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Functional disorders in children and adolescents: diagnostic considerations
1Division of child and Adolescent Psychiatry, Mayo Clinic Rochester, Rochester, Minnesota 55905, USA.
Objective:
To describe the advantages of a nosologic approach to "functional" illness and its benefit in planning treatment for such illnesses.
Design:
A review of common functional syndromes occurring during childhood and adolescence in presented.
Results:
The functional versus "organic" dualism in pediatrics and family practice is not heuristic. The biopsychosocial model allows a more useful approach to nosology and treatment planning. An approach to such a clinical conceptualization is give. Several case examples are provided.
Conclusion:
Patients with functional syndromes should be assessed with specific diagnostic criteria rather than criteria of exclusion.
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