Podcast
Questions and Answers
What is a defining characteristic of somatic symptom disorder?
What is a defining characteristic of somatic symptom disorder?
- Presence of multiple distinct personalities
- Distress from a preoccupation with health or appearance (correct)
- Excessive enjoyment of physical symptoms
- Dissociation from memory or sense of reality
What did Pierre Briquet refer to when describing patients in 1859?
What did Pierre Briquet refer to when describing patients in 1859?
- Somatic symptom disorder (correct)
- Dissociative identity disorder
- Generalized anxiety disorder
- Hysterical neurosis
How is the duration of somatic symptoms characterized in somatic symptom disorder?
How is the duration of somatic symptoms characterized in somatic symptom disorder?
- Intermittent throughout life
- Varies significantly with each occurrence
- Typically less than one month
- Persistent for at least six months (correct)
Which of the following is NOT a criterion for somatic symptom disorder?
Which of the following is NOT a criterion for somatic symptom disorder?
Which of the following describes the link between somatic symptom and dissociative disorders?
Which of the following describes the link between somatic symptom and dissociative disorders?
What constitutes 'excessive thoughts' in the context of somatic symptom disorder?
What constitutes 'excessive thoughts' in the context of somatic symptom disorder?
Which statement about the severity levels in somatic symptom disorder is true?
Which statement about the severity levels in somatic symptom disorder is true?
In somatic symptom disorder, what is meant by 'maladaptive response'?
In somatic symptom disorder, what is meant by 'maladaptive response'?
Which of the following best describes Illness Anxiety Disorder?
Which of the following best describes Illness Anxiety Disorder?
What is one key characteristic that distinguishes malingering from factitious disorder?
What is one key characteristic that distinguishes malingering from factitious disorder?
What symptom level qualifies for a 'severe' classification in somatic symptom disorder?
What symptom level qualifies for a 'severe' classification in somatic symptom disorder?
In factitious disorder imposed on another, what is the primary intent behind the behavior?
In factitious disorder imposed on another, what is the primary intent behind the behavior?
What characteristic is NOT associated with Illness Anxiety Disorder?
What characteristic is NOT associated with Illness Anxiety Disorder?
Which criterion indicates that a symptom is not better explained by another medical disorder?
Which criterion indicates that a symptom is not better explained by another medical disorder?
How long must illness preoccupation persist to meet the criteria for Illness Anxiety Disorder?
How long must illness preoccupation persist to meet the criteria for Illness Anxiety Disorder?
What defines factitious disorder according to its diagnostic criteria?
What defines factitious disorder according to its diagnostic criteria?
What behavior might individuals with Illness Anxiety Disorder exhibit?
What behavior might individuals with Illness Anxiety Disorder exhibit?
How do individuals with factitious disorder typically present themselves?
How do individuals with factitious disorder typically present themselves?
Which of the following statements is true regarding the perception of doctors’ reassurances in Illness Anxiety Disorder?
Which of the following statements is true regarding the perception of doctors’ reassurances in Illness Anxiety Disorder?
In Illness Anxiety Disorder, individuals tend to focus on which aspect more than actual symptoms?
In Illness Anxiety Disorder, individuals tend to focus on which aspect more than actual symptoms?
What distinguishes the motivation of a malingerer from a person with factitious disorder?
What distinguishes the motivation of a malingerer from a person with factitious disorder?
What might indicate a diagnosis of somatic symptom disorder instead of Illness Anxiety Disorder?
What might indicate a diagnosis of somatic symptom disorder instead of Illness Anxiety Disorder?
Which statement about the symptoms of malingering is true?
Which statement about the symptoms of malingering is true?
What is a common misconception regarding factitious disorder imposed on another?
What is a common misconception regarding factitious disorder imposed on another?
What distinguishes Conversion Disorder from other medical conditions?
What distinguishes Conversion Disorder from other medical conditions?
Which of the following is an example of a psychological factor adversely affecting a medical condition?
Which of the following is an example of a psychological factor adversely affecting a medical condition?
What is the essential feature of Psychological Factors affecting a medical condition?
What is the essential feature of Psychological Factors affecting a medical condition?
Which of the following best describes 'psychogenic non-epileptic seizures'?
Which of the following best describes 'psychogenic non-epileptic seizures'?
What is a common symptom of Conversion Disorder?
What is a common symptom of Conversion Disorder?
How are the symptoms of Conversion Disorder described?
How are the symptoms of Conversion Disorder described?
In which situation would a Care-seeking type individual likely seek medical help?
In which situation would a Care-seeking type individual likely seek medical help?
Which symptom is associated with globus hystericus?
Which symptom is associated with globus hystericus?
What defines a depersonalization experience in dissociative disorders?
What defines a depersonalization experience in dissociative disorders?
