Medically Unexplained Symptoms

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Medically Unexplained Symptoms, Somatisation and Bodily Distress

Author : Francis Creed,Peter Henningsen,Per Fink
Publisher : Cambridge University Press
Page : 267 pages
File Size : 53,5 Mb
Release : 2011-07-14
Category : Medical
ISBN : 9781139498456

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Medically Unexplained Symptoms, Somatisation and Bodily Distress by Francis Creed,Peter Henningsen,Per Fink Pdf

Medically unexplained symptoms and somatisation are the fifth most common reason for visits to doctors in the USA, and form one of the most expensive diagnostic categories in Europe. The range of disorders involved includes irritable bowel syndrome, chronic widespread pain and chronic fatigue syndrome. This book reviews the current literature, clarifies and disseminates clear information about the size and scope of the problem, and discusses current and future national and international guidelines. It also identifies barriers to progress and makes evidence-based recommendations for the management of medically unexplained symptoms and somatisation. Written and edited by leading experts in the field, this authoritative text defines international best practice and is an important resource for psychiatrists, clinical psychologists, primary care doctors and those responsible for establishing health policy.

Medically Unexplained Symptoms

Author : Robert W. Baloh
Publisher : Springer Nature
Page : 216 pages
File Size : 51,6 Mb
Release : 2020-12-01
Category : Medical
ISBN : 9783030591816

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Medically Unexplained Symptoms by Robert W. Baloh Pdf

Despite the rapid advances in medical science, the majority of people who visit a doctor have medically unexplained symptoms (MUS), symptoms that remain a mystery despite extensive diagnostic studies. The most common MUS are back pain, abdominal pain, headache, fatigue, and dizziness. This book addresses the obstacles of managing people with MUS in our modern day society from both a historical and contemporary perspective. Most MUS are psychosomatic in origin, caused by a complex interaction between nature and nurture, between biological and psychosocial factors. Psychosomatic symptoms are as real and as severe as the symptoms associated with structural damage to the brain. Unique and concise, the book explores the biological and psychosocial mechanisms, the clinical features, and current and future treatments of common MUS. Exploring the unsolved in an accessible manner, Medically Unexplained Symptoms invokes the methodologies of medical science, history, and sociology to investigate how brain flaws can lead to debilitating symptoms.

Functional Disorders and Medically Unexplained Symptoms

Author : Per Fink,Marianne Rosendal
Publisher : Aarhus Universitetsforlag
Page : 210 pages
File Size : 50,7 Mb
Release : 2015-07-01
Category : Medical
ISBN : 9788771840629

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Functional Disorders and Medically Unexplained Symptoms by Per Fink,Marianne Rosendal Pdf

This book is based on extensive research in assessment and treatment of patients with functional disorders and provides a thorough background to functional disorders as well as the etiology, classification and treatment of the disorders. The book primarily targets clinicians in primary care, non-psychiatric specialties and other health care professionals. The chapters combine research and clinical experience and also provide techniques that can be applied in daily clinical practice, both in terms of identifying the patients as well as helping the patients to better cope with their disorder. The highly structured hands-on treatment programme described in the book is now a compulsory part of the specialist training of Danish primary care physicians and has won the Academy of Psychosomatic Medicines Alan Stoudemire Award for Innovation and Excellence in Psychosomatic Medicine Education.

ABC of Medically Unexplained Symptoms

Author : Christopher Burton
Publisher : John Wiley & Sons
Page : 88 pages
File Size : 52,5 Mb
Release : 2012-11-20
Category : Medical
ISBN : 9781118495308

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ABC of Medically Unexplained Symptoms by Christopher Burton Pdf

This brand new title addresses the complex issues faced by primary health care practitioners in treating and managing patients with ‘medically unexplained symptoms'. It aims to develop guidelines and principles to help identify patients with medically unexplained symptoms, as they are typically underdiagnosed, and to manage symptoms more effectively with active patient involvement.

