Somatoform Disorders
Definition
Malingering: Feign physical/ psychological sx for reward
Factitious Disorder: Feign physical/ psychological sx not for reward
General Clinical Features
General Management
Source
Toronto Notes 2012
Malingering: Feign physical/ psychological sx for reward
Factitious Disorder: Feign physical/ psychological sx not for reward
General Clinical Features
- Physical signs and symptoms lacking a known medical basis in the presence of psychological factors that are judged to be important in the initiation, exacerbation, or maintenance of the disturbance
- Affects function
- Symptoms are produced unconsciously
General Management
- Focus on psychosocial not physical symptoms
- Minimize medical investigations; coordinate necessary investigations
- Psychotherapy: conflict resolution
- Minimize psychotropic drugs: anxiolytics in short term only, antidepressants for depressive symptoms
Source
Toronto Notes 2012