Questions and Answers
What is the primary characteristic of Somatic Symptom Disorder?
What is the main difference between Illness Anxiety Disorder and Somatic Symptom Disorder?
Which of the following is NOT a subtype of Somatic Symptom and Related Disorders?
What is the primary characteristic of Conversion Disorder?
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What is the motivation behind the behavior of an individual with Factitious Disorder?
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What is the primary characteristic of Delusional Disorder?
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Which of the following disorders is characterized by a preoccupation with having or acquiring a serious illness?
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What distinguishes Somatic Symptom and Related Disorders from Delusional Disorders?
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A patient presents with excessive concerns about a perceived medical illness, despite reassurance from multiple doctors. Which of the following disorders is most likely?
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A patient believes that their partner is not faithful, despite a lack of evidence. Which type of Delusional Disorder is this most consistent with?
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A patient is diagnosed with a Somatic Symptom Disorder. Which of the following is NOT a key feature of this disorder?
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A patient presents with unexplained symptoms or deficits affecting voluntary motor or sensory function. Which Somatic Symptom and Related Disorder is most likely?
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What is the primary goal of treatment for Delusional Disorders?
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A patient intentionally produces or feigns physical symptoms. Which Somatic Symptom and Related Disorder is most likely?
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What distinguishes Delusional Disorders from Somatic Symptom and Related Disorders?
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A patient presents with excessive thoughts and feelings about a perceived medical illness. Which type of psychotherapy may be beneficial?
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Study Notes
Somatic Symptom and Related Disorders
- Definition: A category of mental health disorders characterized by physical symptoms that are not fully explained by a medical condition or are excessive in response to a medical condition.
- Subtypes:
-
Somatic Symptom Disorder (SSD): Excessive thoughts, feelings, or behaviors related to physical symptoms, leading to significant distress or impairment.
- Key features:
- One or more somatic symptoms (e.g., pain, fatigue, digestive issues)
- Excessive thoughts or anxiety about symptoms
- Excessive time and energy devoted to symptoms
- Key features:
-
Illness Anxiety Disorder: Preoccupation with having or acquiring a serious illness, despite medical reassurance.
- Key features:
- Preoccupation with having or acquiring a serious illness
- No or minimal somatic symptoms
- Excessive health-related behaviors (e.g., frequent doctor visits)
- Key features:
-
Conversion Disorder (Functional Neurological Symptom Disorder): Sudden onset of neurological symptoms (e.g., paralysis, seizures) without a medical explanation.
- Key features:
- One or more symptoms affecting motor or sensory function
- No medical explanation for symptoms
- Symptoms typically resolve with psychological treatment
- Key features:
-
Factitious Disorder: Intentional production or feigning of physical or psychological symptoms to assume a sick role.
- Key features:
- Intentional production or feigning of symptoms
- Motivation to assume a sick role (e.g., attention, sympathy)
- Key features:
-
Somatic Symptom Disorder (SSD): Excessive thoughts, feelings, or behaviors related to physical symptoms, leading to significant distress or impairment.
Delusional Disorders
- Definition: A category of mental health disorders characterized by non-bizarre delusions that are not better explained by another mental disorder.
- Subtypes:
-
Delusional Disorder: Presence of one or more non-bizarre delusions that are not better explained by another mental disorder.
- Key features:
- One or more non-bizarre delusions (e.g., being followed, poisoned, or deceived)
- Delusions are not bizarre (i.e., possible in real life)
- No prominent hallucinations
- Key features:
- Erotomanic Type: Delusions of being loved by another person.
- Grandiose Type: Delusions of inflated worth, power, or knowledge.
- Jealous Type: Delusions of infidelity by a romantic partner.
- Persecutory Type: Delusions of being persecuted or threatened.
- Somatic Type: Delusions about physical health or appearance.
-
Delusional Disorder: Presence of one or more non-bizarre delusions that are not better explained by another mental disorder.
- Important notes:
- Delusional disorders are distinct from schizophrenia, which involves bizarre delusions and prominent hallucinations.
- Delusional disorders can be challenging to treat, as individuals may not acknowledge their delusions as false.
Somatic Symptom and Related Disorders
- Somatic Symptom Disorder (SSD) is characterized by:
- One or more somatic symptoms (e.g., pain, fatigue, digestive issues)
- Excessive thoughts or anxiety about symptoms
- Excessive time and energy devoted to symptoms
- Illness Anxiety Disorder is marked by:
- Preoccupation with having or acquiring a serious illness
- No or minimal somatic symptoms
- Excessive health-related behaviors (e.g., frequent doctor visits)
- Conversion Disorder (Functional Neurological Symptom Disorder) is characterized by:
- Sudden onset of neurological symptoms (e.g., paralysis, seizures) without a medical explanation
- One or more symptoms affecting motor or sensory function
- Symptoms typically resolve with psychological treatment
- Factitious Disorder involves:
- Intentional production or feigning of physical or psychological symptoms
- Motivation to assume a sick role (e.g., attention, sympathy)
Delusional Disorders
- Delusional Disorder is characterized by:
- One or more non-bizarre delusions (e.g., being followed, poisoned, or deceived)
- Delusions are not bizarre (i.e., possible in real life)
- No prominent hallucinations
- Subtypes of Delusional Disorder include:
- Erotomanic Type: Delusions of being loved by another person
- Grandiose Type: Delusions of inflated worth, power, or knowledge
- Jealous Type: Delusions of infidelity by a romantic partner
- Persecutory Type: Delusions of being persecuted or threatened
- Somatic Type: Delusions about physical health or appearance
- Important notes:
- Delusional disorders are distinct from schizophrenia, which involves bizarre delusions and prominent hallucinations
- Delusional disorders can be challenging to treat, as individuals may not acknowledge their delusions as false
Somatic Symptom and Related Disorders
- Characterized by excessive thoughts, feelings, and behaviors related to physical symptoms or perceived medical illness
- Excessive and persistent thoughts about the seriousness of one's symptoms
- High level of anxiety about illness or injury
- Excessive and repeated health-related behaviors, such as checking or testing
- Significant distress or impairment in daily life
Types of Somatic Symptom and Related Disorders
- Somatic Symptom Disorder: Focuses on specific symptoms, such as pain or fatigue
- Illness Anxiety Disorder: Fear of contracting or having a serious illness
- Conversion Disorder: Unexplained symptoms or deficits affecting voluntary motor or sensory function
- Factitious Disorder: Intentional production or feigning of physical symptoms
Delusional Disorders
- Characterized by non-bizarre delusions that are not better explained by another mental disorder
- Presence of one or more non-bizarre delusions, which are plausible and real-world
- No prominent hallucinations
- Not better explained by another mental disorder, such as schizophrenia or major depressive episode
Types of Delusional Disorders
- Erotomanic Type: Delusions of being loved by another person
- Grandiose Type: Delusions of grandeur or importance
- Jealous Type: Delusions of infidelity by one's partner
- Persecutory Type: Delusions of being persecuted or threatened
- Mixed Type: Presence of multiple delusional themes
Treatment of Delusional Disorders
- Focus on reducing symptoms and improving functioning
- Often involves antipsychotic medication and psychotherapy, such as cognitive-behavioral therapy
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Description
A category of mental health disorders characterized by physical symptoms that are not fully explained by a medical condition or are excessive in response to a medical condition.
