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Referral guidance

Assessment and treatment of chronic functional disorders and health anxiety


The Research Clinic for Functional Disorders and Psychosomatics offers assessment and treatment of patients with health anxiety and chronic functional disorders. As agreed with regions of North Denmark and Southern Denmark, GPs and hospital doctors can make a direct referral to standard treatment or a treatment project.

Who can be referred?

  1. People with severe chronic functional disorders
  2. People with health anxiety

1. Inclusion criteria for severe chronic functional disorders:

  • Age 20-50
  • Multiple physical symptoms from at least three different organ systems without any specific medical explanation
  • The symptoms are affecting daily activities
  • The functional component of the disorder can clearly be separated from a well-defined chronic somatic disease (e.g. COPD, diabetes)
  • The patient has experienced symptoms for at least 2 years 
  • The patient must be born in Denmark or have Danish parents and be able to understand, speak, write and read Danish.

Exclusion criteria:

  • Acute psychiatric disorder requiring treatment or suicidal risk
  • Alcohol abuse or addiction, addiction to drugs and (non-prescription) medicine
  • Current or former diagnosed psychosis, manic disorder or depression with psychotic symptoms
  • Pregnancy.

 

2. Inclusion criteria for health anxiety:

  • Age 20-60 
  • Uncontrollable rumination with (intrusive) thoughts about suffering from an illness  
  • Worry about and focus on the body or health-related issues. Fear of contamination, poisoning or suggestibility, i.e. a tendency to think that you will get same disease that you have just read or heard about
  • The symptoms are very distracting or affecting daily activities
  • The condition has lasted most of the time for at least two weeks
  • The patient understands, reads, speaks and writes Danish.

Exclusion criteria for health anxiety:

  • Acute psychiatric disorder requiring treatment or suicidal risk
  • Alcohol abuse or addiction, addiction to drugs and (non-prescription) medicine
  • Pregnancy
  • Current or former diagnosed psychosis, bipolar affective mental disorder or depression with psychotic symptoms. 

More information

The patient must be reasonably diagnostically assessed prior to the referral and understand and accept the referral. It is expected that standard screening blood test results are available, e.g. vitamin D, TSH and haemoglobin.

Medical record and test results from the last two years from the patient's own GP must be enclosed with the referral in copies, even if the material is extensive. This is important in order to perform a thorough assessment of the patient's medical history. A written consent form from the patient will enable the doctor to retrieve additional information if the GP's medical record does not suffice.

Assessment

The patient's course of illness is assessed by looking at the medical record. Patients that meet the inclusion criteria will then be called for an examination. This will take 2-3 hours and includes: a neuropsychiatric interview (SCAN), possibly blood tests and screening by means of various questionnaires.

Based on the examinations, it is assessed whether the patient meets the requirements to participate in the treatment. If the patient cannot enter into treatment at the Clinic. he or she will continue to see his or her own GP and possibly the referring hospital ward.


Referral

A standard referral can be used with clear indication that it concerns this offer of treatment. Please note the inclusion and exclusion criteria, so we will not disappoint more patients than we have to. It may be an advantage to hand out information material to the patient. Information material can be found on this website. Mileage allowance is granted according to the rules in force. If you are in doubt, please do not hesitate to call us.

Electronic referrals:

Location number: 5790000200009


Referral address

The Research Clinic for Functional Disorders and Psychosomatics
Aarhus University Hospital
Barthsgade 5, DK-8200 Aarhus N
Ph: +45 7846 4310—Fax: +45 7846 4340
Email: FunktionelleLidelser@auh.rm.dk

 

 

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Revised 23.03.2017