Somatisation Flashcards
(6 cards)
What is somatisation?
Communication of emotional distress, troubled relationships and personal predicaments through bodily symptoms
How may a child with somatisation present?
Recurrent abdominal pains Headaches Limb pain Aching muscles Fatigue Neuro symptoms
What do you look for in the history of a child presenting with suspected somatisation?
Sources of stress at home or school
Older children may have stress in interpersonal relationships
What is Apley’s rule?
The further the pain is from the umbilicus, the more likely it is to be an organic pathology
What is a Tic?
A quick sudden co-ordinated movement which is apparently purposeful and recurs in the same part of the childs body - it may be inherited
What advice do you give for transient tics?
Reassurance only
Tourettes may be treated with CBT and clonazepam