CBT for Long-Term Conditions and Medically Unexplained Symptoms

Author : Philip Kinsella,Helen Moya
Publisher : Routledge
Page : 204 pages
File Size : 42,5 Mb
Release : 2021-11-14
Category : Psychology
ISBN : 9781000476101

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CBT for Long-Term Conditions and Medically Unexplained Symptoms by Philip Kinsella,Helen Moya Pdf

CBT for Long-Term Conditions and Medically Unexplained Symptoms describes how cognitive behavioural therapy (CBT) can be used to treat anxiety and depression with a co-morbid long-term physical health condition (LTC) or medically unexplained symptoms (MUS). The book teaches cognitive behavioural therapists and other clinicians to help patients deal with the psychological aspects of physical symptoms, whatever their cause. It is divided into three parts, beginning with core skills for working with people with LTC and MUS. This includes assessment, formulation and goal setting. Part II focuses on CBT for LTC and includes chapters on low intensity interventions, working with depression and anxiety using protocols, and a consideration of an identity and strengths-based approach to working with LTC. The final part provides details of a formulation driven approach to working with MUS, broken down into individual chapters on working with behaviours, cognitions and emotions. With numerous case examples, the book provides accessible and practical guidance for mental health professionals, particularly CBT practitioners, working with anyone with long-term conditions or MUS.

Child Psychology and Psychiatry

Author : David Skuse,Helen Bruce,Linda Dowdney,David Mrazek
Publisher : John Wiley & Sons
Page : 392 pages
File Size : 41,8 Mb
Release : 2011-06-01
Category : Medical
ISBN : 9781119995746

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Child Psychology and Psychiatry by David Skuse,Helen Bruce,Linda Dowdney,David Mrazek Pdf

Written by leading clinicians and research experts in the fields of child development and psychopathology, this book is an authoritative and up to date guide for psychologists, psychiatrists, paediatricians and other professionals working with vulnerable children. The opening chapters outline neurobiological, genetic, familial and cultural influences upon child development, especially those fostering children's resilience and emotional wellbeing. Discussion of the acquisition of social and emotional developmental competencies leads on to reviews of child psychopathology, clinical diagnoses, assessment and intervention. Developed with busy professionals and trainees in mind, it is comprehensively yet concisely written, using visual aids to help the reader absorb information rapidly and easily. This book is an essential purchase for those working or training in all clinical and community child settings.

Handbook of Liaison Psychiatry

Author : Geoffrey Lloyd,Elspeth Guthrie
Publisher : Cambridge University Press
Page : 903 pages
File Size : 51,9 Mb
Release : 2007-05-24
Category : Medical
ISBN : 9781139461634

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Handbook of Liaison Psychiatry by Geoffrey Lloyd,Elspeth Guthrie Pdf

Liaison psychiatry, the recognition and management of psychiatric problems in the general medical setting, is an essential component of many doctors' work. Depression, anxiety and somatization disorders occur in about 50% of cases presented to primary care physicians. The Handbook of Liaison Psychiatry was first published in 2007 and is a comprehensive reference book for this fast-growing subspecialty. A team of experts in the field cover the full range of issues, from establishing a service and outlining the commonest problems encountered in general hospitals and primary care, to assessment and treatment guidelines, working with specific units within the hospital setting, disaster planning and legal-ethical considerations. It will be essential reading for doctors and other professionals concerned with the psychological health of patients in acute general hospitals and in primary care.

Cambridge Handbook of Psychology, Health and Medicine

Author : Susan Ayers
Publisher : Unknown
Page : 0 pages
File Size : 44,9 Mb
Release : 2007
Category : Psychology
ISBN : 184972444X

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Cambridge Handbook of Psychology, Health and Medicine by Susan Ayers Pdf

Health psychology is a rapidly expanding discipline at the interface of psychology and clinical medicine. This text offers a comprehensive, accessible, one-stop resource for clinical psychologists, mental health professionals and specialists in health-related matters.

