Non-narcotic analgesics are preferable with respect to those developing the habit. Antispasmodic and changes in diet, as increasing acceptance of products containing an increased amount of fiber may have beneficial effects on patients with chronic abdominal pain and IBS. Patients with indigestion syndromes can receive therapy to H2-blockers. Antidepressants can be used in some patients with psychosomatic problems including recurrent pain and depressive symptoms, even if they do not meet all the criteria of major depression. Tricyclic drugs, or selective serotonin inhibitor drugs seizure (SSRI), such as fluoxetine and paroxetine may be useful in some adolescents. Stress reduction Many teenagers and their families are able to perceive the possibility of stress in the development and maintenance of symptoms. Should therefore be planned intervention aimed at promoting adolescent stressors and to withstand stress. If possible it is desirable to delete specific stressors. For example, the removal of a teenager from a difficult life situation to protect adolescents from the source tyaezhlogo distress. On older adolescents may adversely affect high adult responsibilities such as work after school, nyanchanie younger brothers and sisters and everyday chores. Reduction and change some of these teenagers of responsibility may reduce stress and eliminate somatic complaints. Many parents have great both direct and indirect pressure on their teens both in terms of physical development and academic achievement. In some cases, symptoms can be a teen message to parents behind. Teen-athlete who participates in the early years of the competition may be tired from the competition but could not make it sovim ambitious parents. A teenager may feel fear that parents will be disappointed. Reducing academic pressure as a decrease in the number of prestigious occupations may be desirable for the release of some successful young schoolchildren. Fostering competence Teenagers regard themselves as incapable for social academic or athletic activities have a greater propensity to maintain their symptoms. For those with in-takmi acceptance normal activities may threaten self-esteem and regarded as stressful. Interventions to support and facilitate adolescent competence in various activities has two potentsalnyh blagodeystvuyuschih points: (1) increased competence can increase the ability of teenagers to engage in potentially stressful activities, and (2) engaging in various activities may divert attention from the symptoms of a teenager. A doctor can help in identifying areas of current and emerging kompetenetnostey and help parents in the development of special interests and abilities of a teenager in these areas.
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