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The somatizing patient
V Holder-Perkins1, T Wise, D E Williams
1Department of Psychiatry, Inova Fairfax Hospital, 3300 Gallows Road, Falls Church, VA 22042-3300, USA.
Abstract:
The authors discuss the significance of identifying primary care patients with dramatic and persistent unexplained physical (medical) symptoms, especially given the concerns about containing health care costs. Such patients are a cause of frustration to the clinician, because the clinician may experience a sense of failure after using the state of the art and still being eluded by a diagnosis. We focus on the methods for understanding somatic worry or preoccupation, which is the essential process in a variety of somatoform disorders. The second half of the article focuses on evaluation and treatment considerations and includes a discussion of both psychotherapeutic and psychopharmacologic treatment strategies for the somatizing patient.
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