somatic symptoms and related dx Flashcards

somatic symptoms and related dx- list

somatic symptoms disorder

one or more somatic symptoms that are distressing or result in significant disruption of daily life
excessive thoughts, feelings, or bx related to the somatic symptoms or associated health concerns manifested by at least one of the following
- disproportionate and persistent thoughts about the seriousness of one's symptoms
- persistently high level of anxiety about health or symptoms
- excessive time and energy devoted to these symptoms or health concerns
although any one somatic symptoms may not be continuously present, the state of the being somatic is persistent (typically more than 6 months)

somatic symptoms dx- specifiers

specify if:
- with predominant pain= for individuals whose somatic symptoms predominantly involve pain
specifiy if
- persistent= more than 6 months
specify if
- mild= only one symptom in B
- moderate= 2+ symptoms specified
- severe= 2+ symptoms are fulfilled plus there are multiple somatic complains

illness anxiety dx

preoccupation with having or acquiring a serious illness
somatic symptoms are not present or are only mild in intensity. If another medical condition is present or there is a high risk for developing a medical condition
a high level of anxiety about health and the individual is easily alarmed about personal health problems
individual performs excessive health related behaviors or exhibits maladaptive avoidance
illness preoccupation has been present for at least 6 months, but the specific illness that is feared may change over that period of time
the illness related preoccupation is not better explained by another mental dx

illness anxiety dx- specifiers

functional neurological symptoms disorder (conversion dx)

one or more symptoms of altered voluntary motor or sensory function
clinical findings provide evidenced of incompatibility btwn symptoms and recognized neurological or medical conditions
the symptoms or deficit is not better explained by another medical or mental disorder
the symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical eval.

functional neurological symptoms disorder- specifiers

specify type:
- with weakness or paralysis
- with abnormal movement
- with swallowing symptoms
- with speech symptom
- with attacks or seizure
- with anesthesia or sensory loss
- with special sensory symptom
- with mixed symptoms
specify if
- acute episode: symptoms present for less than 6 months
- persistent: symptoms present for more than 6 months
specify if:
- with psychological stressor (specify stressor)
- without psychological stressor

factitious disorder types

factitious disorder imposed on self

falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception
the individual presents himself or herself to others as ill, impaired, or injured
the deceptive behavior is evident even in the absence of obvious external wounds
the bx not better explained by another mental dx,

factitious disorder imposed on another

falsification of physical or psychological signs or symptoms, or induction of injury or disease, in another, associated with ID person
individual presents another individual (victim) to others as ill, impaired, or injured
the deceptive bx is evident even in the absence of obvious external rewards
the bx is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder

factitious disorder specifiers

specify if
- single episode
- recurrent episodes (2 or more events of falsification of illness)