Prep

Question 1

Illness anxiety disorder

Answer 1

Preoccupation with having or acquiring illness, with mild or no symptoms

Question 2

Define Somatic Symptom disorder

Answer 2

Excessive thoughts feelings related to somatic sx or associated with health concerns.

Question 3

Somatic Sx and Related disorders
Factitious disorder
2 types of factitious disorder

Answer 3

1. Factitious disorder imposed on self
2. Factitious disorder imposed on another

Question 4

Factitious disorder imposed on self

Answer 4

• falsification of physical s/sx of disease or induction of a disease or injury
• individual presents him/herself as ill
• no external reward
• behaviors not explained by another condition
• specifier
  - single episode
  - recurrent episodes

Question 5

Factitious disorder imposed on another

Answer 5

Falsification of physical s/sx of a disease or induction of injury or disease in another person

The individual presents another individual (victim) as ill, impaired or injured
No external rewards

Behavior not explained by another mental disorder

The perpetrator, not the victim recieves the dx

Specifier: single episode or recurrent episodes

Question 6

Differential dx of factitious disorder

Answer 6

Malingering
Somatic sx disorder
Borderline personality disorder
Mental or medical condition not associated with intentional sx falsification

Question 7

Malingering
What is malingering?

Answer 7

Malingering is the intentional production of false or grossly exaggerated physical or psychological sx

Its motivated by external reward

Most malingerers are male

Most have obvious reason for feign illness

Question 8

Management of Somatic symptoms and Related disorders.

Answer 8

• Avoid invasive dx and therapeutic procedures
• Refrain from treating equivocal/incidental exam findings
• Help patient cope with stress when disorder is a trasient situational reaction

Main Tx
- Psychotherapy
- Pharmacotherapy only when patient has an underlying/co-morbid condition

Question 9

Dx Criteria for Conversion Disorder (Functional Neurological symptom disorder.

Answer 9

A. One or more sx of altered voluntary motor or sensory sx

B. Clinical finding proving evidence of incompatibility of the symptoms with the recognized mental or medical disorder

C. Sx/deficit is not explained by another mental or medical condition

D. Sx/deficit causes clinically significant ditress or impairment in social, occupational or other important area of functioning.

Question 10

What are the specifiers of Conversion disorder.

Answer 10

Conversion disorder with
- with weakness/paralysis
- with abnormal movement
- with swallowing sx
- with speech sx
- with attacks/seizures
- with anesthesia/ sensory loss
- with special sensory sx (visual, olfactory or hearing disturbances)
- with mixed sx

Question 11

Other specifiers of Conversion disorder

Answer 11

• Acute/persistent
• With psychological stressor (specify stressor), or without psychological stressor