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Management of Specific Physical Symptoms 

Management of Specific Physical Symptoms
Psycho-Oncology (3 ed.)

Pain is among the most prevalent and distressing symptoms encountered in patients with cancer. Psychiatric and psychological consultation in the psycho-oncology setting must take into account the important relationships between pain and psychological and psychiatric morbidity. Uncontrolled pain can mimic psychiatric disorders, so mental health clinicians must be knowledgeable about pain and its appropriate management to recognize cancer-related pain when it is present. This chapter reviews the prevalence of pain in cancer, pain syndromes, and pain assessment issues, recommendations of the National Comprehensive Cancer Network (NCCN), and pharmacologic and non-pharmacologic interventions for cancer-related pain. Psychiatric and psychological interventions in the treatment of cancer pain have now become an integral part of a comprehensive approach to pain management and are highlighted in this chapter.

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