Which of the following characterizes derealization?
Which of the following characterizes derealization?
What does reality testing refer to in the context of dissociative disorders?
What does reality testing refer to in the context of dissociative disorders?
Which symptom is NOT characteristic of depersonalization-derealization disorder?
Which symptom is NOT characteristic of depersonalization-derealization disorder?
Which statement accurately describes a common experience for individuals with dissociative disorders?
Which statement accurately describes a common experience for individuals with dissociative disorders?
What is a diagnostic criterion for depersonalization-derealization disorder?
What is a diagnostic criterion for depersonalization-derealization disorder?
Which of the following is a type of dissociative disorder?
Which of the following is a type of dissociative disorder?
What is commonly experienced during episodes of dissociation?
What is commonly experienced during episodes of dissociation?
Which type of amnesia involves an inability to remember specific events?
Which type of amnesia involves an inability to remember specific events?
What is a characteristic symptom of Dissociative Amnesia?
What is a characteristic symptom of Dissociative Amnesia?
Dissociative Amnesia does NOT include symptoms that are better explained by which of the following?
Dissociative Amnesia does NOT include symptoms that are better explained by which of the following?
What constitutes dissociative fugue within Dissociative Amnesia?
What constitutes dissociative fugue within Dissociative Amnesia?
What is the primary objective of the diagnostic criteria for Dissociative Amnesia?
What is the primary objective of the diagnostic criteria for Dissociative Amnesia?
Which of the following is NOT a symptom that would indicate Dissociative Amnesia?
Which of the following is NOT a symptom that would indicate Dissociative Amnesia?
The average number of identities in Dissociative Identity Disorder (DID) is approximately how many?
The average number of identities in Dissociative Identity Disorder (DID) is approximately how many?
Which type of amnesia involves general memory loss, affecting identity and life history?
Which type of amnesia involves general memory loss, affecting identity and life history?
Flashcards
Somatic Symptom Disorder
Somatic Symptom Disorder
A disorder where a person has one or more distressing physical symptoms causing significant disruption to daily life, with excessive worry about the seriousness of these symptoms.
Briquet's Syndrome
Briquet's Syndrome
An outdated term for a condition now called Somatic Symptom Disorder. Patients repeatedly reported numerous physical symptoms, even after negative test results.
Diagnostic Criteria (Somatic Symptom Disorder)
Diagnostic Criteria (Somatic Symptom Disorder)
The specific features that must be present for a diagnosis. It includes distressing physical symptoms and excessive worry about their seriousness, consuming a significant amount of time and energy.
Somatic Symptom
Somatic Symptom
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Excessive worry about symptoms
Excessive worry about symptoms
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Disruption of daily life
Disruption of daily life
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Persistent symptoms
Persistent symptoms
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Pain as a dominant symptom
Pain as a dominant symptom
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Psychological Factors affecting medical condition
Psychological Factors affecting medical condition
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Care-seeking type
Care-seeking type
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Care-avoidant type
Care-avoidant type
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Conversion Disorder (Functional Neurological Disorder)
Conversion Disorder (Functional Neurological Disorder)
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Functional symptom
Functional symptom
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Psychogenic non-epileptic seizures
Psychogenic non-epileptic seizures
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Globus hystericus
Globus hystericus
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Incompatibility with medical disorder
Incompatibility with medical disorder
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Somatic Symptom Disorder (Severe)
Somatic Symptom Disorder (Severe)
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Illness Anxiety Disorder (Formerly Hypochondriasis)
Illness Anxiety Disorder (Formerly Hypochondriasis)
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Illness Anxiety Disorder: Physical symptoms
Illness Anxiety Disorder: Physical symptoms
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Illness Anxiety Disorder and Somatic Symptom Disorder Difference
Illness Anxiety Disorder and Somatic Symptom Disorder Difference
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Illness Anxiety Disorder: Disease Conviction
Illness Anxiety Disorder: Disease Conviction
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Illness Anxiety Disorder: Diagnostic Criterion A
Illness Anxiety Disorder: Diagnostic Criterion A
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Illness Anxiety Disorder: Diagnostic Criterion C
Illness Anxiety Disorder: Diagnostic Criterion C
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Illness Anxiety Disorder: Duration
Illness Anxiety Disorder: Duration
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Factitious Disorder
Factitious Disorder
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Malingering
Malingering
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Factitious Disorder Imposed on Another
Factitious Disorder Imposed on Another
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Diagnostic Criteria for Factitious Disorder
Diagnostic Criteria for Factitious Disorder
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Fabrication of symptoms
Fabrication of symptoms
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Presenting as ill
Presenting as ill
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No obvious external reward
No obvious external reward
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Not other mental disorders
Not other mental disorders
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Dissociative Disorders
Dissociative Disorders
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Depersonalization
Depersonalization
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Derealization
Derealization
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Depersonalization-Derealization Disorder
Depersonalization-Derealization Disorder
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Reality Testing
Reality Testing
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Recurrent Episodes
Recurrent Episodes
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Single Episode
Single Episode
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Dissociative Amnesia
Dissociative Amnesia
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Generalized Amnesia
Generalized Amnesia
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Localized/Selective Amnesia
Localized/Selective Amnesia
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Dissociative Fugue
Dissociative Fugue
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Dissociative Identity Disorder
Dissociative Identity Disorder
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Symptoms not explained by substance or medical condition
Symptoms not explained by substance or medical condition
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Criterion for Dissociative Amnesia
Criterion for Dissociative Amnesia
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Excluding other disorders
Excluding other disorders
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Study Notes
Overview of Somatic Symptom & Related Disorders and Dissociative Disorders
- Individuals may have excessive preoccupation with health or appearance dominating their lives
- Somatic symptom disorders involve an excessive or maladaptive response to physical symptoms or health concerns
- Somatic symptom disorders historically linked to hysterical neurosis, and evidence suggests shared features with dissociative disorders
- Dissociative disorders involve detachment from oneself, experiences of unreality, and loss of identity or memory. These experiences are intense and extreme, making functioning difficult.
