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Related Experiment Videos

Somatizing patients: part II. Practical management.

D Servan-Schreiber1, G Tabas, R Kolb

  • 1University of Pittsburgh School of Medicine, Pennsylvania, USA.

American Family Physician
|March 29, 2000
PubMed
Summary

Somatization, experiencing physical symptoms from emotional distress, requires physician empathy and regular visits. Treatment involves acceptable explanations, avoiding unnecessary tests, and considering antidepressants or psychotherapy.

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Area of Science:

  • Psychiatry
  • Primary Care Medicine
  • Psychosomatic Medicine

Background:

  • Somatization involves physical symptoms stemming from emotional distress.
  • It presents a common, costly, and frustrating challenge for patients and physicians.
  • Effective management is crucial for patient well-being and healthcare resource optimization.

Purpose of the Study:

  • To outline effective management strategies for somatization in primary care settings.
  • To emphasize the importance of physician-patient communication and relationship building.
  • To discuss pharmacological and psychotherapeutic treatment options.

Main Methods:

  • Review of clinical guidelines and best practices for managing somatization.
  • Emphasis on structured, brief, and regular primary care visits.

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  • Integration of patient-centered communication and psychoeducation.

    • Main Results:

    • Successful treatment hinges on providing acceptable symptom explanations and avoiding excessive interventions.
    • Regular, brief physician visits help prevent symptom escalation for medical attention.
    • Antidepressants and cognitive psychotherapy can be beneficial adjuncts.

    Conclusions:

    • Continuity of care with a primary care physician is key to managing somatization.
    • A combination of empathetic communication, appropriate medical care, and targeted therapies improves outcomes.
    • Addressing the interplay between emotional distress and physical symptoms is essential for effective treatment.