Somatic Symptom Disorder

  • Kurt FritzscheEmail author


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.


Functional 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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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Psychosomatic Medicine and PsychotherapyCenter for Mental Health, Medical Center - University of Freiburg, Faculty of Medicine, University of FreiburgFreiburgGermany

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