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.
the trusting relationship between the patient and one (if possible) primary care physician
set up regularly scheduled visits every 4 or 6 weeks
keep outpatient visits brief-perform at least a partial physical examination during each visit directed at the organ system of complaint
understand symptoms as emotional message rather than a sing of new disease, look for signs of disease rather than focus on symptom
avoid diagnostic tests, laboratory evaluations and operative procedures unless clearly indicated
set a goal to get selected somatization patients referral- ready for mental health care
Group therapy (time limited, behavior oriented and structured group).