Symptoms in context

Persistent Pain & Physical Symptoms

Persistent symptoms are influenced by interacting biological, psychological and social processes. Recognising those interactions does not make the symptoms imaginary.

The clinical perspective

Supporting function alongside appropriate care

Behavioural Medicine can help people understand how attention, threat perception, sleep, activity, avoidance, expectation and nervous-system arousal may influence symptom burden and daily function.

The first priority is appropriate medical assessment. Behavioural treatment complements—not replaces—diagnosis, medication, physiotherapy, specialist pain care or psychological treatment when these are indicated.

The focus is usually not on promising complete symptom removal. It is on developing useful skills, reducing unhelpful cycles and improving function, confidence and quality of life.

How the work is approached

Assessment, formulation and practical change

Understand the cycle

Map the interactions among symptoms, threat, attention, activity, sleep and avoidance.

Develop flexibility

Build alternative responses rather than organising life entirely around symptom control.

Use attention deliberately

Clinical hypnosis or other attentional methods may be considered where appropriate.

Coordinate treatment

Maintain consistency with the wider medical, allied-health or psychological care plan.

Important context

Part of appropriate clinical care

Suitability is assessed individually. No particular outcome can be guaranteed, and another form of medical, psychological or allied-health care may sometimes be more appropriate.

Where other clinicians are involved, coordinated care is encouraged.

Discuss whether this approach fits

Private consultations are available at Saje in Woollahra.

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