Medically_Unexplained_Symptoms_Flashcards
What is involved in the therapeutic assessment of medically unexplained symptoms?
A therapeutic assessment involves a full history and physical examination.
How can explaining and reassuring patients help with medically unexplained symptoms?
Many patients will benefit from being reassured that their symptoms are not serious, are common and familiar.
What is the reattribution model in the context of medically unexplained symptoms?
The reattribution model ensures patients feel understood, broadens the agenda from physical to psychological causes, and makes a link between symptoms and psychological factors.
Why should over-investigation and unnecessary specialist referrals be avoided?
Over-investigation and unnecessary specialist referrals should be avoided as they reinforce physical illness beliefs and may increase anxiety, but ensure reasonable investigation.
What type of support is important for patients with medically unexplained symptoms?
Emotional support involves encouraging patients to discuss emotional difficulties and supporting them in dealing with stress.
Why is it important to encourage normal function in patients with medically unexplained symptoms?
Encouraging normal function is important because patients may avoid normal activities thinking it will exacerbate problems.
When might antidepressants be useful for patients with medically unexplained symptoms?
Antidepressants may be useful even without depression, such as in cases of tension headache or IBS.
What comorbid illnesses should be treated in patients with medically unexplained symptoms?
Comorbid illnesses, particularly anxiety or depression, should be treated.
What therapeutic approaches can be helpful for medically unexplained symptoms?
Therapeutic approaches that can be helpful include CBT and graded exercise, particularly in CFS and fibromyalgia.
