title: [Patient education, medication and physical therapy. Balm for "cardiac neurosis"].
abstract: In the management of psychogenic chest pain, the family doctor has a key role to play. His main task is to exclude physical or organic causes and identify the underlying psychogenesis--admittedly without wishing to establish a definitive (ICD-10) diagnosis. For this purpose, empathic reassurance of the patient is of major importance. Wherever possible, hospitalization of the patient for a diagnostic clarification should be avoided. Therapeutic options comprise suitable physiotherapy, psychohygienic measures, and appropriate pharmacotherapy. Major goals of such an approach are the establishment of a trusting relationship, and improving the patient's sleep patterns, physical fitness and emotional status. In the event of long-term persistence of the condition or a severe course, referral to a specialist is indicated.
authors.affiliation: Klinik Hohe Mark, Oberursel. barocka@hohemark.de
authors.forename: A
authors.initials: A
authors.lastname: Barocka
mesh_terms: D014151:Anti-Anxiety Agents / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D006801:Humans; D009449:Neurocirculatory Asthenia / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D010348:Patient Care Team; D010353:Patient Education as Topic; D026741:Physical Therapy Modalities
chemical_list: D014151:Anti-Anxiety Agents
vernacular_title: Aufklärende Gespräche, Medikation und Physiotherapie. Balsam für die "Herzneurose".