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PP-043 Somatic symptoms in a child
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  1. Alberta Shkembi,
  2. Gjeorgjina Kuli-Lito,
  3. Numila Kuneshka-Maliqari,
  4. Elda Skenderi
  1. University Hospital Center ‘Mother Tereza’ Tirana, Albania

Abstract

Aim This case presentation aims to highlight the significance of somatic symptoms in children.

Material and Method Somatization is not an unusual phenomenon in childhood, on the contrary, it is common for children to complain of pain that has no medical basis. These are pains that make the child’s life difficult, and for which effective treatment plans must be drawn up. Somatization is defined as the tendency to manifest and experience physical discomfort that has an unknown origin, the symptoms of which are attributed to a physical illness, and which require medical attention. Often in the childhood literature, somatization is defined by the presence of frequent physical complaints, such as headache, abdominal pain or abdominal discomfort, musculoskeletal pain, vomiting, dizziness, chest pain, or fatigue.

Results N is 11 years old, referred for evaluation after 1 year of pain in joints, muscle fatigue, inability to walk, headache, breathing difficulties. All specific medical examinations are carried out in terms of physical complaints and no possible organic cause is found. The patient‘s mother refers that N is a very loving child, energetic, and close to people. Art therapy was used to treat the patient. Art therapy is a form of expressive therapy that combines psychotherapeutic theories and techniques with an understanding of psychological aspects of the creative process or the creation of art. Techniques used; portrait of my family, Warm-Ups, play my life, etc.

Conclusions In conclusion it was possible for the patient to verbally articulate important events for her and emphasize her strength. Verbally identifying positive and negative life experiences, the patient explored what prevents her from reaching the goal, and overcoming the emotional problem. Expressed somatic symptoms were minimized. The patient was treated over a period of 6 months.

  • Somatic symptoms
  • Art therapy
  • Pain
  • Physical discomfort.

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