The psychiatric and psychological management of pain Treatment of mental disorders

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The treatment of chronic pain has presented a challenge to the ingenuity of health professionals, particularly because no single specialty or health profession has the range of skills that are required. The treatment of mental disorders,(4) such as depressive or anxiety disorders, is similar in most respects, whether or not pain is a prominent feature. The presence of pain may lead to additional problems due to somatization. In the presence of pain, mental disorders tend to be missed, and when recognized are treated inadequately. Depressive disorders with features indicating a good response to antidepressants should be treated with full therapeutic doses, but not with narcotics. Anxiolytic drugs, including benzodiazepines, which result in dependence should not be used in the treatment of these chronic disorders.

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