Concluding Comments

The goal of the pediatric psychosomatic medicine assessment is a developmentally informed, biopsy-chosocial formulation of the child or adolescent. The assessment should focus on the eight C's:

1. Consent from parents and patient to evaluate

2. Clarification of purpose of the consultation (e.g., diagnosis, management, disposition)

3. Collaboration with multidisciplinary team

4. Consideration of conditions (i.e., medical or treatment factors that may be etiological)

5. Contextualization with the multiple systems around the patient (e.g., medical, school, family)

6. Concise, clear, jargon-free notes and plan

7. Consensus with patient, family, and medical team around intervention

8. Continuity of care over time

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