Avoid unnecessary medical tests and specialty referrals, and be cautious when pursuing new symptoms with new tests and referrals. Focus treatment on function, not symptom, and on management of the disorder, not cure. Address lifestyle modifications and stress reduction, and include the patient's family if appropriate and possible.
Collaborate with mental health professionals as necessary to assist with the initial diagnosis or to provide treatment. Information from references 27 through Already a member or subscriber? Log in. Interested in AAFP membership?
Learn more. He received his doctoral degree in clinical psychology from Indiana University, Bloomington, and his master's degree in health sciences and a physician assistant certification from Duke University, Durham, N. He received his medical degree from St. Louis Mo. Myrtle Ave. Reprints are not available from the authors.
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Psychosom Med. Burton C. Beyond somatisation: a review of the understanding and treatment of medically unexplained physical symptoms MUPS. Br J Gen Pract. Treatment of somatization in primary care: evaluation of the Personal Health Improvement Program. HMO Pract. Treatment of somatization in primary care. Gen Hosp Psychiatry. Cognitive behavioural therapy for medically unexplained physical symptoms: a randomised controlled trial.
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What is needed in primary care training. Understanding and caring for the distressed patient with multiple medically unexplained symptoms. J Am Board Fam Pract. Gillette RD. Caring for frequent-visit patients. He argues that the new constructs are liberating for physicians, too. When we couldn't find the cause of certain symptoms, there was always the fear that we simply hadn't searched long enough or hard enough. Now we can acknowledge that a patient's preoccupation with physical symptoms is higher than normal, whether there is a diagnosis or not.
It is one of the biggest changes in talking with patients with a set of psychiatric problems in 25 years. The change has been long in coming, Dr. Staab says. This is not just something people came up with. But now we can identify these symptoms in a positive way and can help patients modify them. Indeed, the new diagnostic criteria allow a different approach to treatment. Most psychiatrists assume that some sort of trauma, tragedy or conflict in the past is driving health-anxious fears and behaviors, Dr.
There are no adequate controlled studies on the value of psychotherapy in hypochondriasis; the recommended guidelines are based on uncontrolled studies of hypochondriasis and on controlled studies of the psychotherapy in similar disorders. The prognosis of functional somatic symptoms as well as that of hypochondriasis is good in a substantial proportion of patients.
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