Abstract
In the solution-focused approach, the effort is concentrated on the solution talk about the state without the problems. In this report, we applied the solution-focused approach to the woman with premenstrual syndrome, whose lower abdominal pain had been severe. (Case) A 30-year-old nulliparous woman had been treated in several hospitals as endometriosis or vegetative dystonia. Although gonadotropin-releasing hormone agonist was used to treat "endometriosis", no effect was found. Treatment with non-steroidal anti-inflammatory drugs had also failed. Then we focused on the expected state after solution and those have already been worked out, in which "scaling question" and "miracle question" techniques were found to be very useful. After the treatment, she needs only small amount of non-steroidal anti-inflammatory drugs in premenstrual period. Premenstrual severe pain was remarkably recovered. Solution-focused approach is the method to facilitate patient's participation in the treatment process and it makes the patient's motivation stronger. It may be an useful technique in psychosomatic obstetrics and gynecology.
