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Intensive Short-Term Dynamic Psychotherapy for Functional Somatic Disorders: A Scoping Review.

Allan Abbass1, Behnia Haghiri2

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This summary is machine-generated.

Intensive Short-term Dynamic Psychotherapy (ISTDP) effectively treats functional somatic disorders (FSD). This brief therapy shows efficacy across various FSDs, including chronic pain, and is more effective than CBT for pain management.

Keywords:
emotionpsychodynamicpsychophysiological disorderssomatic symptomsunconscious anxiety

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Area of Science:

  • Psychiatry
  • Psychology
  • Medicine

Background:

  • Functional somatic disorders (FSD) are prevalent in neuropsychiatric and specialty medical referrals.
  • Intensive Short-term Dynamic Psychotherapy (ISTDP) is a specialized, emotion-focused brief therapy developed for FSD assessment and treatment.

Purpose of the Study:

  • To review the theoretical basis, diagnostic assessment, treatment strategies, and evidence supporting ISTDP for FSD.
  • To consolidate current research on ISTDP's application in managing functional somatic disorders.

Main Methods:

  • Review of over 50 publications on ISTDP and its effects in FSD.
  • Analysis of evidence for ISTDP's efficacy and cost-effectiveness in treating FSD spectrum conditions.

Main Results:

  • ISTDP is demonstrated as efficacious for a range of FSDs, including chronic pain, functional gastrointestinal disorders, and functional neurological disorders.
  • ISTDP has shown superior effectiveness compared to cognitive behavioral therapy (CBT) for chronic pain.
  • Evidence suggests ISTDP is a cost-effective treatment for FSD.

Conclusions:

  • Intensive Short-term Dynamic Psychotherapy (ISTDP) is a versatile and valuable clinical intervention for assessing and treating functional somatic disorders.
  • ISTDP offers a robust therapeutic option for patients with FSD, supported by a growing body of research.