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Regis NU664C Quiz Latest Final Exam NU664 Set 2 LATEST UPDATE GRADED A

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Regis NU664C Quiz Latest Final Exam NU664 Set 2 LATEST UPDATE GRADED A Somatic Symptom Disorder (Hypochondriasis) Diagnostic criteria A. 1 or more somatic symptoms that are distressing or cause significant disruption of daily life B. Excessive thoughts, feelings, or behaviors r/t som atic symptoms or health concerns manifested by at least 1 of the following: 1. Disproportionate & persistent thoughts about the seriousness of one's symptoms 2. Persistently high anxiety about health or symptoms 3. Excessive time or energy devoted to sympt oms or health concerns C. State of being symptomatic is persistent (more than 6 months) Somatic Symptom Disorder (Hypochondriasis) Common differentials and assessment strategies Nonpsych medical conditions that show symptoms that are not easily diagnosed s uch as AIDS, endocrinopathies, myasthenia gravis, multiple sclerosis, degenerative diseases of the nervous system, systemic lupus erythematosus, and occult neoplastic disorders Somatic Symptom Disorder (Hypochondriasis) Epidemiology A. Men & women equally affected B. More common in black people than white people Somatic Symptom Disorder (Hypochondriasis) Onset, progression A. Can occur at any age, but most commonly appears in people between age 20 to 30 B. Usually episodic - episodes last from months to yea rs separated by equally long periods of dormancy Somatic Symptom Disorder (Hypochondriasis) General presentations and features of this diagnostic group A. Believe they have a serious disease that has not yet been detected and cannot be persuaded otherwise B. Can present as pain, fatigue, nausea, dizziness, fainting, etc. C. Depressive and anxiety symptoms commonly accompany somatic symptoms Somatic Symptom Disorder (Hypochondriasis) Treatment A. Most will not agree to treatment because they do not believe t hey have a psychiatric problem B. Psychotherapy C. Pharmacotherapy only works if they have an underlying condition such as anxiety or depressive disorder Illness Anxiety Disorder Diagnostic criteria A. Preoccupation with having or acquiring a serious illne ss B. Somatic symptoms are not present or if they are, they are only mild in intensity. If there is a medical condition or high risk for developing a medical condition, preoccupation is excessive and disproportionate C. High level of anxiety about health a nd easily alarmed about health status D. Performs excessive health -related behaviors (ie. repeatedly checks body for signs of illness) or exhibits maladaptive avoidance (ie. avoiding doctors appts or hospitals) E. Present for at least 6 months F. Not better explained by another mental disorder (ie. somatic symptom disorder, panic disorder, generalized disorder, body dysmorphic disorder, OCD, delusional disorder - somatic type) Illness Anxiety Disorder Common differentials and assessment strategies A. Same as Somatic Symptom Disorder B. Psych differentials include the following disorders: somatic symptom, adjustment, conversion, body dysmorphic, mood, anxiety, psychotic, and pers onality Illness Anxiety Disorder Onset, progression A. Can occur at any age - no specific age of onset B. Typically chronic Illness Anxiety Disorder General presentations and features of this diagnostic group A. Few to no somatic symptoms but person is pri marily concerned that they are ill B. Can have a medical illness, but anxiety is out of proportion for the medical diagnosis and they assume the worst possible outcome C. Often there is an obsessive quality to person's fear Illness Anxiety Disorder Treatme nt A. Most will not agree to treatment because they do not believe they have a psychiatric problem B. Psychotherapy C. Pharmacotherapy to treat anxiety Conversion Disorder Diagnostic criteria A. 1 or more symptoms of altered voluntary motor or sensory func tion B. Clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions C. Symptom or deficit not better explained by another medical or mental disorder D. Symptom or deficit cause significant dis tress or impairment in social, occupational, or other areas of functioning or warrants medical evaluation Conversion Disorder Common differentials and assessment strategies Any and all diagnoses that can cause the symptoms the patient is experiencing must be considered Conversion Disorder Epidemiology A. Is the most common somatoform disorder B. More common in females C. More common on left side than right side of the body in women

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