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Educational Activity

Treating Patients With Emotional and Physical Symptoms

Rakesh Jain, MD

Published: May 13, 2009

This CME activity is expired. For more CME activities, visit
Find more articles on this and other psychiatry and CNS topics:
The Journal of Clinical Psychiatry
The Primary Care Companion for CNS Disorders

Article Abstract

Patients with major depressive disorder (MDD) often experience physical pain in addition to depression. Data have shown that as many as 65% of patients with MDD report physical pain. This case vignette presents Ms. S, a 54-year-old nurse with multiple emotional and somatic symptoms, and provides strategies for differentiating and treating the primary and secondary symptoms. For optimal outcomes, emotional and physical symptoms should be treated simultaneously. In addition, a thorough diagnostic process and effective pharmacotherapy are essential to achieving the goal of remission.

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