2020 Volume 60 Issue 4 Pages 321-326
In this paper, at first, we described the characteristics of somatoform disorder or medically unexplained symptoms in the old age (Senile MUS) at first. Then we showed a classification of Senile MUS. Senile MUS can be classified into 1. Transient somatization, 2. Hypochondriac anxiety type, 3. Obsessive type, 4. Symptoms fixed type in view of their clinical course. Finally, we proposed a recommended approach to Senile MUS. That is to say, 1. To ask the patient’s understanding model (What is she worried about?), 2. To assure the patient status based on physical or other examination, 3. To follow up her with a symptomatic treatment, 4. To regulate the patient’s autonomic nervous function through good daily life rhythm, 5. To guide the patient can shift her daily life from symptoms-centered one to her original one, 6. To be always conscious that the patient should take the leading role in her therapy.
