Table 3.

Principles of Treatment of Pediatric Somatization

  • Form an alliance with the patient and family

  • Be direct; avoid deception in explanations and treatments

  • Offer reassurance when appropriate

  • Use cognitive and behavioral interventions

  • Use a rehabilitative approach

  • Use positive and negative reinforcement

  • Teach self-monitoring techniques (eg, hypnosis, relaxation, biofeedback)

  • Consider family and group therapies

  • Improve communications between clinicians and school

  • Consolidate care when possible

  • Aggressively treat comorbid psychiatric conditions

  • Consider psychopharmacologic interventions

  • Monitor outcome

  • Adapted from Campo and Fritz, 2001.