Somatoform and Other Psychosomatic Disorders

Author : Christos Charis,Georgia Panayiotou
Publisher : Springer
Page : 220 pages
File Size : 48,9 Mb
Release : 2018-07-23
Category : Psychology
ISBN : 9783319893600

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Somatoform and Other Psychosomatic Disorders by Christos Charis,Georgia Panayiotou Pdf

This intriguing volume presents the most contemporary views on the conceptualization and treatment of somatoform disorders and related conditions from experts in psychodynamic and cognitive behavioral approaches. It does so with respect to both perspectives, without advocating for either approach. By presenting expert views from diverse perspectives, the book raises, what is a central point in most of the chapters, that emotion, its processing and regulation, is a cornerstone of these disorders. The volume also highlights the role of pathogenic coping or defense mechanisms like dysfunctional avoidance (from a CBT perspective) and conversion (from the psychodynamic perspective) in the maintenance of psychosomatic symptoms. The volume’s contents include detailed literature reviews on the most common—and most treatment-resistant—mind/body conditions, including chronic pain, responses to trauma, alexithymia, and the spectrum of health anxiety disorders. Noted experts distinguish between types of medically unexplained symptoms, discuss their complex processes, and provide models for intervention where cognitive-behavioral or psychodynamic approaches may be appropriate or effective. And a fascinating case study of a patient presenting multiple trauma-related disorders explores therapist resourcefulness over a course of shifting symptoms and frustrating setbacks. Among the topics covered: Maintaining mechanisms of health anxiety: current state of knowledge. Negative affect and medically unexplained symptoms. Alexithymia as a core trait in psychosomatic and other psychological disorders. Trauma and its consequences for body and mind. Embodied memories, a new pathway to the unconcious. Psychotherapy among HIV patients: a look at a psychoimmunological research study after 20 years. Health anxiety: a cognitive-behavioral framework. The wealth of options discussed in Somatoform and Psychosomatic Disorders offers health psychologists, psychiatrists, psychotherapists, counselors, and psychoanalysts bold new ideas for case formulation, treatment planning, and intervention with some of their most intractable cases.

Functional Somatic Symptoms in Children and Adolescents

Author : Kasia Kozlowska,Stephen Scher,Helene Helgeland
Publisher : Springer Nature
Page : 397 pages
File Size : 46,7 Mb
Release : 2020-09-30
Category : Psychology
ISBN : 9783030461843

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Functional Somatic Symptoms in Children and Adolescents by Kasia Kozlowska,Stephen Scher,Helene Helgeland Pdf

This open access book sets out the stress-system model for functional somatic symptoms in children and adolescents. The book begins by exploring the initial encounter between the paediatrician, child, and family, moves through the assessment process, including the formulation and the treatment contract, and then describes the various forms of treatment that are designed to settle the child’s dysregulated stress system. This approach both provides a new understanding of how such symptoms emerge – typically, through a history of recurrent or chronic stress, either physical or psychological – and points the way to effective assessment, management, and treatment that put the child (and family) back on the road to health and well-being.

Somatoform Disorders

Author : Ono Yutaka,Aleksandar Janca,Masahiro Asai,Norman Sartorius
Publisher : Springer Science & Business Media
Page : 303 pages
File Size : 44,5 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9784431685005

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Somatoform Disorders by Ono Yutaka,Aleksandar Janca,Masahiro Asai,Norman Sartorius Pdf

Medically unexplained somatic symptoms are problematic in psychiatry, primary care settings, and other clinical areas. The burden they impose on health-care systems constitutes a significant public health problem. At the international symposium "Rethinking Somatoform Disorders," this problem was addressed by specialists working in somatoform disorders, psychiatric nosology, epidemiology, and biological and cross-cultural psychiatry. The meeting was the third of the Keio University International Symposia for Life Sciences and Medicine, in collaboration with the World Health Organization and the World Psychiatric Association.

