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Translating Evidence on Depression and Physical Symptoms Into Effective Clinical Practice

Published: August 15, 2007

Article Abstract

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Although a patient may be more concerned with physical symptoms than emotional ones, Bill H. McCarberg, M.D., stated that clinicians must remember that painful physical symptoms often have an emotional aspect.

Presentation and Diagnosis
In primary care, patients often have physical symptoms that health care providers are unable to explain. Kroenke and Mangelsdorff1 reviewed 1000 patient records from an internal medicine clinic and found an organic etiology for patients’ symptoms in only 16% of cases despite diagnostic testing in more than two thirds of the cases (Table 1).

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