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F45.0 Somatization Disorder Therapy and Prognosis

Chronic relapsing condition starting in adolescence or even as late as the third decade of life.

New symptoms during the emotional distress.

Typical episodes last 6 to 9 months; quiescent time of 9 to 12 months.

Management strategies:

1.

the trusting relationship between the patient and one (if possible) primary care physician

2.

set up regularly scheduled visits every 4 or 6 weeks

3.

keep outpatient visits brief-perform at least a partial physical examination during each visit directed at the organ system of complaint

4.

understand symptoms as emotional message rather than a sing of new disease, look for signs of disease rather than focus on symptom

5.

avoid diagnostic tests, laboratory evaluations and operative procedures unless clearly indicated

6.

set a goal to get selected somatization patients referral- ready for mental health care

Group therapy (time limited, behavior oriented and structured group).

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