Client has symptoms that are medically unexplained, excessive, time-consuming, and impairing to the client - Therapeutic Communication, Limit the amount of time the client can talk about the somatic manifestations - Therapeutic Communication, Encourage verbalization of feelings - Therapeutic Communication, Educate on coping mechanisms / stress management techniques - Therapeutic Communication, S/Sx are thought to be severe medical condition - Illness Anxiety Disorder, -Seek numerous opinions or avoid medical care completely d/t fear - Illness Anxiety Disorder, severe distress & obsessive thoughts/ fear about illness - Illness Anxiety Disorder, neurological symptoms in the absence of neurological diagnosis - client physically CAN'T do things - Conversion Disorder, Alteration involuntary motor or sensory functions (Paralysis, Blindness, Mutism. Deafness, Tingling) - Conversion Disorder, Client falsifies a physical or psychological manifestation in the absence of personal gain - Factitious Disorder, Client is often very smart, and describes the illness with proper medical terms - Factitious Disorder, Every time there is a negative test, they report new symptoms - are dramatic when describing illness - Factitious Disorder, motivated and driven by a person’s gain (money, disability rewards) - Malingering, HX of child abuse or chronic childhood illness, Dependent or Borderline personality - Malingering, Avoid confrontation - communicate suspicious to provider - Malingering,

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