How can we better manage somatizing patients?

• 1. Acknowledge Sx and explore meaning and importance to pt.

• 2. Establish that all Sx are real.

• 3. Negotiate a mutually acceptable txt goal.

• 4. Focus on Sx management, not Dx and cure while facilitating change in pt view to a rehabilatative meaning of somatic Sx

• 5. Coordination of care and multiple providers is essenetial.