psychopathology
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Samuel Morgan
SOMATIC SYMPTOMS DISORDERS AND DISSOCIATIVE DISORDERS.pptx
Summary 1122 Words
Somatic symptoms disorders and dissociative disorders Samuel Morgan Grand Canyon University Psychopathology 10/15/2020
What is somatic symptom disorder Exaggerated anxiety about physical pain Intense feelings and thoughts Believe that routine medical problems can be life threatening Extreme reactions and behaviors to symptoms
Somatoform disorders occurs when an individual experiences physical symptoms such as weakness, pain, fatigue etc. These symptoms are inconsistent and one cannot explain any underlying neurologic or general medical condition (Dimsdale et. al., 2013). These symptoms cause problems functioning and emotional distress. The patient may not be having another diagnosed condition related to the symptoms but his/her reaction to them is abnormal.
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Key concepts of somatic symptom disorders Symptoms can vary depending on culture Gender can also affect the symptoms and feelings In 2013 somatic symptom disorder replaced the following disorders: -Somatization disorder -Undifferentiated somatoform disorder -hypochondriasis
Symptoms usually vary based on gender and culture. It can be based on how a particular culture views the disease or how they react. This applies to gender too. In 2013, somatization disorder, hypochondriasis and undifferentiated somatoform disorders were replaced by somatic symptom disorders (Kurlansik et. al., 2016). The former disorder are nowadays not listed in the psychiatry diagnostic manual.
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Key concepts of somatic symptom disorders Can suffer from anxiety and depression Family members can become distressed Feel hopelessness-attempt suicide Trouble adapting to stresses in life Could suffer from alcohol or drug abuse Could be unresponsive to medical treatment Seek care from multiple physicians
Patients suffering from somatic symptom disorder usually have other conditions. Some of them includes anxiety and depression. Some patients becomes hopeless and starts contemplating suicide. They also experience trouble when handling stressful events (Dimsdale et. al., 2013). Some of the patients with this disorder struggle with drug abuse and alcoholism. Others do not feel reassurance from the treatment they get from medical professionals and seek medication from other physicians.
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What is dissociate disorder
Dissociative disorders refers to mental disorders where patients experience lack of continuity and disconnection between memories, thoughts, actions, surrounding and identity. Patients with these disorders usually escape reality in unhealthy and involuntary ways. This causes problems with functioning in their daily lives. Dissociative disorders occurs as a reaction to trauma and helps to keep the difficult memories at a bay. 5
Key concepts of dissociative disorders Amnesia Identity confusion Identity alternation De-realization Depersonalization
There are three major types of dissociative disorders. These includes dissociate amnesia, dissociate identity disorder and derealization/depersonalization disorder. These disorders makes patients to disconnect from feelings, thoughts and memories. Most people who have suffered traumatic events usually suffer from these disorders. Some people look at them as a coping strategy.
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Key concepts of dissociative disorders
Some of the major signs and symptoms of dissociate disorders includes changing functioning levels, anxiety, severe headaches, hallucinations, sleeping/eating disturbances, substance abuse, depersonalization, derealization, self-injuries, suicidal thoughts, amnesia and depression. Others includes depressive symptoms, blurred sense of identity, stress and so on. patients with these disorders also feels like people and things around them are unreal and distorted.
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Changing levels of functioning
Severe headaches or other body pains
Depersonalization
Derealization
Depression
Anxiety
Eating/sleeping disturbance
Substance abuse
Problems functioning sexually
Amnesia
Hallucinations
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Self-injuries
Suicide risk increase
Therapeutic process somatic symptom disorders
Mindfulness-based therapy and cognitive behavior therapy are the most effective treatment interventions for somatic symptoms disorders. Antidepressants such as amitriptyline, monoamine axidase inhibitors, selective serotonic reuptake inhibitors etc. are also effective pharmacologic treatment for the disorders. Other therapies such as social skills training, family interventions and psychoeducation programs plays a great role in the treatment process.
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Cognitive behavioral therapy
Antidepressants
Other therapies
Therapeutic process for somatic symptom disorders
Other forms of therapeutic process includes patient seeking treatment or reassurance from their providers. They could be their primary care providers or psychiatrists. Having a provider or psychiatrist to monitor their health plays a great role in offering reassurance to patients. It also keeps patients away from unnecessary tests and treatments. Talk therapy is close to cognitive behavior therapy (Kurlansik et. al., 2016). However, it concentrates on enabling patients to change how they think as well as their behavior so as to learn how to cope with the condition as they improve their functions.
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Offer reassurance
Healthcare provider to monitor health
Talk therapy
Therapeutic process dissociative disorders
Psychotherapy procedures such as dialectical behavioral therapy (DBT) and cognitive behavioral therapy (CBT) are effective therapeutic interventions for dissociative disorder. The approaches enable patients to improve cognitively in their symptoms (Putnam,
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2015). Eye movement desensitization reprocessing (EMDR) also helps in enabling patients to heal from these symptoms along with emotional distress due to stressful life experiences. 10
Cognitive behavioral therapy
Dialectical behavioral therapy
Eye movement desensitization and reprocessing.
Therapeutic process dissociative disorders
Other forms of therapy such as family therapy and group therapy helps the families of patients gain knowledge about dissociative disorders and understand the changes that their patients will need. Clinical hypnosis has some controversies about creating false memories to the patients. Medications also work well to bring patients to stability in disorders (Putnam, 2015). When adhered to well, these therapies and medications can lead to speedy improvements.
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Other forms of therapy -family therapy -group therapy -clinical hypnosis
Medications
Therapeutic approaches for explaining psychological behavior
Psychodynamic therapy has a lot of benefits and limitations. Some of the benefits includes addressing the root cause of the problem, concentrates on the personality of the patient, works well if prolonged, guarantees free expression, information raised during the therapeutic process is beneficial and the patient controls the conversation. The limitations of psychodynamic includes; it is less structured, requires commitment, depends on unconscious mind, difficult to test empirically and expensive in the long run.
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Psychodynamic therapy Pros: -Addresses the root cause -Focuses on personality -Prolonged therapy is best -Free expression -Information may arise during therapy that is beneficial -Patient is in charge of the conversation
Psychodynamic therapy cons: -Less structured -Longer commitment required -Can be expensive -May touch on sensitive subjects from the past -Relies on the unconscious mind Difficult to test in an empirical manner
Therapeutic approaches for explaining psychological behavior
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Cognitive therapy has many benefits such as; it is brief, structured and collaborative. It also focuses on the present. Cognitive therapies of has some limitations such as; requires hard work, superficial and focuses on individual needs of the patients. 13
Cognitive Therapy Pros: -Brief -Focuses on the present -Structured -Homework -Collaborative
Cognitive Therapy Cons: -Superficial -Put in hard work -Structured -Focus on individual need
References Dimsdale, J. E., Creed, F., Escobar, J., Sharpe, M., Wulsin, L., Barsky, A., ... & Levenson, J. (2013). Somatic symptom disorder: an important change in DSM. Journal of psychosomatic research, 75(3), 223-228. Kurlansik, S. L., & Maffei, M. S. (2016). Somatic symptom disorder. American family physician, 93(1), 49-54. Putnam, F. W. (2015). Dissociative disorders. Developmental psychopathology: volume three: risk, disorder, and adaptation, 657-695.