Review  |   August 2017
Functional Somatic Syndrome: Assessment and Management
Author Notes
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  • Disclaimer: The views expressed herein are those of the authors and do not necessarily reflect the official policy or position of the Department of the Army, Department of Defense, or the US Government. 
  •  *Address correspondence to Christopher J. Graver, PhD, Neuropsychology, MCHJ-CLU-CP, 9040 Jackson Ave, Tacoma, WA 98431-1100. E-mail: christopher.j.graver.civ@mail.mil
     
Article Information
Neuromusculoskeletal Disorders / Psychiatry
Review   |   August 2017
Functional Somatic Syndrome: Assessment and Management
The Journal of the American Osteopathic Association, August 2017, Vol. 117, 511-519. doi:10.7556/jaoa.2017.101
The Journal of the American Osteopathic Association, August 2017, Vol. 117, 511-519. doi:10.7556/jaoa.2017.101
Abstract

Functional somatic syndrome (FSS) occurs in as many as 30% of patients in general medical practice, but it is infrequently a topic of formal instruction. Many physicians feel uncomfortable with medically unexplained symptoms and are unfamiliar with how to assess or manage them. Traditional medical approaches can be ineffective and can contribute to iatrogenic or adverse physiologic effects in patients. Physicians treating patients with FSS should not only consider standard medical tests, but they should also try to gain a deeper behavioral understanding of the mind-body connections that underlie the presenting symptoms. Osteopathic physicians, with their emphasis on holistic patient care, are in a key position to treat patients with FSS. This review provides a brief recapitulation of the literature and illustrates key factors in the assessment and management of FSS.

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