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Psychotherapy01:28

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Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
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Updated: Jun 17, 2026

Protocol for Repetitive Transcranial Magnetic Stimulation with Symptom Provocation to Treat Obsessive-compulsive Disorder
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[Unexplained physical symptoms successfully treated by symptom-based psychotherapy].

Michel J Reinders1, C P M Niels Veth

  • 1Kennemer Gasthuis, afd. Psychiatrie, Haarlem, The Netherlands. reinders@kg.nl

Nederlands Tijdschrift Voor Geneeskunde
|December 17, 2009
PubMed
Summary

Severe weight loss due to unexplained vomiting was successfully treated with psychotherapy. This approach helped the patient resume eating, highlighting the effectiveness of psychological interventions for physical symptoms.

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Area of Science:

  • Psychosomatic Medicine
  • Clinical Psychology

Background:

  • Unexplained physical symptoms, such as severe vomiting, can lead to significant health issues like weight loss.
  • Identifying the root cause of such symptoms is crucial for effective treatment planning.

Observation:

  • A 43-year-old woman presented with severe weight loss attributed to unexplained vomiting.
  • Extensive medical investigations failed to identify any physical etiology for the persistent vomiting.

Findings:

  • The patient underwent a multimodal treatment approach including hypnotherapy, cognitive therapy, and dietary management.
  • Psychotherapy, specifically, was identified as a key component in resolving the unexplained vomiting.
  • The patient's vomiting ceased, enabling her to resume normal eating patterns and recover from weight loss.

Implications:

  • This case underscores the importance of considering psychological factors in unexplained physical symptoms.
  • Psychotherapy can be an effective treatment for psychosomatic disorders, even when physical causes are not apparent.
  • A therapeutic approach that acknowledges the lack of physical explanation while offering a viable treatment path, such as psychotherapy, is beneficial for patient acceptance and recovery.