somatic symptom d Isorder characterized by a focus on somatic Comysical 815) swhas pain or fatque of excess concern procurpation and bear. feelings of suffering are authenthic * made up- these feelings regnt in 9 severe impaiment. severe s/s = severe impaiment. There IS a level of help seeking seeing a mo does decrease I ease patient concerns. common S/S and complaints to MD chest pain swellings abd rain latigue back pain numberss, disuneass SOB HA. . Insomina one serere symptom 18 present PAIN when all tests Idlagnostics comeback negative patients feel discounted and misunderstood, prevalance IS in women there IS underlying amxiety and depression. genetic components environmental factors (smess, Idex of education low socioeconomic status.) Interventions 8thmgtherapeutil relationship education re. manifestations of samatie symptom disorder. consistent reassurance support family encourage healthy libestyle concentrate on their feelings (initially 0 sts.) fours on self compassion, and internal locus of count. TX: hypnotherapy Cognitive behanoral therepy. Tricylic antidepressants (amtryptyline) successful. SSRIS (fluoxetine)