SOMATIC SYMPTOM DISORDER IN ADOLESCENTS: LIVING AS NORMALLY AS POSSIBLE

In the Netherlands, occupational therapy is usually not included in the rehabilitation of adolescents with somatic symptom disorders (SSD). Nevertheless, at the Department of Child and Adolescent Psychiatry/Psychology of the... [ view full abstract ]

In the Netherlands, occupational therapy is usually not included in the rehabilitation of adolescents with somatic symptom disorders (SSD). Nevertheless, at the Department of Child and Adolescent Psychiatry/Psychology of the Erasmus Medical Center, occupational therapy is embedded in the treatment protocol of adolescents with SSD since 2011. Because of this, we have established a lot of experience in working with this targetgroup.
The aim of this presentation is to show the specific value of occupational therapy in the treatment of adolescents with SSD, to share our experiences and to hand some advice for treatment.

Theoretical underpinning:
We advise the treatment of adolescents with SSD to be based on MOHO. In particular, we focus on recreating a satisfying occupational identity and competence by addressing volition, habituation and performance capacity.

Intervention:
Especially with these adolescents, the focus needs to be on the empowerment of their possibilities and their own goals and wishes for the future. The aim is to build their self-efficacy, increase daily functioning and focus on living as normally as possible. We accomplish this by setting goals together, determine an action- and copingplan and by using specific approaches. Activities are used as a tool and as the aim of therapy. The MOHO and CMOP-E provide useful instruments.

Evaluation:
The position and added value of occupational therapy is clear for the adolescents, therapists and Psychiatry department.

Application:
Occupational therapy should be included in the multidisciplinary treatment of adolescents with SSD. The approach and specific interventions will be specified during the presentation.