What is the role of the general practitioner in managing Somatic Symptom Disorder?

• A. Provide acute surgical intervention.
• B. Prescribe medications without follow-up.
• C. Dismiss symptoms as psychosomatic without evaluation.
• D. Provide continuity of care, monitoring, and early recognition; coordinate mental health referrals.

Answer: (D)

The key idea is that Somatic Symptom Disorder in primary care requires a steady, coordinated, long-term approach. The general practitioner should keep the patient in continuous care, regularly monitoring symptoms and functioning, and recognize early when the presentation may reflect SSD so care isn’t fragmented or over-scientized by unnecessary testing. This ongoing relationship helps validate the patient’s experience while avoiding drastic medicalization and keeps the door open to appropriate mental health interventions. Importantly, the GP coordinates referrals to mental health professionals for evidence-based therapies and collaborates with specialists as needed, addressing any coexisting mood or anxiety concerns. This integrated, collaborative role best supports reducing distress, improving function, and preventing chronicity.

Actions like performing unnecessary acute surgical interventions, prescribing medications without ongoing follow-up, or dismissing symptoms as psychosomatic without proper evaluation do not align with best practice for SSD.