Quick notes for psychiatry

Somatic Disorders
- Abnormal Illness Behavior:
● Persistence of inappropriate or maladaptive mood of acting to one’s despite
medical reassurance
● They see bodily conditions as abnormal
● Issy Pilowsky forms-
○ Illness affirming, somatically focused
○ Illness denying, somatically focused
○ Illness affirming, psychologically focused
○ Illness denying, psychologically focused
- Sick Role:
● Parson
● Sickness as response to social pressure
● Avoidance of social responsibility
● “Functionalist theory”
● 4 aspects:
○ Sick person is not at fault for being sick
○ Is excused from everyday responsibility
○ Must get well soon asap
○ Must seek professional help
- Somatoform Disorders:
● Conversion-
○ Changes or loss of physical function
○ Without medical cause
○ Due to conflicts or stress
● Hypochondriasis-
○ Belief that one is seriously ill
○ Fear despite medical reassurance
○ Tendency to interpret minor pain as serious illness
● Somatization-
○ Recurrent complaints
○ Multiple complaints of a symptom that has no clear base
● Body Dysmorphia-
○ Imagines having a physical defect
● Pain Disorder-
○ Severe pain
○ Associated with psychological factors
- Somatization disorder:
● More in females
● Years
● Coexits with OCD and Paranoia
● Multiple recurrent complains of symptoms
● Causes-

, ○ Abuse
○ Anti social personality disorder
○ Family conflict
○ Childhood neglect
- DSM 5 for SOMATIC SYMPTOM DISORDER:
● A- 1 or more symptoms resulting in disruption of daily life
● B- High level anxiety
● Persistent thoughts of symptoms
● Excess time and energy given to these concerns
● C- More than 6 months
● Severity:
○ Mild: 1 symptom of B
○ Moderate: 2 or more of B
○ Severe: 2+ B and complaints
● Predominant pain
● Comes along with
○ Anxiety
○ Depression
○ GAD
● Can occur after someone’s death who they admired greatly
● Treatment:
○ Group psychotherapy
○ Behavior therapy
○ Cognitive therapy
- Illness Anxiety Disorder:
● A- preoccupation of having illness
● B- mild somatic symtoms
● C- high level anxiety about health
● D- performs excessive health realted behavior
● E- 6 months
● Concerned about getting ill
● Easily alarmed
● Reads a lot of illness
● Research their disease
● CHRONIC, RELAPSE DISORDER
● 1/3rd patients have a transient form.
● Differentials:
○ Adjustment disorder
○ Somatic symptom disorder
○ Anxiety
○ OCD
○ MDD
● Treatment:
○ Psychotherapy