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Comment & Response
May 18, 2020

Somatic Symptom Disorder and the Physician’s Role—Reply

Author Affiliations
  • 1Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy
  • 2University of Trieste, Trieste, Italy
JAMA Pediatr. Published online May 18, 2020. doi:10.1001/jamapediatrics.2020.0171

In Reply We thank Galvin et al for their comments on our Viewpoint.1 We appreciate and share their efforts to support both patients’ mental health and physical well-being.

Children and adolescents affected by physical symptoms that cause a considerable, sometimes severe, limitation of daily activities may receive a wide variety of diagnoses such as fibromyalgia, postural orthostatic tachycardia syndrome, chronic fatigue syndrome, or chronic Lyme disease.2 We are concerned that for these patients, some diagnoses may lead to unnecessary tests and inappropriate treatments and that sometimes the diagnosis itself may contribute to perpetuating the symptoms in a vicious circle.

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