Health ministry of republic of moldova the university of medicine and pharmacy nicolae testemiţanu

The treatment of pain
disorder associated with a psychiatric 
disorder is the treatment of the primary condition. Skill is required to 
maintain a working relationship with patients unwilling to accept a 
psychological basis for their pain. Any associated physical disorder 
should be treated and adequate analgesics provided. The management of 
chronic pain should be individually planned, comprehensive, and 

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involve the patient's family. Behavioral treatments are useful. However, 
many patients with chronic pain lack the motivation needed to make full 
use of these methods. In some cases such treatment aims to reduce social 
reinforcement of maladaptive behavior, and to encourage the patient to 
seek ways to overcome disability.
Pharmacological and behavioral therapies may be combined for 
some patients. Multidisciplinary pain clinics provide expertise in and 
resources for arrange of treatments. Although many patients are unwil-
ling to accept such treatment and others are considered unsuitable, the 
evidence is that they are cost-effective for participants. 
Antidepressants, drug therapy, psychotherapy, supportive measures 
such as hot and cold packs, physical therapy, distraction techniques, and 
pharmacotherapy are used to overcome pain disorder.
 
Questions for self-evaluation: 
1.
Enumerate the main symptoms of psychosomatic (somatoform) 
diseases. 
2.
Explain why psychosomatic medicine is an interdisciplinary me-
dical field. 
3.
The psychosomatic diseases classification. 
4.
Explain the conversion symptoms according to psychodynamic 
theory. 
5.
Diagnostic criteria for conversion disorder. 
6.
Describe the symptoms of hypochondriasis disorder. 
7.
What measures imply the hypochondriasis treatment?
8.
Describe the causes and the symptoms of somatoform pain di-
sorder. 
9.
What measures imply the treatment of pain disorder?