsessive-compulsive disorder (OCD)?
- Antipsychotics.
- Lithium.
- Benzodiazepines.
- Selective serotonin reuptake inhibitors (SSRIs). (correct)
A patient with somatic symptom disorder is experiencing increased symptoms. What should the physician explore as a potential contributing factor?
A patient with somatic symptom disorder is experiencing increased symptoms. What should the physician explore as a potential contributing factor?
What is the key principle of exposure and response prevention therapy for obsessive-compulsive disorder?
What is the key principle of exposure and response prevention therapy for obsessive-compulsive disorder?
Which of the following is a key distinguishing feature of generalized anxiety disorder (GAD)?
Which of the following is a key distinguishing feature of generalized anxiety disorder (GAD)?
A patient reports experiencing nightmares and flashbacks after being involved in a serious car accident, alongside persistent avoidance of driving. These symptoms have lasted for 2 months. Which condition is most likely?
A patient reports experiencing nightmares and flashbacks after being involved in a serious car accident, alongside persistent avoidance of driving. These symptoms have lasted for 2 months. Which condition is most likely?
Which is a first-line medication class generally used in treating Generalized Anxiety Disorder?
Which is a first-line medication class generally used in treating Generalized Anxiety Disorder?
Which symptom is NOT typically associated with generalized anxiety disorder?
Which symptom is NOT typically associated with generalized anxiety disorder?
How long must functional impairment from somatic symptoms persist to be categorized as somatic symptom disorder?
How long must functional impairment from somatic symptoms persist to be categorized as somatic symptom disorder?
Which class of therapy is most often used to treat somatic symptom disorder?
Which class of therapy is most often used to treat somatic symptom disorder?
Which is a first-line treatment for Post Traumatic Stress Disorder?
Which is a first-line treatment for Post Traumatic Stress Disorder?
Which of the following statements accurately describes the difference between somatic symptom disorder and an anxiety disorder?
Which of the following statements accurately describes the difference between somatic symptom disorder and an anxiety disorder?
Flashcards
Anxiety Disorder
Anxiety Disorder
A condition characterized by excessive fear or worry causing significant distress and impairment in functioning.
Generalized Anxiety Disorder (GAD)
Generalized Anxiety Disorder (GAD)
Recurring anxiety lasting ≥ 6 months, unrelated to specific events, causing functional impairment.
GAD Symptoms
GAD Symptoms
Includes restlessness, fatigue, poor concentration, irritability, muscle tension, and impaired sleep.
First-Line GAD Treatment
First-Line GAD Treatment
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Post-Traumatic Stress Disorder (PTSD)
Post-Traumatic Stress Disorder (PTSD)
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PTSD Symptoms
PTSD Symptoms
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Somatic Symptom Disorder
Somatic Symptom Disorder
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Treatment for Somatic Disorders
Treatment for Somatic Disorders
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Somatic Symptom Disorder Management
Somatic Symptom Disorder Management
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Symptoms Stress Impact
Symptoms Stress Impact
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Obsessive-Compulsive Disorder (OCD)
Obsessive-Compulsive Disorder (OCD)
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Ego-Dystonic Behavior
Ego-Dystonic Behavior
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First Line Treatments for OCD
First Line Treatments for OCD
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Study Notes
Anxiety Disorder
- Characterized by inappropriate fear or worry, and physical anxiety manifestations that are disproportionate to the stressor.
- Symptoms significantly interfere with daily life.
- Includes panic disorder, phobias, generalized anxiety disorder, and selective mutism.
Generalized Anxiety Disorder (GAD)
- Persistent anxiety lasting at least 6 months, unrelated to a specific person, situation, or event.
- Results in functional impairment.
- Associated with three or more of the following: restlessness, fatigue, poor concentration, irritability, muscle tension, impaired sleep.
- Chronic, excessive, difficult to control, and causes significant distress or impairment.
Post-Traumatic Stress Disorder (PTSD)
- Caused by exposure to a prior trauma (death, serious injury, rape).
- Characterized by persistent symptoms including hyperarousal, avoidance of associated stimuli, intrusive re-experiencing of the event (nightmares, flashbacks), changes in cognition or mood (fear, horror, distress).
- Symptoms last at least 1 month and significantly impair social and occupational functioning.
- Combat veterans and sexual assault survivors are at high risk.
Somatic Symptom and Related Disorders
- Characterized by physical symptoms causing significant distress and impairment.
- Illness production and motivational factors are unconscious and not intentionally produced.
- More common in women, treated with cognitive behavioral therapy.
- Somatic Symptom Disorder involves at least one somatic symptom (e.g., pain, fatigue) causing distress and functional impairment for at least six months.
- Excessive worry and preoccupation with physical symptoms, resulting in high rates of medical care utilization.
- Initial management often involves regular visits with the same physician and minimizes unnecessary testing and referrals. Focus on managing stress to reduce symptoms.
Obsessive-Compulsive Disorder (OCD)
- Characterized by recurring intrusive thoughts (obsessions) and repetitive behaviors (compulsions).
- Obsessions cause distress and are alleviated by compulsions.
- Commonly ego-dystonic (inconsistent with one's beliefs and attitudes).
OCD Treatment
- First-line treatments are Cognitive Behavioral Therapy (CBT), selective serotonin reuptake inhibitors (SSRIs), and clomipramine
- Exposure and response prevention (ERP) therapy involves repeated exposure to situations that evoke obsessive thoughts and prevention of compulsive behaviors.
Associated with Tourette Syndrome
- CBT, SSRIs, and clomipramine are first-line treatments.
- Exposure and response prevention plays a key role in therapy.
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