Cognitive Behavioural Approaches to the Understanding and Treatment of Dissociation

Author : Fiona Kennedy,Helen Kennerley,David Pearson
Publisher : Unknown
Page : 0 pages
File Size : 53,7 Mb
Release : 2013
Category : PSYCHOLOGY
ISBN : 0415687764

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Cognitive Behavioural Approaches to the Understanding and Treatment of Dissociation by Fiona Kennedy,Helen Kennerley,David Pearson Pdf

A wide-ranging study linking dissociation to disorders of all types and discussing its treatment with cognitive behavioural therapy.

Gulf War and Health

Author : Institute of Medicine,Board on the Health of Select Populations,Committee on Gulf War and Health: Treatment for Chronic Multisymptom Illness
Publisher : National Academies Press
Page : 243 pages
File Size : 43,9 Mb
Release : 2013-04-04
Category : Medical
ISBN : 9780309278058

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Gulf War and Health by Institute of Medicine,Board on the Health of Select Populations,Committee on Gulf War and Health: Treatment for Chronic Multisymptom Illness Pdf

Chronic multisymptom illness (CMI) is a serious condition that imposes an enormous burden of suffering on our nation's veterans. Veterans who have CMI often have physical symptoms (such as fatigue, joint and muscle pain, and gastrointestinal symptoms) and cognitive symptoms (such as memory difficulties). For the purposes of this report, the committee defined CMI as the presence of a spectrum of chronic symptoms experienced for 6 months or longer in at least two of six categories-fatigue, mood, and cognition, musculoskeletal, gastrointestinal, respiratory, and neurologic-that may overlap with but are not fully captured by known syndromes (such as CFS, fibromyalgia, and IBS) or other diagnoses. Despite considerable efforts by researchers in the United States and elsewhere, there is no consensus among physicians, researchers, and others as to the cause of CMI. There is a growing belief that no specific causal factor or agent will be identified. Many thousands of Gulf War veterans1 who have CMI live with sometimes debilitating symptoms and seek an effective way to manage their symptoms. Estimates of the numbers of 1991 Gulf War veterans who have CMI range from 175,000 to 250,000 (about 25-35% of the 1991 Gulf War veteran population), and there is evidence that CMI in 1991 Gulf War veterans may not resolve over time. Preliminary data suggest that CMI is occurring in veterans of the Iraq and Afghanistan wars as well. In addition to summarizing the available scientific and medical literature regarding the best treatments for chronic multisymptom illness among Gulf War veterans, Gulf War and Health: Volume 9: Treatment for Chronic Multisymptom Illness recommends how best to disseminate this information throughout the VA to improve the care and benefits provided to veterans, recommends additional scientific studies and research initiatives to resolve areas of continuing scientific uncertainty and recommends such legislative or administrative action as the IOM deems appropriate in light of the results of its review.

Somatoform and Factitious Disorders

Author : Katharine A. Phillips
Publisher : American Psychiatric Pub
Page : 204 pages
File Size : 47,8 Mb
Release : 2008-11-01
Category : Medical
ISBN : 9781585628025

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Somatoform and Factitious Disorders by Katharine A. Phillips Pdf

