UNIT - II : Somatic-symptom disorders, Substance Abuse and GD

FNSD, Alcohol Abuse and Gender Dysphoria

‘Hysteria’ is the historical term for -

FNSD

Conversion disorder means -

Presence of neurological symptoms, in the absence of neurological diagnosis

La Belle Indifference (given by Freud) means ___ and is used for ___

Lack of concern
FNSD patients

4 symptoms of FNSD are -

1. Sensory modalities

2. Motor deficits

3. Mixed Presentations

4. Seizures (not recorded in EEG and no memory loss)

Aphonia means -

Loss of speech and inability to produce and sounds

Globus means -

Feeling of lump in throat

Gender prevalence of FNSD :
Men < Women
(True/False)

True (5% rate)`

DSM-V criteria of FNSD includes -

1. 1 or more altered voluntary (motor/sensory) deficit

2. Incompatibility between symptoms and diagnosis

3. Not better explained by any other condition

4. Causes clinical distress

Partial paralysis, numbness, blindness, deafness, loss of consciousness are symptoms of -

FNSD

DSM-V has separate criterion for Adolescents and Children for the diagnosis of Gender Dysphoria (GD).
(True/False)

True

Transsexualism means -

People whose gender identity is different from their sex assigned at birth

Transgender means -

An umbrella term used to describe the full range of people whose gender identity and/or gender role do not conform to what is typically associated with their sex assigned at birth.

Homosexual Transsexual means -

A term that was previously used to describe people whose sexual orientation was based on their birth sex

Autogynephilic Transsexuals means -

A paraphilia, or sexual interest, in which a male is sexually aroused by the thought or image of himself as a female. It can also involve cross-dressing and cross-gender expression

Duration of symptoms required for diagnosis of GD in children -

6 months

Gender Dysphoria (GD) is

Discomfort with one’s sex relevant characteristics or one’s assigned gender during birth

One of the criteria for diagnosis of GD include - strong desire to be of other gender.
(True/ False)

True

Organic Impairment is symptom of :

Alcohol Use Disorder

Hangover means

Headache, Nausea, Fatigue, Cognitive Impairment for 8-24 hours after alcohol consumption

AUD causes nutritional absorption impairment - T/F

True

Two criteria of Tolerance in DSM-V of AUD :

1. Tolerance in minimum amount, thus higher amount of alcohol is consumed to get intoxicated/desired effect

2. Tolerance in effect with the same amount of alcohol

Two criteria of Withdrawal symptoms in AUD :

1. Withdrawal Syndrome in DSM-V

2. Alcohol or similar substance is used to avoid withdrawal symptoms

How many criteria are to be checked for the diagnosis of AUD?

2 or more out of 11

Effects/Cons of AUD

1. Lowers brain function

2. Lowers motor functions

3. Lowers pain/cold/discomfort

4. Increases risk of liver diseases

5. Impairs Nutrient absorption

6. Stomach pain

7. Personality deterioration

8. Irritability

9. Irresponsibility

10. Arguments/Fights/Inappropriate behavior with close family members/partner/friends

Duration of AUD

12 months / 1 year