SOMATOFORM DISORDERS
TREATMENTS |
|
|
Relationship with primary care
practitioner
Because patients with somatoform disorders often have lengthy
medical histories, a long-term relationship with a trusted primary
care practitioner (PCP) is a safeguard against unnecessary
treatments as well as a comfort to the patient. Many PCPs prefer to
schedule brief appointments on a regular basis with the patient and
keep referrals to specialists to a minimum. This practice also
allows them to monitor the patient for any new physical symptoms or
diseases. However, some PCPs work with a psychiatric consultant.
Medications
Patients with somatoform disorders are sometimes given antianxiety
drugs or antidepressant drugs if they have been diagnosed with a
coexisting mood or anxiety disorder. In general, however, it is
considered better practice to avoid prescribing medications for
these patients since they are likely to become psychologically
dependent on them. However, body dysmorphic disorder as been
successfully treated with selective serotonin reuptake inhibitors (SSRI)
antidepressants.
Psychotherapy
Patients with somatoform disorders are not considered good
candidates for psychoanalysis and other forms of insight-oriented
psychotherapy. They can benefit, however, from supportive approaches
to treatment that are aimed at symptom reduction and stabilization
of the patient's personality. Some patients with pain disorder
benefit from group therapy or support groups, particularly if their
social network has been limited by their pain symptoms. Cognitive-behavioral
therapy is also used sometimes to treat pain disorder.
Family therapy is usually recommended for children or adolescents
with somatoform disorders, particularly if the parents seem to be
using the child as a focus to divert attention from other
difficulties. Working with families of chronic pain patients also
helps avoid reinforcing dependency within the family setting.
Hypnosis is a technique that is sometimes used as part of a general
psychotherapeutic approach to conversion disorder because it may
allow patients to recover memories or thoughts connected with the
onset of the physical symptoms.
Alternative treatment
Patients with somatization disorder or pain disorder may be helped
by a variety of alternative therapies including acupuncture,
hydrotherapy, therapeutic massage, meditation, botanical medicine,
and homeopathic treatment. Relief of symptoms, including pain, can
occur on the physical level, as well as on the mental, emotional,
and spiritual levels. |
|
|
| SOMATOFORM DISORDERS RELATED ITEMS |
|
|
|
|