Somatic Symptom Disorder & Factitious Disorder: Psychiatric Mental Health | @LevelUpRN

Cathy discusses somatic symptom disorder, including the risk factors, symptoms, treatment, and nursing care of patients with this disorder. She also covers factitious disorder (i.e., Munchausen syndrome). Cathy explains the difference between factitious disorder and malingering. She also discusses the signs, diagnosis, and treatment of factitious disorder. At the end of the video, Cathy provides a quiz to test your knowledge of some of the key points she covered in the video.

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Cathy Parkes BSN, RN, CWCN, PHN covers Psychiatric Disorders: Somatic Symptom Disorder & Factitious Disorder. The Psychiatric Mental Health Disorders video tutorial series is intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX.

#NCLEX #MentalHealth #somaticsymptoms #HESI #Kaplan #ATI #NursingSchool #NursingStudent⁠ #Nurse #RN #PN #Education #LPN #disorders #NurseEducator

00:00 Introduction
00:24 Somatic Symptom Disorder
2:23 Factitious Disorder (aka Munchausen Syndrome)
3:45 Quiz Time!

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All of the nurses at Level Up RN are here to help! Cathy Parkes started helping her fellow classmates back when she was in nursing school, tutoring so they could pass their exams and graduate. After she got her BSN and started working as an RN at Scripps Encinitas Hospital, she started this YouTube channel to help nursing students around the world. Since then she has built a team of top-notch dedicated nurses and nurse educators who are focused on improving nursing education and supporting career advancement for nurses everywhere. With flashcards, videos, courses, organizational tools and more, we are singularly focused on helping students and nurses Level Up on their exams and nursing careers.

[Eilene]

I don’t think doctors realize how damaging diagnoses like these can be to patients. I have MS, Fibromyalgia, Hashimoto’s thyroiditis, and diabetes. I have anxiety and depression and have my whole life. Runs in my family. I am obviously in pain to some degree at all times. When you go to the doctor for a regular check up and they ask what symptoms you have and pain is one of them, they are so quick to label you. Then instead of referring you to holistic doctors or therapies that might help like myofascial release and medical massage. They first send you to a psychiatrist and pain management. All of who want to medicate you. Then they want to label you again… this time as a high risk patient because of the pain meds you were given. So while we have multiple pain causing issues and are looking for help. We are instead labeled again and again and told we are our own problem. The medical community should be ashamed.

[samidothings]

Nice work Doctor keep it up. Im psychology student and this helps allot 😊.

[anuskaroy]

My grandmother has factious disorder for sure 😭

[amarie]

I learn more from this video than my actual professor. ❤

[twothirdsostrich]

This whole somatic diagnosis is BS. Doctors shout depression/anxiety whenever they don’t know what’s going on. I was told I had anxiety/depression for my stomach pain that was making it hard to eat. This went on for several months and the only thing they could find is that I have an abnormal amount of gas in my stomach. I had every test imaginable. It wasn’t until I had one doctor believe me and do exploratory surgery that they found a fundoplication I had done several years ago was actually caught in a hernia and compressing my vagus nerve. This hernia didn’t show up on any CTs, MRIs, nor EGDs. But we have pictures now from actually my surgery showing what was wrong. Because I am a young female, other doctors didn’t take me seriously and if anything now this experience has left me with a distrust of the medical community due to their negligence. After the hernia repair and complete fundoplication take down, I am better and pain free. This somatic bullshit is once again sexism by a male dominated field 👍👍

[vmtz]

I suspect a lot of what they call panic disorder is somatic symptom disorder and health anxiety disorder (hypochondria)

[liz]

This is so unfair, unfortunate, and misguided. The most important and glossed over sentence of the somatic symptom "diagnosis" is "and hasn't been explained medically." The second is the term "excessive and out of proportion." All it takes is being female and having a mention of depression on your intake form, and just ONE doctor or nurse who decides this is the case, and every other doctor or nurse you forever see will think the same. Why? Because the first doc didn't do due diligence. Didn't look at everything, Didn't get full history or take time to understand the symptoms or the effect they had on the patient's life. Didn't give them education or guidance to be more observant of their symptoms, but then discounted them because the patient couldn't explain them in detail. What gets written up is an amalgamation of the docs assumptions and words, which gets passed on, and on, and twenty years later you have someone crying in your office, and of course it seems excessive and out of proportion to you. Seeing how medical providers are taught to make these assumptions and distrust patients explains to me why going to the doctor anymore seems like going into battle. The patient has no voice, no power, no agency. You made up your mind before we walked in who we were and what was wrong with us.