Compulsion and Somatic Symptom Disorder Quiz
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Questions and Answers

Which of the following is NOT a diagnostic criterion for Somatic Symptom Disorder?

  • Evidence that the symptoms are purely psychological (correct)
  • Persistent symptomatic state lasting typically 6 months
  • Excessive thoughts related to the seriousness of symptoms
  • 1+ somatic symptoms that lead to significant distress

    • In Conversion Disorder, what is the main purpose of conducting a medical evaluation?

  • To confirm the patient's belief about their health
  • To prescribe appropriate medication for treatment
  • To rule out other medical explanations for the symptoms (correct)
  • To prove the existence of the symptoms

    • Which of the following statements accurately reflects a characteristic of Compulsion?

  • Compulsions occur without any clear rules or guidelines.
  • Compulsions are repetitive acts performed in response to an obsession. (correct)
  • Compulsions are solely mental acts without physical manifestation.
  • Compulsions are spontaneous behaviors that provide joy.

    • Which symptom is indicative of a diagnosis of Conversion Disorder?

    <p>Paralysis or motor deficits without a medical explanation</p> Signup and view all the answers

    What aspect of Somatic Symptom Disorder contributes most to the impairment in daily life?

    <p>Abnormal thoughts and behaviors regarding the symptoms</p> Signup and view all the answers

    Which of the following symptoms is NOT classified as a negative symptom of schizophrenia?

    <p>Hallucinations</p> Signup and view all the answers

    What is the requirement for Criterion A to be met in the diagnosis of schizophrenia?

    <p>At least one symptom must be a delusion or hallucination.</p> Signup and view all the answers

    Which of the following is NOT included in the exclusion criteria for a schizophrenia diagnosis?

    <p>Major Depressive Disorder must be confirmed.</p> Signup and view all the answers

    What characterizes 'avolition' as a negative symptom of schizophrenia?

    <p>Decrease in motivated self-initiated purposeful activities.</p> Signup and view all the answers

    Which of the following factors must be present for the diagnosis of schizophrenia based on Criterion B?

    <p>Level of functioning must be markedly below the prior level.</p> Signup and view all the answers

    Study Notes

    Compulsion

    • Involves repetitive behaviors or mental acts driven by obsessions or strict rules.

    Somatic Symptom Disorder Diagnostic Criteria

    • Prominent somatic symptoms (e.g., pain, fatigue) cause significant distress and functional impairment.
    • Requires at least one distressing somatic symptom impacting daily life.
    • Involves excessive thoughts or behaviors related to symptoms, indicated by:
      • Disproportionate concern about severity of symptoms.
      • High anxiety regarding symptoms.
      • Excessive time spent on symptoms and health concerns.
    • Symptoms persist for at least six months.

    Conversion Disorder Diagnostic Criteria

    • Mental condition presenting with unexplained neurological symptoms (e.g., paralysis, blindness).
    • Diagnosis requires exclusion of other medical conditions:
      • Evidence of incompatibility between reported symptoms and recognized medical conditions.
      • Symptoms cannot be better explained by other disorders.
    • Negative symptoms may include:
      • Diminished emotional expression (flat affect).
      • Avolition (lack of motivation).
      • Alogia (reduced speech output).
      • Anhedonia (reduced pleasure from positive stimuli).
      • Asociality (lack of interest in social interactions).

    Schizophrenia Diagnostic Criteria

    • Criterion A (Active Phase Symptoms): Two or more symptoms present for a significant time, including:
      • Delusions
      • Hallucinations
      • Disorganized speech
      • Grossly disorganized behavior (including catatonia)
      • Negative symptoms (e.g., diminished emotional expression).
    • Significant functional decline in major life areas compared to prior levels.
    • Symptoms must persist for at least six months, including one month of active phase symptoms.
    • Exclusion of other psychotic disorders (e.g., schizoaffective disorder).
    • Symptoms are not caused by substance use or medical conditions.
    • Causes clinically significant distress or impairment.

    Factitious Disorder

    • Characterized by intentional falsification of symptoms for the purpose of deception.
    • The individual presents as ill or impaired without obvious external rewards.
    • Diagnosis cannot be explained by another mental disorder.

    Major Depressive Disorder Symptom Criteria (SIG-E-CAPS)

    • Requires at least five symptoms during a two-week period, with depressed mood or loss of interest as necessary:
      • S: Sleep changes
      • I: Interest loss
      • G: Guilt, worthlessness
      • E: Energy decrease
      • C: Concentration reduced
      • A: Appetite change (up or down)
      • P: Psychomotor agitation or retardation
      • S: Preoccupation with death or suicidal thoughts.

    Persistent Depressive Disorder

    • Symptoms must persist for at least two years in adults and one year in children.
    • Individuals experience depressed mood for most of the day on more days than not.

    Manic/Hypomanic Episodes Symptom Criteria (DIG FAST)

    • Symptoms must be present for at least one week for mania and a minimum of four consecutive days for hypomania:
      • D: Distractibility
      • I: Impulsivity/indiscretion
      • G: Grandiosity
      • F: Flight of ideas
      • A: Activity increase or psychomotor agitation
      • S: Sleep decrease
      • T: Talkativeness.

    Bipolar Disorder Differentiation

    • Major Depressive Disorder is characterized by depressive episodes with SIG-E-CAPS symptoms.

    • Bipolar I Disorder:

      • Requires at least one manic episode lasting at least one week (or hospitalization).
      • Hypomanic or major depressive episodes may also occur.

    • Bipolar II Disorder:

      • Requires current/past hypomanic episode and current/past major depressive episode.
      • Hypomanic episodes last at least four consecutive days.

    • Other Specified Bipolar and Related Disorder:

      • Includes hypomanic episodes without a prior major depressive episode or short-duration episodes.

    Summary of Bipolar Disorder Types

    • Bipolar I: Mania (with or without hypomania/depression).
    • Bipolar II: Hypomania and depression.
    • Other Specified: Variations of hypomanic and depressive episodes.

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    Description

    Test your knowledge on the concepts of compulsion and Somatic Symptom Disorder. This quiz will assess your understanding of diagnostic criteria, behaviors, and the implications of these disorders. Prepare to dive into the complexities of mental health and the impact of physical symptoms.

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