Somatic Symptom Disorder
- In 1859, Pierre Briquet described patients with seemingly endless somatic complaints that persisted despite negative findings
- This condition, once called Briquet's syndrome, is now known as Somatic Symptom Disorder.
- Diagnostic criteria include one or more distressing somatic symptoms causing significant daily life disruption.
- Patients’ thoughts, feelings, and behaviors regarding somatic symptoms or health concerns are excessive and persistent, often causing significant anxiety and excessive time/energy spent on health concerns
- Symptoms are usually present for more than 6 months.
- Specify whether the predominance is pain, and specify current severity
- (Mild: only one symptom fulfilled in Criterion B; Moderate: two or more symptoms fulfilled in Criterion B)
Illness Anxiety Disorder
- Formerly known as hypochondriasis
- Physical symptoms are not experienced strongly currently or are relatively mild and often involve intense concern about having or developing a serious illness.
- Focused on the possibility of serious illness, rather than physical symptoms themselves
- Anxiety and distress associated with other symptoms—if severe—would indicate Somatic Symptom Disorder instead
- Characterized by anxiety or fear of illness, with misinterpretations of bodily sensations as indicative of illness.
- Reassurance from doctors has a limited effect
Conversion Disorder (Functional Neurological Disorder)
- Symptoms involve physical malfunctioning (e.g., paralysis, blindness, aphonia) without an organic cause.
- Includes a wide range of symptoms (e.g., total mutism or loss of touch)
- Symptoms potentially include seizure-like episodes (psychogenic non-epileptic seizures) or swallowing difficulties.
- Diagnostic criteria include one or more symptoms affecting voluntary motor or sensory function, that are inconsistent with recognized medical conditions/disorders, and significant distress or impairment in social / occupational functioning
- Symptoms not explained by mental or other disorders; diagnosis warrants medical evaluation
Malingering
- Deliberate production of physical symptoms for an external gain (not inherent motivation)
- May involve fabrication to avoid work, legal ramifications, or other difficulties
Factitious Disorder
- Symptoms intentionally produced to assume the sick role, sometimes even in family members
- Characterized by intentional fabrication of physical or psychological symptoms or illness (or injuries), and deception
- Internal motivation; symptoms are under voluntary control.
Dissociative Disorders
- Characterized by feelings of detachment from self or surroundings; sometimes described as dreaming or living in slow motion
- Three types include depersonalization-derealization, dissociative amnesia, and dissociative identity disorder
- Dissociative disorders involve disruptions in a person’s awareness, memory, or identity.
Depersonalization-Derealization Disorder
- Persistent feelings/experiences of detachment that are severe enough to dominate an individual's life and impair functioning
- The individual experiences a sense of unreality about oneself or their surroundings, and this can significantly affect their daily lives
- Reality testing remains intact during this experience.
Dissociative Amnesia
- Inability to recall important personal information, often relating to stressful or traumatic events
- Ranges from localized (involving a single event) to generalized (involving identity and life history)
- Could involve dissociative fugue, unexpected travel or bewildered wandering with loss of memory of personal identity
Dissociative Identity Disorder
- Characterized by existence of two or more distinct identities or personality states (alters), that function independently, sometimes with different physical characteristics (or voices)
- Typically involve periods of inability to recall information
- May include different alters that co-exist, sometimes with a host identity or dominant personality
- Symptoms lead to distress or significant problems in social, work, or other important aspects of life
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