How do you approach the assessment and treatment of older adults with somatic symptom disorders?

Sample interview questions: How do you approach the assessment and treatment of older adults with somatic symptom disorders?

Sample answer:

Assessment

  • Comprehensive medical evaluation: Rule out underlying medical conditions that may mimic somatic symptoms.
  • Psychiatric evaluation: Assess for co-occurring mental health disorders, such as anxiety, depression, or personality disorders.
  • Psychological assessment: Utilize instruments like the Patient Health Questionnaire-15 (PHQ-15) or the Somatic Symptom Inventory (SSI) to screen for somatic symptoms.
  • Cognitive assessment: Evaluate cognitive functioning, particularly attention, memory, and executive function, which can impact symptom perception and management.
  • Social and environmental assessment: Explore the individual’s social support network, living situation, and any stressors that may contribute to symptoms.

Treatment

  • Cognitive-behavioral therapy (CBT): Focus on identifying and challenging maladaptive beliefs and behaviors related to somatic symptoms.
  • Mindfulness-based interventions: Teach techniques for reducing symptom awareness and fostering acceptance.
  • Acceptance and commitment therapy (ACT): Emphasize accepting s… Read full answer

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