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Clinical Pediatrics
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*Child Mental Health
*Teen Development
*Teen Mental Health
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Evaluation and Management of Psychosomatic Symptoms in Adolescence

Mark Scott Smith

Adolescent Services, Children's Orthopedic Hospital and Medical Center, Division of Adolescent Medicine, Department of Pediatrics, University of Washington, Seattle, Washington

Adolescent patients commonly experience symptoms such as headache, chest pain, abdominal pain, or dizziness that are psychophysiologic responses to stress, anxiety, and depression. Because most symptomatic adolescents initially visit medical providers, and not mental health professionals, the clinician is faced with the challenge of providing a comprehensive evaluation that is not merely focused on the symptom. In addition to a careful medical assessment, this evaluation must include a review of psychosocial functioning in the family, school, peer group, and community. Appropriate management may include supportive counseling, instruction in relaxation techniques, anti-depressant medication, and referral for psychotherapy.

Clinical Pediatrics, Vol. 25, No. 3, 131-135 (1986)
DOI: 10.1177/000992288602500301
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M. S. Smith and W. M. Womack
Stress Management Techniques in Childhood and Adolescence: Relaxation Training, Meditation, Hypnosis, and Biofeedback: Appropriate Clinical Applications
Clinical Pediatrics, November 1, 1987; 26(11): 581 - 585.
[Abstract] [PDF]