1. Ch.22 physical problems ,psychological sources

2. Level of the stress has an effect on :
brain,pitutory gland
epinephrine ,nor-epinephrine & cortisone
defect in immune system
alteration in blood pressure

4. an a example of somatoform disorder in childhood & adulthood ( stress related physical symptom )
colic
a topic dermatitis
allergic reaction
obesity
asthma
GIT upset ( indigestion ,vomiting ,constipation ,diarrhea, peptic & duodenal ulcer ,ulcerative colitis

6. Somatization : feeling physical symptoms in the absence of disease
Diagnosis :
role out physical problem
role out presence of toxins or drug overdose
mental problem
more in woman ,anxiety & depression
seek treatment from several doctors at the same times
خطر من أخذ الأدوية مع بعضها البعض
Name as hysteria
Complain :GIT problem
Sexual problem
Neurological symptoms

7. *somatoform disorder ( without intention )
1- impaired level of functioning
2- unable to engage in ADL
*factious disorder & malingering : intentially produce S&S of illness or disability
-assume risk role
-frequent found at physical clinic

8. Conversion disorder : Sensory & motor disturbance
Low socio economic status
Rural area
Little health care knowledge
More in women
Male : military services
Industrial accident
E.g.: paralyzed arm
Diagnosis ; no specific abnormality

10. Hypochondriosis : Somatoform disorder
Intense fear of getting serious disease
Misinterpretation signs & symptoms of illness ( sore on skin ,cough )
Heart beat
Frequent complain of anxiety & depression

11. Management of somato form as general ;
Emotional care
Trust relationship
Improve sleep ,nutritional condition

14. Cha. 23:eating & sleep disorder
-aneroxia nervosa
Bulimia nervosa
Pica
Rumination

15. Obesity : not mental disorder It result from too high caloric intake
Causes of obesity ;
Over eat (intake )
Hereditary
Lack of exercise
(self steem ,how to be attractive )

16. Sleep disorder ; Disturbance pattern of sleep ,quantity & quality
polysomnogram ;monitor the client electro physical response during sleep
measure brain wave activity ( electrocephalogram )
muscle movement (electromyogram )
extra ocular movement (electrooculogram for eye )

18. sleep disorder divided to
1- primary sleep disorder that include
* parasomnia ( nightmares ,terror sleep walking disorder )
Dyssomnia ( insomnia ,hypersomnia,narcolepsy(repeated attack of sleep ) ,breathing related to sleep disorder ,rhythm sleep disorder )
2- secondary sleep disorder (related to mental disorder ,related to general medical condition , substance induce sleep )
Parasomnia : abnormal physical events during sleep

20. Management as general ;
1- regulate sleep pattern of the human
2-insomnia :hypnotic ,restful environment
3- treat the underlying condition