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Clinical Child Psychology and Psychiatry
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Severe Somatoform Disorder in Adolescence: A Case Series Using a Rehabilitation Model for Intervention

James Lock

Stanford University, USA

Andrew Giammona

East Field Ming Quong Mental Health

This article describes a multidisciplinary approach to the treatment of adolescent patients with severe and unremitting somatoform disorders on an inpatient pediatric psychiatry unit. The treatment approach includes the use of a rehabilitation model for behavioral shaping, supportive therapies, family therapies, and an adolescent treatment milieu. The article also provides a case example and results from a consecutive case series of seven patients treated using this approach. The patients treated using this approach demonstrated significant improvements in global assessments of functioning, decreased dependence on medical devices (wheel- chairs, crutches, feeding tubes), and a decreased need for pediatric interventions.

Key Words: adolescents • psychotherapy • rehabilitation • somatoform

Clinical Child Psychology and Psychiatry, Vol. 4, No. 3, 341-351 (1999)
DOI: 10.1177/1359104599004003005
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