Fibromialgia para o psiquiatra

Fibromyalgia (FM) is common in pain clinics and not infrequently encountered in psychiatric practice. In spite of being a common disorder that causes great suffering and disability, FM is poorly understood and ignored in medical school and post-graduate training. FM is associated with a wide range of reproducible pathophysiological findings. Speculation has FM as a form of 1) sleep disorder, 2) CNS sensitization, and 3) dysregulation of the stress response. Treatment can be well managed by psychiatrists and includes 1) education and CBT, 2) antidepressants, 3) analgesics, and 4) a range of other potential treatments including hormones (Barkhuizen, 2001).