Psychological & psychiatric aspects of fibromyalgia (FM) syndrome

Fibromyalgia patients hardly suffer from major psychiatric
illnesses. Most often, persistent somatoform pain disorder
(ICD-10) and dysthymia are identified by psychiatric
assessment. Features of "pain proneness" can also be found
regularly, which can explain the elevated levels of stress
observed in FMS. Repeated traumatic experiences during
childhood and as adults can be discovered in many cases, which
helps to understand some of the difficulties met in
psychotherapy with FMS patients. Modified psychotherapy
techniques are recommended using pain- centered behavioral
methods initially, and progressing only later to an insight
orientated approach.

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