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Final Exam NU664 Set 2 – Questions and Answers
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Final Exam NU664 Set 2 –Questions and Answers
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 somatic 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 symptoms 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 such 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 years 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 they 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 illness
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 and 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
personality
-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 primarily
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 Treatment - -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 function
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 distress or impairment in social,
occupational, or other areas of functioning or warrants medical evaluation
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