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Psychotic and Somatic Symptom and Related Disorders 

Psychotic and Somatic Symptom and Related Disorders
Chapter:
Psychotic and Somatic Symptom and Related Disorders
Author(s):

Brian A. Palmer

DOI:
10.1093/med/9780190464868.003.0068
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date: 19 October 2019

Since 30% to 40% of ambulatory primary care visits have a psychiatric component, successful patient management often hinges on successful treatment of comorbid psychiatric illness. The key concept when assessing psychiatric symptoms is whether the symptom interferes with a patient’s functioning or causes distress. For example, a patient may have a fear of heights. If this acrophobia never causes an alteration in activity, intervention is unnecessary. If, however, this acrophobia causes distress and interferes with the patient’s functioning, intervention may be warranted.

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