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a) ** when paying attention to the problem.
1. Pay attention to the doctor-patient relationship.
**Initially, it is important to pay attention to the establishment of a doctor-patient relationship. It is necessary to treat the patient's pain and complaints with patience, compassion and acceptance, and understand that he is indeed sick, and not all "imaginary problems" or "feigned illness". This is because most patients have had a long experience of seeking medical treatment, and their symptoms and pain may have been denied by other doctors.
In fact, there are many patients who come to the clinic again with anger after being denied by other doctors.
2. Pay attention to early medical assessment.
For the management of such patients, a thorough medical evaluation and appropriate examination should be done in the early stages, and the results of the examination should be clearly reported by the physician and supplemented orally. If the patient is rashly asked to see a psychiatrist, it can only cause the patient to be disgusted. Medication can be a starting point, but emphasis should be placed on psychological and social assessments.
3. Introduce the topic of psychosocial factors as soon as possible.
Once the diagnosis of somatoform disorder is confirmed, the clinician should discuss the relationship between psychosocial factors and the physical disorder as early as possible. Patients should be encouraged to view their illness as physical, emotional, and social.
4. Give appropriate explanations and guarantees.
Giving explanations and assurances based on the results of medical examinations has a certain effect in itself. However, assurances should be given at the right time, not before the examinations and before the patient has failed to properly express their distress.
5. Properly control the patient's requirements and treatment measures.
Doctors should avoid promising to schedule too many tests that may reinforce the patient's illness behavior. Doctors can make regular appointments with patients and provide necessary tests but not too often, so that the analysis can avoid misdiagnosis and on the other hand, reduce the patient's anxiety. Family members of the patient should be educated about the disease, as family members may also reinforce the patient's disease behavior.
b) Psychological**.
Psychology is the main form, the purpose of which is to let patients gradually understand the nature of the disease, change their wrong concepts, contact or reduce the influence of mental factors, so that patients have a relatively correct assessment of their physical condition and health status. At present, there are chapters and monographs related to psychoanalysis, behavior and cognition.
c) Medications**.
Benzodiazepines, tricyclic antidepressants, SSRISs, and symptomatic analgesics and sedatives can be used. Attention should be paid to starting with a small dose, and the possible *** and the time of onset of action should be explained to the patient to increase the patient's compliance with **.
d) Miscellaneous. Acupuncture, physiotherapy, qigong, etc. are effective for some patients and can be tried.
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1. Nowadays, medicine has not said that trace elements can cause pain all over the body. 2. Somatic form disorder has symptoms of generalized wandering pain. 3. If the diagnosis is somatic form disorder, please go to a regular specialist hospital for treatment. 4. Have a good life!
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It can be conditioned in the way of traditional Chinese medicine.
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Suffering from somatoform disorder should be positive, so what is the principle of somatic form disorder?
The original stealth rent of the somatic form disorder is ****. At present, there are two main types of somatoform disorder: one is psychological, which is effective in alleviating anxiety and depression with the combination of drugs and psychology.
One is the drug**, which is the main method of somatic form disorder at present, clonazepam**, plus selective serotonin reuptake inhibitor drugs, generally choose clonazepam**, combined with fluoxetine or sertraline**.
It is important to note that the course of somatoform disorder is relatively long, and some patients may also experience anxiety, irritability, and paranoia. Patients with the disease often also have autonomic disorders, which may invade multiple organs such as the respiratory system, gastrointestinal tract and cardiovascular system, which shows the severity of the disease.
Somatic form disorder is a neurosis characterized by persistent fear or belief in the dominant notion of various somatic symptoms. The patient has repeatedly sought medical attention for these symptoms, and various negative medical tests and doctor's explanations have not reassured his doubts. Even if there is sometimes a physical disorder, it does not explain the nature and extent of the symptoms complained of, or the perception of distress and dominance. >>>More
There are doctors who specialize in this area.
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It is a very intractable disease that requires long-term training, and there are special institutions in Shenyang and Beijing, which are generally called "autism and autism training centers".