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Slow accrual.
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Functional (psychogenic or somatoform) symptoms are commonly observed in neurology clinics. There is no known empirically validated treatment approach to functional symptoms. Cognitive Behavioral Therapy (CBT) can be effective, but there are major obstacles to its provision. The investigators will test the hypothesis that adding a CBT-based guided self-help (GSH) as compared to treatment as usual (TAU) improves patient outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TAU+GSH | Experimental | Treatment As Usual plus Guided Self Help. |
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| TAU | Active Comparator | Treatment AS Usual. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Treatment As Usual | Behavioral | Communicating the diagnosis to the patient's primary care doctor and neurologist. May include referrals for physical therapy or psychiatric evaluations, or referrals to community therapists or doctors. |
| Measure | Description | Time Frame |
|---|---|---|
| CGI | Clinical Global Improvement scale score (much worse, worse, same, better, much better) rated by the patient. | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic | Scottsdale | Arizona | 85259 | United States |
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| ID | Term |
|---|---|
| D013812 | Therapeutics |
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| Guided Self-Help | Behavioral | A self-help workbook based on cognitive behavioral therapy, and four half-hour guidance sessions over a three-month period. |
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