Somatoform Pain Disorder
Strives to gratify the needs for satisfaction and security
Conflict between id and superego
A hypothalamic-pituitary-adrenal reaction to stress
A conditioned response to stressors
Ineffective individual coping
Alteration in comfort. pain
Altered role performance
Impaired social interaction
Physical symptoms are explained by organic causes
It is a voluntary expression of psychological conflicts
Expression of conflicts through bodily symptoms
Management entails a specific medical treatment
“I know the feeling is real tests revealed negative results.”
“I think you’re exaggerating things a little bit.”
“Try to forget this feeling and have activities to take it off your mind.”
“So tell me more about the pain.”
Provide as much structure as possible for the child
Ignore the child’s overactivity.
Encourage the child to engage in any play activity to dissipate energy
Remove the child from the classroom when disruptive behavior occurs
Easy distractibility to external stimuli.
Preference for inanimate objects.
Serious violations of age related norms.
Increased attention span and concentration
Increase in appetite
Sleepiness and lethargy
Bradycardia and diarrhea
Returning the child to the school immediately with family support.
Calmly explaining why attendance in school is necessary
Allowing the child to enter the school before the other children
Allowing the parent to accompany the child in the classroom