1. Somatic Symp-tom 2. Illness Anxiety Disorder 3. ConversionDis-order 4. Tx for Conver-sion Disorder 5. Factitious Disor-der . Response to repressed severe anxiety . Drug abuse and dependence are common .Heightened emotionality, strong dependency needs, anda preoccupation with symptoms and oneself . Women . Less educated . Rural . Unrealistic or inaccurate interpretation of physical symp- toms or sensations, leading to preoccupation and fear ofhaving a serious disease. . Behavioral response to even the slightest changes infeeling or sensation is exaggerated .Anxiety and depression are common, and OCD traitsfrequently accompany the disorder .Physical illness appear w/o any underlying organic cause . Motor or Sensory . La Belle indifference- display little anxiety or concernabout symptoms . Primary gain or secondary gain . Establish trusting relationship .Do not reinforce sick role . Diversional activities .Interactive therapies . Respond well to anti-anxiety meds .Intentionally produce physical or psychologic s/s to as-sume the sick role . Believes they will become sick .Manlingering-to avoid work, obtaindrugs, avoidincarcer-ation 2 / 4 Nursing 3 Test 1 Somatic Symptom and Dissociative Disorders 2022 – 100% Correct . Primary, Secondary, or Tertiary (Shifts away from realissues) gains .Interactive therapies-Cognitive Behavior therapy . Relaxation techniques, meditation, deep breathing exer-cises, music, roleplaying, and journaling 6. Pain Disorder . Significant pain w/o a physical basis for pain . Doctor Shopping . Pain in one or more areas of the body that is severeenough to seek treatment . Location of pain does not change . Protect from unnecessary tests & procedures 7. Hypochondriasis .Unrealistic or exaggerated physical complaints . Fear of having a serious disease . No evidence of physical illness exists .Causes significantly impaired social and occupationalfunction . at least 6 months .Anxiety, fatigue, insomnia, doctor shopping, difficulty ex-pressing feelings, secondary gain 8. Tx for Hypochon-driasis 9. Outcomes for so- matic symptomsdisorders . SSRI sometimes prescribed . Usually resist the use of medication .Interactive therapy - Cognitive-behavioral therapy - Stress management . Construct an exercise program .Address two positive somatic responses .Keep an intake log to document somatic reoccupationand stressors .Build a coping method to help manage anxiety inthe past