i was going through the cases and was wondering if in the CS exam there is a case of a child with somatoform disorder or malingering ?
How do we counsel the mother then?
Malingering or somatoform disorder should be at the bottom of your list of possible differentials, you shouldn't be counseling the mother about it as it's a remote a diagnosis (diagnosis of exclusion).
You can just say malingering or psychologic origin of symptoms is a possibility and we need to further investigations to find out the cause.
If its top of your differentials , I would definitely ask about school performance, outside activities, friends, domestic child abuse and bullying.
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