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Fifteen-minute consultation: Medically unexplained symptoms
  1. David John Cottrell
  1. Correspondence to Professor David John Cottrell, Leeds Institute of Health Sciences, School of Medicine, University of Leeds, 1.08 Charles Thackrah Building, 101 Clarendon Road, Leeds LS2 9LJ, UK; d.j.cottrell{at}


Medically unexplained symptoms are common and not always easy to manage. A wide range of symptoms may be presented and anxiety in the child, family and paediatrician about the possibility of a missed serious organic diagnosis may hamper effective management. Evidence-based approaches to a number of different presenting problems share a number of components. A model for assessment and management based on clinical experience and this evidence base is described.

  • Child Psychiatry
  • Child Psychology
  • General Paediatrics
  • Pain
  • Chronic Fatigue Syndrome

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