Related Experiment Video
Updated: Apr 25, 2026

Protocol for Repetitive Transcranial Magnetic Stimulation with Symptom Provocation to Treat Obsessive-compulsive Disorder
Published on: November 25, 2025
Approach to the patient with multiple somatic symptoms
Carmen Croicu1, Lydia Chwastiak1, Wayne Katon2
1Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Box 359911, 325 Ninth Avenue, Seattle, WA 98104, USA.
Primary care providers can improve care for patients with multiple physical symptoms by recognizing the link to depression and anxiety. Strategies include collaboration, education, and evidence-based treatment for better patient outcomes.
Area of Science:
- General Medicine
- Psychiatry
Background:
- Primary care providers (PCPs) are vital for identifying and managing patients with multiple somatic complaints.
- Somatic symptoms and their persistence are linked to comorbid depression or anxiety disorders.
- Simultaneously addressing medical and psychiatric diagnoses in these patients presents a challenge.
Purpose of the Study:
- To describe strategies for enhancing the care and outcomes of patients with multiple somatic complaints.
- To highlight the importance of integrating mental health considerations into primary care.
Main Methods:
- The article reviews strategies for improving care in primary care settings.
- Focus is placed on collaborative approaches and patient education.
- Evidence-based treatments for mental health conditions are emphasized.
Main Results:
- The number and persistence of somatic symptoms correlate with depression and anxiety.
- Effective management requires addressing both physical symptoms and potential psychiatric comorbidities.
- Improved patient outcomes are associated with integrated care approaches.
Conclusions:
- Primary care is a critical setting for managing somatic symptoms and associated mental health conditions.
- A multi-faceted approach including collaboration, education, and targeted treatment is essential.
- Improving functional status and treating depression and anxiety are key goals.
Related Concept Videos
Overview of Somatic Sensory Pathways
The somatosensory system is divided into three main pathways: the dorsal (or posterior) column-medial lemniscus, spinothalamic (or anterolateral), and spinocerebellar pathways.
The dorsal...
Classification of Illness
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
Data Collection III
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
Theoretical Approaches to Psychological Disorder
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
Methods of Documentation II: POMR
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...

