Lois’s psychiatrist has admitted her to the psychiatric unit with a diagnosis of Somatic Symptom Disorder. Lois is 38 years old and has been seeing a psychiatrist off and on since she was 16 years old,

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Lois’s psychiatrist has admitted her to the psychiatric unit with a diagnosis of Somatic Symptom Disorder. Lois is 38 years old and has been seeing a psychiatrist off and on since she was 16 years old, when the family was deserted by her father. Lois was the oldest of five children. At that time, Lois was admitted to the hospital by the family physician for “abdominal pain.” No physical etiology was found, and the physician told Lois’s mother that Lois suffered from “nervous stomach.” Over the years, she has been treated on an outpatient basis or hospitalized for chest pain, abdominal pain, backaches, food intolerances, and fatigue. She has had a hysterectomy and a thyroidectomy. She is insisting at this time that she has a problem with her stomach that the doctor is not finding. She is very depressed and tells the nurse, “I can’t stand all this pain. I just can’t understand why the doctor can’t find my problem. I know I’m depressed, but that’s not causing my stomach pain. They need to keep looking for it.” The psychiatrist keeps reassuring Lois that no pathophysiology exists for her pain. Design a care plan for Lois.

 
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