Approach to the Patient with Multiple Somatic Symptoms
Abstract
Primary care providers play a crucial role in the recognition and appropriate treatment of patients with multiple somatic complaints. Both the number of somatic symptoms and the persistence of symptoms are associated with co-occurring depression or anxiety disorders. It can be challenging to simultaneously address possible medical causes for physical symptoms while also considering an associated psychiatric diagnosis. In this article, strategies to improve the care and outcomes among these patients are described, including collaboration, education about the interaction between psychosocial stressors and somatic symptoms, regularly scheduled visits, focus on improving functional status, and evidence-based treatment of depression and anxiety.
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Patients with somatic symptom or related disorders are frequently prescribed medications with potential for dependence such as opioid-containing drugs and sedatives.
“Patients with somatic symptom or related disorders are frequently prescribed medications with potential for dependence such as opioid-containing drugs and sedatives. (5)”
From Approach to the patient with multiple somatic symptoms (2021) · cites this paper as [5]
An estimated 20%-25% of patients who present with acute somatic symptoms go on to develop a chronic somatic illness.
“Nonetheless, an estimated 20%-25% of patients who present with acute somatic symptoms go on to develop a chronic somatic illness. (5)”
From Approach to the patient with multiple somatic symptoms (2021) · cites this paper as [5]
Therapeutic alliance is a crucial factor in successfully treating many illnesses.
“This process helps the physician to understand the patient as a person and bolsters the therapeutic alliance, a crucial factor in successfully treating many illnesses. (5)”
From Approach to the patient with multiple somatic symptoms (2021) · cites this paper as [5]
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- Authors
- Croicu, C., Chwastiak, L., & Katon, W.
- Affiliations
- University of Washington (US)
- Corresponding author
- Croicu, Carmen
- ORCID
- Chwastiak, Lydia
- Venue
- Medical Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2014-09
- Volume
- 98
- Issue
- 5
- Pages
- 1079-1095
- ISSN
- 0025-7125 (ISSN-L)
- OpenAlex
- W2003946813
- Cited by
- 81
- References
- 88
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 7 · 2023: 3 · 2022: 13 · 2021: 11 · 2020: 4 · 2019: 8 · 2018: 7 · 2017: 7 · 2016: 10 · 2015: 1
- FWCI
- 0.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Clinics of North America (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Psychiatry and Mental health › Medicine, History, and Philosophy
- Keywords
- somatic symptom disorder, depression, anxiety disorders, primary care, psychiatric comorbidity, psychosocial stressors, functional status, evidence-based treatment, patient education
- MeSH terms
- Antidepressive Agents, Anxiety Disorders, Depression, Humans, Medical History Taking, Patient Care Team, Physical Examination, Physician-Patient Relations, Primary Health Care, Surveys and Questionnaires, Referral and Consultation, Risk Factors, Severity of Illness Index, Somatoform Disorders, Stress, Psychological, Cognitive Behavioral Therapy, Causality, Diagnostic and Statistical Manual of Mental Disorders
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