Exam 6: Somatic Symptom and Related Disorders and Dissociative Disorders
Shannon brings an extremely long list of physical complaints, with which she is inordinately preoccupied, to all her frequent appointments with medical practitioners.However, extensive medical examinations have shown no physical basis for these complaints.With which disorder would Shannon likely be diagnosed? Provide at least three areas of functioning that therapy should address for the most effective treatment of Shannon's disorder.Include a rationale for each recommendation.
Shannon would likely be diagnosed with somatic symptom disorder. This disorder is characterized by excessive and disproportionate preoccupation with physical symptoms, despite medical reassurance that there is no underlying medical cause for the symptoms.
For the most effective treatment of Shannon's somatic symptom disorder, therapy should address the following areas of functioning:
1. Cognitive-behavioral therapy (CBT) to address maladaptive thoughts and beliefs about her physical symptoms. CBT can help Shannon identify and challenge any irrational beliefs she may have about her symptoms, and develop more adaptive coping strategies.
2. Emotion regulation skills to help Shannon manage any anxiety or distress related to her physical symptoms. Learning how to regulate her emotions can help Shannon reduce the intensity of her preoccupation with her symptoms and improve her overall well-being.
3. Addressing any underlying psychological factors that may be contributing to Shannon's somatic symptoms, such as past trauma or unresolved emotional issues. Exploring and processing these underlying factors can help Shannon gain a better understanding of the connection between her emotions and physical symptoms, and work towards resolving any unresolved psychological issues.
Overall, addressing these areas of functioning in therapy can help Shannon develop more adaptive coping strategies, reduce her preoccupation with physical symptoms, and improve her overall quality of life. By addressing both the cognitive and emotional aspects of her disorder, Shannon can work towards managing her symptoms more effectively and experiencing greater psychological well-being.
Mark injured his back at work several years ago.Although he was treated and considered healed by his physicians, he still complains of severe and debilitating back pain.Other than some minor scar tissue, his doctors cannot find anything that could be causing more than some minor stiffness.What is Mark's most likely diagnosis?
A
Which term often refers to body dysmorphic disorder?
D
Discuss the two vulnerabilities that must be present to cause OCD and provide examples.
Fred has been having seizures, but tests show no known cause.What is the most likely diagnosis for Fred?
Although conversion disorder is quite rare, the prevalence of this disorder is quite high in neurological settings.What the average prevalence rate in these settings?
Both psychological and physical processes are involved in the perception of pain.Explain how this makes the DSM-5 diagnosis of somatic symptom disorder difficult and partially subjective.
Kelly shows up at an emergency room demanding immediate treatment for bleeding and abdominal cramps.Later, hospital workers find evidence that Kelly injected herself with a blood thinner to cause the bleeding and then she faked the cramps just to gain admission to the hospital.Kelly denies everything and leaves the hospital to find someone who will "treat me properly!" What condition does Kelly most likely have?
Which term refers to the compulsions that people with obsessive-compulsive disorder (OCD) perform because they believe they will help their obsession, when in reality the behaviours have no effect?
Which of the following characterizes factitious disorder by proxy?
Jill is constantly worried that she will get sick.Although she feels fine now and believes that she is healthy, she still worries endlessly about developing a serious illness.What would Jill most likely be diagnosed with?
Why is it difficult to describe effective treatments for conversion disorder?
What does the term "thought-action fusion" mean when used to describe the obsessional thinking pattern of persons with obsessive-compulsive disorder?
Some people with obsessive-compulsive disorder attempt to neutralize or suppress disturbing, intrusive thoughts.How successful do these strategies tend to be?
When Sarah gets anxious, she compulsively picks at her skin.She now must seek medical attention for the tissue damage her picking has caused.Sarah's doctor will most likely diagnose her with which of the following?
A man who has obsessive-compulsive disorder was compelled to take very small steps as he walked and to look back repeatedly.What was he trying to do?
Regarding pharmacological treatments for obsessive-compulsive disorder, the most effective drugs are those that inhibit the reuptake of which neurotransmitter?
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