Patients with the diagnosis somatic symptom disorder/bodily distress disorder present multiple somatic symptoms and demand for medical exermination despite the lack of organic findings (dysfunctional illness behavior). The doctor-patient relationship is often difficult. Basic interventions are: taking the physical complaints seriously; showing the patient that you understand his helplessness, disappointment and anger; and exploring the subjective symptom beliefs. A three-stage model for intervention including a stepped-care approach is advised.
KeywordsFunctional somatic symptoms Somatic symptom disorder Bodily distress disorder Illness perception and illness behaviour Doctor-patient relationship Three-stage model Symptom diary
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