Which is the first-line treatment for somatic symptom disorder?

Cognitive-behavioral therapy (CBT) is recognized as the first-line treatment for somatic symptom disorder. This approach is effective because it specifically targets the cognitive distortions and maladaptive behaviors associated with the disorder. CBT helps patients identify, understand, and change their thought patterns related to their physical symptoms, which can in turn reduce the distress and impairment caused by these symptoms.

In somatic symptom disorder, patients often have excessive thoughts, feelings, or behaviors related to their perceived health concerns. By using CBT, they learn to manage their anxiety better and develop coping strategies to deal with their symptoms more adaptively. This is essential in helping individuals reduce the focus on their physical symptoms and improve their overall functioning and quality of life.

Other treatments, such as antidepressant medication, may be used in some cases but are not considered the primary or first-line approach. Psychotherapy in general can be beneficial, but CBT is specifically tailored to address the unique issues presented in somatic symptom disorder. Hospitalization is rarely indicated unless there are significant safety or medical concerns associated with the patient's condition, making it an inappropriate first-line treatment strategy.