A four-tiered conceptual model of mind-body interrelationships based on pathophysiological and psychopathological mechanisms is suggested to help optimize the treatment of somatic complaints. In this paper, four archetypal case studies, together with standard care options are presented to illustrate the current state of affairs. Such a model would enable better communication between physicians and MHPs, allowing them to provide coordinated, stratified treatment. One possible reason for this is the lack of a comprehensive, agreed-upon model that incorporates a biopsychosocial framework and is rooted in an understanding of the various psychobiological pathways. Although progress has been made over the last few decades in understanding mechanisms underlying the mind-body relationship, disparities remain between research and its clinical implementation. This situation is particularly troublesome due to the high prevalence of these conditions. Despite the shift toward a biopsychosocial paradigm of medicine, many physicians and mental health professionals (MHPs) find it difficult to treat patients with psycho-somatic disorders.
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