What is the best treatment for adult somatization disorder?

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Abstract

EVIDENCE-BASED ANSWER

Psychological therapies, cognitive behavioral therapy (CBT), and enhanced care by the primary care physician (PCP) all have small positive effects in adults with somatization disorder (SOR: B, systematic review of low-quality RCTs). Yet, when compared with enhanced care, psychological therapies generally were not more effective. SSRIs/SNRIs and St. John's wort have moderate positive effects in reducing the severity of physical symptoms (SOR: B, systematic review of lowquality RCTs).

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