Magazine article Clinical Psychiatry News

Let's Get Honest about Fibromyalgia

Magazine article Clinical Psychiatry News

Let's Get Honest about Fibromyalgia

Article excerpt

It's time for rheumatologists to recognize and act on the fact that what we have been doing so far to manage fibromyalgia patients has not worked well. We are not the best equipped to care for patients with this complex disorder.

Fibromyalgia requires a multidisciplinary, biopsychosocial approach involving not just physicians, but mental health professionals and physical therapists. The therapeutic approach should be multifaceted, including both a pharmacologic approach and nonpharmacologic treatments such as exercise and meditation, and promotion of self-efficacy so that patients feel in control of their illness. These approaches are central to the successful self-management of a condition such as fibromyalgia, and patients need to be educated about the role of psychological factors.

Because of the social and behavioral factors associated with fibromyalgia, family physicians are in the best position to oversee the care of these patients. It is the family physician who is most likely to detect family stressors and developmental problems, such as childhood abuse, that can be precursors to fibromyalgia.

That's not to say that rheumatologists don't have a key role to play in providing at least a one-time consultation to confirm the diagnosis. …

Search by... Author
Show... All Results Primary Sources Peer-reviewed

Oops!

An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.