Somatization and
Somatoform Disorders
Friday's Progress Notes - July 14, 2000
Mental Health Information - Vol. 4 Issue 21
Published by athealth.com - http://www.athealth.com
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CONTENTS
1. Diagnosis and pathophysiology of somatization
2. Treatment of somatizing patients in primary care
3. Psychological adjustment of girls with chronic fatigue syndrome
4. Guidelines for psychiatric consultation in medical settings
5. Overview of somatoform disorders
6. Adult patients with chronic illness
7. Fibromyalgia
8. Arthritis and Rheumatic Diseases
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Dear Colleagues,
Although the number of primary care patients who present with
unexplained somatic symptoms is significant, healthcare systems
too often separate mental health from physical health. Today's
newsletter focuses on issues related to somatization.
Please feel free to forward this information to professional colleagues,
who can sign-up for a free subscription to Friday's Progress Notes at
http://www.athealth.com/Practitioner/Newsletter/fpn_subscribe.html
Click here to review archived newsletters (1997 to the present).
Regards,
Jack
John L. Miller, MD
1. AMERICAN FAMILY PHYSICIAN
Somatizing Patients: Part I. Practical Diagnosis
Traditional medical training is focused on the identification
and treatment of organic disorders and leaves most physicians
ill prepared for recognizing and managing patients who somatize.
http://www.aafp.org/afp/20000215/1073.html
2. AMERICAN FAMILY PHYSICIAN
Somatizing Patients: Part II. Practical Management
In patients with somatoform disorders, emotional distress or
difficult life situations are experienced as physical symptoms.
This article reviews management strategies for treating
somatizing patients.
http://www.aafp.org/afp/20000301/1423.html
3. PEDIATRICS
Psychological Adjustment of Adolescent Girls With Chronic Fatigue Syndrome
In distinct domains of psychosocial adjustment, the adolescent girls with CFS showed strengths such as adequate self-esteem and scholastic and social abilities, and weaknesses such as low competence in adolescent-specific tasks and internalizing distress, which may partly be explained by syndrome-specific somatic complaints.
Chronic Fatigue Syndrome
4. ACADEMY OF PSYCHOSOMATIC MEDICINE
Practice Guidelines for Psychiatric Consultation in the General Medical Setting
Collaborative management integrating medical and behavioral
healthcare services optimizes care and reduces costs. This
practice guideline seeks to provide guidance to psychiatrists
who regularly evaluate and manage patients with medical illnesses.
http://www.apm.org/prac-gui/psy39-s8.html
5. MERCK MANUAL
Somatoform Disorders
The Merck Manual gives an overview of somatization disorder,
conversion disorder, pain disorder, hypochondriasis,
and body dysmorphic disorder.
http://www.merck.com/pubs/mmanual/section15/chapter186/186a.htm
6. FRIDAY'S PROGRESS NOTES
Adult Patients with Chronic Illness
Treating comorbid psychiatric conditions and helping patients improve their quality of life are significant challenges in chronic disease care.
http://www.athealth.com/Practitioner/Newsletter/FPN_6_5.html.
7. NIAMS
Fibromyalgia
Fibromyalgia syndrome is a common and chronic disorder characterized by widespread muscle pain, fatigue, and multiple tender points. The word fibromyalgia comes from the Latin term for fibrous tissue (fibro) and the Greek ones for muscle (myo) and pain (algia). Tender points are specific places on the body—on the neck, shoulders, back, hips, and upper and lower extremities—where people with fibromyalgia feel pain in response to slight pressure.
http://www.athealth.com/consumer/disorders/fibromyalgia.html.
8. NIAMS
Questions and Answers About Arthritis and Rheumatic Diseases
Rheumatic diseases are characterized by inflammation (signs are redness and/or heat, swelling, and pain) and loss of function of one or more connecting or supporting structures of the body. They especially affect joints, tendons, ligaments, bones, and muscles. Common symptoms are pain, swelling, and stiffness. Some rheumatic diseases can also involve internal organs. There are more than 100 rheumatic diseases.
http://www.athealth.com/Consumer/disorders/arthritisrheu.html.
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Copyright © 2000 - At Health, Inc. - All Rights Reserved.
This publication is registered in the Library of Congress, Washington DC - ISSN: 1520-3662
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