Japanese Journal of Psychosomatic Medicine
Online ISSN : 2189-5996
Print ISSN : 0385-0307
ISSN-L : 0385-0307
How should Otolaryngologists Treat Dizziness/vertigo Patients with Psychosomatic or Psychiatric Problems ?(Symposium/Psychosomatic Approach for Dizziness)
Toshihisa Murofushi
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2014 Volume 54 Issue 8 Pages 760-766

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Abstract

The author described as an otolaryngologist how Otolaryngologists assessed patients with complain of vertigo/dizziness and when Otolaryngologists referred them to psychiatrists or psychosomatic physicians. First of all, Otolaryngologists need to clarify whether patients have somatic disorders. Then, Otolaryngologists try to assess the extent of psychological factors in vertigo/dizziness of patients. Fundamental policies of Otolaryngologists are as follow. 1. When patients possess somatic diseases with a mild or little psychological problem, Otolaryngologists continue to treat patients by themselves. 2. When patients possess somatic diseases with a moderate or serious psychological or psychiatric problem, Otolaryngologists ask psychosomatic physicians or psychiatrists to see patients with them. 3. When patients possess no clear somatic diseases or psychological problem, patients will be just under observation. 4. When patients possess moderate or serious psychiatric problems without somatic disease, Otolaryngologists refer them to psychiatrists.

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© 2014 Japanese Society of Psychosomatic Medicine
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