Beset by contradictions, somatoform and factitious disorders have an unusually long, rich, and colorful historical and clinical tradition. Yet, some of them have received only limited empirical investigation. This book continues that rich tradition by offering a broad and scholarly synthesis of the current knowledge -- and controversies -- about somatoform and factitious disorders. Here you'll find up-to-date, clinically focused overviews of these intriguing and often difficult-to-treat disorders. Recognized experts present the latest findings along with insightful recommendations and illustrative case studies on Somatization disorder -- The evolution and problems of diagnostic criteria (e.g., its focus on symptom counting), epidemiology, clinical features, etiologic considerations, differential diagnosis (e.g., contrasted with depressive and anxiety disorders), evaluation (use of questionnaires), and treatment considerations (psychotherapy, psychotropic medications). Hypochondriasis -- History, clinical features, theoretical models (psychodynamic, cognitive-behavioral, and physiologic), research studies, and practical techniques for treatment (from pharmacotherapy to cognitive behavioral therapy to alternative treatments such as relaxation therapy). Body dysmorphic disorder -- History and prevalence, clinical features, treatment (including surgery and nonpsychiatric medical treatment), etiology and pathophysiology (its relationship to obsessive-compulsive, depressive, and eating disorders), and diagnosis and misdiagnosis. Conversion disorder -- Diagnostic criteria and clinical subtypes, history and definitions, models of symptom generation, functions served by conversion symptoms, associated features, epidemiology, demographic and disease course, comorbidity, differential diagnosis, and treatment (best done in collaboration with an internist, primary care physician, or neurologist). Factitious disorders (widely known as Munchausen syndrome, its most extreme subtype) -- Empirical evidence related to epidemiology and etiology; diagnosis, clinical description, prevalence, and associated costs; limitations of current approaches; the reliability and usefulness of differential diagnoses; comorbidity, etiology, and management. Both concise and thorough, this extensively annotated volume clarifies the issues surrounding these fascinating disorders and offers practical guidance and recommendations, highlighting the pressing need for further research to improve patient care. As such, it will prove compelling reading for practicing psychiatrists and other physicians in any clinical setting who want to better understand the baffling complexities of these distressing disorders.

Somatic Presentations of Mental Disorders

Author : Joel E. Dimsdale,Yu Xin,Arthur Kleinman,Vikram Patel,William E. Narrow,Paul J. Sirovatka,Darrel A. Regier
Publisher : American Psychiatric Pub
Page : 208 pages
File Size : 51,9 Mb
Release : 2009-03-02
Category : Medical
ISBN : 9780890426562

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Somatic Presentations of Mental Disorders by Joel E. Dimsdale,Yu Xin,Arthur Kleinman,Vikram Patel,William E. Narrow,Paul J. Sirovatka,Darrel A. Regier Pdf

Sometimes described as "the nemesis of the primary care physician," somatoform disorders are frustrating, expensive to treat, and under-investigated. Somatic Presentations of Mental Disorders provides a fascinating and practical review of the epidemiology, diagnosis, and treatment of this ill-defined category of disease. Somatic Presentations of Mental Disorders summarizes the proceedings of a unique international conference that convened experts from across disciplines to review perspectives on somatoform disorders. The broad range of experience and specialization results in a compendium that addresses both theoretical and practical issues presented in somatoform disorders. For the researcher, the book offers a thorough and critical overview of the research landscape, surveying and synthesizing the available literature from around the world on all aspects of the disorder. Acknowledging the unique challenges presented in studying such a heterogeneous collection of disorders, the authors identify specific gaps in the research literature. Somatic Presentations of Mental Disorders also addresses controversial issues of nosology in advance of the publication of DSM-V. Despite its utility for researchers, the book primarily serves as an invaluable reference and resource for the practitioner. Organized with the clinician in mind, Somatic Presentations of Mental Disorders surveys the latest data on phenomenology; etiology and clinical course; and treatment options. Unlike other literature on this difficult topic, the authors thoroughly explore the entire range of this category of disorders, including conversion disorder, chronic pain and fatigue, and the multitude of presentations of medically unexplained symptoms. Aimed at both primary care and mental health practitioners, the book addresses crucial issues for effective diagnosis and treatment, including: Comorbidity and association with anxiety and depressive disorders Unique insights into cultural factors affecting the presentation and treatment of somatic disorders around the globe The prevalence of misdiagnosis, and contemporary diagnostic tools and techniques to help avoid a missed organic diagnosis The complicated interrelationship of somatoform disorders and substance abuse The efficacy of various treatment modalities, including pharmacology and cognitive behavioral therapy Collaboration between primary care and mental health providers to maximize treatment outcomes Comprehensive, thoughtful, and up-to-date, Somatic Presentations of Mental Disorders is a must-have both for researchers in the field and for clinicians with somatizing patients.