Smith M S
Clin Pediatr (Phila). 1986 Mar;25(3):131-5. doi: 10.1177/000992288602500301.
Adolescent patients commonly experience symptoms such as headache, chest pain, abdominal pain, or dizziness that are psychophysiologic responses to stress, anxiety, and depression. Because most symptomatic adolescents initially visit medical providers, and not mental health professionals, the clinician is faced with the challenge of providing a comprehensive evaluation that is not merely focused on the symptom. In addition to a careful medical assessment, this evaluation must include a review of psychosocial functioning in the family, school, peer group, and community. Appropriate management may include supportive counseling, instruction in relaxation techniques, anti-depressant medication, and referral for psychotherapy.
青少年患者通常会出现头痛、胸痛、腹痛或头晕等症状，这些都是对压力、焦虑和抑郁的心理生理反应。由于大多数有症状的青少年最初会去看医疗服务提供者，而不是心理健康专业人员，临床医生面临着提供全面评估的挑战，这种评估不仅仅关注症状。除了仔细的医学评估外，这种评估还必须包括对家庭、学校、同龄人群体和社区中心理社会功能的审查。适当的管理可能包括支持性咨询、放松技巧指导、抗抑郁药物治疗以及转介接受心理治疗。
