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Questions and Answers
What is a characteristic of Body Dysmorphic Disorder (BDD)?
What is a characteristic of Body Dysmorphic Disorder (BDD)?
What is a possible trigger for Hypochondria?
What is a possible trigger for Hypochondria?
What is the primary concern of individuals with Trichotillomania?
What is the primary concern of individuals with Trichotillomania?
What is the primary characteristic of Excoriation Disorder?
What is the primary characteristic of Excoriation Disorder?
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Which of the following is a type of OCD that involves an excessive worry about one's health?
Which of the following is a type of OCD that involves an excessive worry about one's health?
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What is the primary focus of an individual with Somatic Symptom Disorder?
What is the primary focus of an individual with Somatic Symptom Disorder?
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What is the main difference between Malingering and Factitious Disorder?
What is the main difference between Malingering and Factitious Disorder?
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What is the primary goal of nursing intervention for Somatic patients?
What is the primary goal of nursing intervention for Somatic patients?
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What is the characteristic feature of Factitious Disorder by Proxy?
What is the characteristic feature of Factitious Disorder by Proxy?
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What is the primary difference between a Panic State and a Crisis?
What is the primary difference between a Panic State and a Crisis?
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What is the primary goal of the nurse's role in crisis intervention?
What is the primary goal of the nurse's role in crisis intervention?
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What is the primary feature of Dissociative Identity Disorder?
What is the primary feature of Dissociative Identity Disorder?
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What is the purpose of the GAD-7 screening tool?
What is the purpose of the GAD-7 screening tool?
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What is the primary goal of therapeutic communication in Conversion Disorder?
What is the primary goal of therapeutic communication in Conversion Disorder?
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What is the primary role of the nurse in crisis intervention?
What is the primary role of the nurse in crisis intervention?
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Study Notes
Types of OCD
- Body Dysmorphic Disorder (BDD) is characterized by an exaggerated belief that one's body is deformed or defective in some specific way.
- People with BDD may seek extreme measures such as voluntary cosmetic surgery to fix their imagined defect or abnormality.
- Hallmark symptoms of BDD include disproportionate and persistent thoughts about the seriousness of one's symptoms of dysmorphic perception of body.
Other Disorders
- Hypochondria is an abnormal anxiety about one's health, especially with an unwarranted fear that one has a serious disease.
- Trichotillomania is a hair-pulling disorder.
- Hoarding Disorder is an obsession with keeping a large amount of unnecessary items.
- Excoriation Disorder is a pattern of behavior defined by recurrent picking at one's skin, resulting in lesions.
Somatic Symptom Disorder
- Somatic Symptom Disorder is characterized by physical symptoms that suggest medical disease, but have no basis in organic pathology.
- Symptoms are associated with psychosocial distress, and the individual focuses on the seriousness of the physical symptoms rather than the underlying psychosocial issues.
- There is an exaggerated, disproportionate, and persistent thought about the seriousness of one's symptoms.
- Psychological distress disrupts daily functioning.
- Symptoms may last 6 months to meet the diagnosis, and feels real to the patient.
- Examples of symptoms include extreme back, chest, or abdominal pain, and headaches.
Somatic Anxiety Related Disorders
- Malingering is the intentional fabrication of medical symptoms for the purpose of external gains.
- Factitious disorder is the intentional creation or exaggeration of symptoms, but without intent for a concrete benefit.
- Factitious disorder by Proxy is a caregiver who deliberately falsifies an illness in a vulnerable dependent.
- Conversion disorder is a loss of neurological or motor function in the face of stressors, with no organic causes to this abnormality.
Dissociative Identity Disorder
- Dissociative Identity Disorder is a feeling of disconnection from one's senses, thoughts, emotions, and behavior.
- The root cause of Dissociative Identity Disorder is childhood trauma in 90% of cases.
- Symptoms include memory loss (amnesia) of certain time periods, events, people, and personal information.
- A sense of being detached from oneself and one's emotions, blurred sense of identity, and a perception of people and things around as distorted and unreal.
Crisis and Panic Attack
- A panic state is usually brief and recurrent, lasting only 5-20 minutes, and resolves in 5-7 days.
- A crisis has a longer duration, lasting anywhere from 4-6 weeks.
- Clients experiencing a severe crisis state can manifest many different types of serious dysfunctional behaviors, such as confusion, aggression, disorganized personality, threatening of harm to self or others, and depression.
Nurse's Role
- The nurse's role includes prevention, equitable and sensitive care, teaching, support, and client-centered care.
- The nurse should prioritize self-awareness and use the "Pet's Ski's" approach.
Assessment Screening Tools
- Generalized Anxiety Disorder 7 (GAD-7)
- Hamilton Anxiety Rating Scale (HAM-A)
- Screen for Child Anxiety Related Disorder (SCARED)
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