Causes of psychophysiologic disorder (PPD) symptoms are so diverse that even after assessing thousands of patients I still encounter new variations. Earlier this year a 65 year old retired nurse practitioner from Oregon whom I have worked with in the past contacted me because of months of abdominal pain. She suspected PPD because medical evaluation was unrevealing and her symptoms fluctuated for no obvious reason.
Posts Tagged ‘childhood stress’
One Approach to Psychophysiologic Disorders
Sunday, May 31st, 2015Recent on-line and in-person discussions with my colleagues who care for patients with Psychophysiologic Disorders (PPD) make it clear that there are many successful approaches to diagnosis and treatment. What these techniques have in common is clarifying for patients that psychosocial stress can cause real pain and/or other physical symptoms and that uncovering and treating these issues can relieve the illness (partially or completely). Our discussion led me to summarize my approach: (more…)
ACEs and Illness in Primary Care
Tuesday, February 10th, 2015New DVD on Adverse Childhood Experience
Monday, August 27th, 2012There is a new compilation of the latest research on the long-term impact of childhood adversity. I have written about this key subject in earlier blogs (here and again here). Now there is a new DVD where the latest research and its implications for policy are presented by those who conducted the studies.
Adverse Childhood Experience
Monday, April 2nd, 2012A therapist recently posed a key question about adverse childhood experiences (ACEs): what is the benefit to a patient of their family doctor knowing this information?